Overview: The PGY-2 General Pediatric Clinic rotation will continue the resident’s experience in the general pediatric clinic furthering knowledge regarding triaging and treating children presenting to an acute care clinic. PGY-2 will have a mix of staffing interns and medical students and seeing patients independently. PGY-2 will be point person to orient Core Medical Students on their first day. PGY-2 will participate in the morning and afternoon pre-clinic huddle.
Schedule:
Morning conference attendance is expected on this rotation. You are expected to arrive in clinic promptly after morning report or grand rounds. The first patients are scheduled at 9 am
The general pediatrics daytime hours are 9 am to 5 pm. Expect to stay in the afternoon until you have completed your last patient visit.
The general pediatrics evening hours are Monday and Wednesday from 5:30-8:30 pm.
Adolescent medicine evening hours are Monday, Tuesday, and Wednesday 5:30-8:30 pm.
Saturday and most Monday holidays, the clinic is open 9 am to 1 pm. Expect to stay until you have completed your last patient visit. This may be later than 1 pm if you are waiting for lab or Xray results.
*Back up resident to MBU: If the MBU census is over 13, you will be contacted in the morning by the MBU intern to round on patients. Plan to return to clinic by 11 am. For any questions, please contact Dr. Ilse Larson.
Call:
J2 (back-up jeopardy) for all classes
Two nights of parent advice line call per week
1.5 or 2 weekends of parent advice line call per rotation
HUDDLE INFO:
Huddle occurs daily @ 9:05 AM and 1:05 PM in Exam Room 8.
Participants include RN, attending, senior resident, MA, PAS, and social worker.
Patient Advice Line Calls:
Check Amion for when you are on call for the Parent advice line. Resident coverage is: 6 pm to 10 pm on weekdays, Saturdays: 1 pm to 10 pm; Sundays 8 am to 10 pm.
A Nurse Triage line is available to take calls from patients from 10 pm to 8 am every night (365 days per year). You will need to have your pager on and available in the event that the nurse triage line needs to contact you. The Doernbehcer General Pediatric clinic nurses will take triage calls while the clinic is open.
Calls can be busy during the winter. Patients have been informed that they will receive a call back within 30 minutes. If you are backed upon calls, or need attending advice, there is an attending on for back-up. Call the attending if you ever have questions about a call.
If you make a referral into the ER, you should call the ER at 503-494-7551 to let them know the patient is coming.
Calls should be documented with a telephone encounter in Epic. Documentation can be brief.
Calling patients back: Call through the OHSU operator (503-494-9000) in order to have the calls recorded and to protect your personal phone number. You can also call with the prefix *67 to block the number you are calling from.
See educational information on telephone triage under General Pediatrics Rotation website.
Educational: There will be a pre-clinic conference for the first 10-15 minutes (patient load permitting), lead by a rotation of interns, second and third year resident or the attending. Talks, articles and handouts can be found on the shared X drive: X:\SOM\PEDS\General Pediatric Clinic Talks. This is a resource meant to be shared and added to during your rotation.
Third year residents will be in charge of making sure topics are covered and assigning talks. In addition, the mornings can be a time to discuss follow up of patients, interesting films, or go over a Peds in Review Case.
MEDICAL STUDENT Responsibilities: Second year resident will be point person for the Core Pediatric medical student. PGY-2 to orient student on their first day of clinic. Orientation list posted next to PGY-2 computer.
Student Orientation to GPAH Clinic
Procedures done in General Pediatric Clinic:
*Nebulizer treatments
*MDI Teaching
*Vaccine administration
*PPD/TST placement
*Hemaque
*Ear irrigation
*Urethral Catheterization
*Tympanometry
* Use of fluorescein dye
* Wart treatment with liquid nitrogen
* Rapid Strep Testing
* Transcutaneous Bilirubin Testing
*Silver nitrate use
*Circumscion (Schedule per Dr. Blaschke)
Please take the opportunity as able to participate and perform procedures.