SSB-Ward Subspecialty B

Rotation Director: David Rozansky

Email: rozansky@ohsu.edu

Office: CDRC 1277

Phone: 503-494-8081

Pager: 11747

Overview:

The SSB team includes a PGY2 Pediatric resident. The service covers the following patients:

• Patients admitted to the pediatric nephrology service

• Patients admitted to the pediatric neurology service

The PGY2 pediatric resident will work collaboratively with the attendings and other members of the nephrology and neurology teams. The PGY2 resident should feel empowered to communicate directly with the services to adjust expectant rounding times and coverage issues in situations where the total patient census is high and/or especially lopsided between the two services.

Additionally, while residents will be assigned to the SSB team, the inpatient unit is a collaborative place. Depending on census and acuity, residents may additionally cover patients from other services (Hood, SSA, Coast), especially on the weekend.

Rotation goals and objectives:

• Demonstrate an understanding to standard clinical approach to many common disease processes in pediatric nephrology such as nephrotic syndrome, glomerulonephritis, hypertension, transplant medicine, hemolytic uremic syndrome, and other causes of acute or chronic kidney disease• Demonstrate an understanding to standard clinical approach to many common disease processes in pediatric neurology, such as new onset seizures, demyelinating disease, epilepsy, intractable headache, movement disorders, and diseases of neuromuscular, metabolic, or genetic origin

Prior to the start of the rotation:

• Received thorough and specific signout from preceding resident. This should include active issues, current interventions, and overall patient status.

• Updated your pager status (In hospital, available)

First day of the rotation:

• Arrive at 10N Workroom before 0700

• Be prepared to receive overnight signout at 0700. This includes printing patient lists, assigning patients, and other morning tasks.

• Reassign First Call as appropriate

• Pre round and see all patients prior to rounds. Triage ill or discharging patients

• Be prepared to round with each team at the appropriate time.

• Expect to actively work on admits and discharges in the afternoon.

• All admissions need an H&P documented by a resident. All daily notes must have a physical exam and plan of care for the day documented by a resident

• Update I-PASS prior to signout. Don’t forget to change First Call.

Resident Expectations:

• All patients must be examined prior to rounds and have a preliminary care plan in place at rounds.

• Give clear SOAP format presentations on rounds w/ pertinent information that includes a daily review of the MAR specifics as well as a thoughtful assessment and plan

• Finish notes prior to leaving the hospital, before 2pm if possible

• Due to the complexity often of patients from these sub-specialties, the PGY2 would be expected to care for up to 8 patients. As the census exceeds this patient number, the PGY2 should work with the respective teams to organize overflow coverage based on acuity. The Chief Residents, Drs Coryell, Piantino, Rozansky, or Richardson would also be available for counsel as these matters arise.

General Schedule: