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Schedule Description
Schedule Description
OB is one of the toughest rotations for us to schedule. It has unique scheduling needs with the high clinical variability and high acuity cases with very little notice.
On weekdays, there are at least 2 Day Residents and on weekends and Holidays, there is 1 Day Resident. Day starts at 7 AM (Tuesday-Sunday and Holiday Mondays) and 8 AM (Non-Holiday Mondays) and ends at 6 PM. Night float will consist of 2 residents, except on the last Sunday of the rotation when there will be 1 resident.
Night starts at 6 PM and ends at 7 AM unless on a Non-Holiday Monday, in that case it's 8 AM. For inexperienced residents who start on nights (coupled with an experienced resident) they will start their first night shift early at 4:00pm (instead of 6:00pm) to attend orientation with a fellow. After things start to settle down in the evening, alternate which resident is the ‘active resident’ and carries the Res 1 phone and which resident is the ‘resting resident’ who can rest (if the floor allows).
Night residents will typically work 6 consecutive nights. However, at the beginning and end of the block, one of the night residents will have a shortened stretch to help stagger the schedule—this is to avoid both night residents having a DAC on the same day. Each resident on the block will do two stretches of nights throughout the rotation.
Please see the Call Structure card below for the full description of the shift times.
It will be very challenging to grant conference days and extended days off due to the call schedule set up but we will try our best. We recommend reaching out to Dr. Abir to best accommodate these days off. We try to give everyone at least 1 weekend off, but some may get more weekend shifts than others. If you have to work more weekends, we do our best to try and give you an OFF day/DAC into your weekend off to balance things out, but aren't able to guarantee this depending on individual schedule requests, program events, etc.
Reading Your Schedule on Amion:
If you are OFF, you’ll see only one of these:
OB Sr
OB Jr
OB Elective
If you're ON, you’ll see both:
OB Sr + OB (Senior)
OB Jr + OB (Junior)
OB Elective + OB Elective
As with all scheduling, the more info that we receive on the block schedule requests, the easier it is for us to create a schedule that balances each person's needs. We hope that this provides some additional insight into the OB schedule. We do not expect you to be experts at this, so if any specific circumstances arise, please feel free to email us and we will see what we can do!
Intro by Gill Abir
Intro by Gill Abir
Before you start the rotation there are some important sections of the OB Resident Website that you need to review. Open the Resident Manual page, and review:
1) Orientation
Before you start - There is a ‘pocket reference card’ with L&D recipes and ‘passport’ booklet in your mailbox (please review prior to the rotation)
Administrative responsibilities - Please ensure that you have a functioning LPCH Epic login PRIOR to your rotation start date (This will likely be your username for the L&D Omnicell machines (same login as during the Peds rotation if you have done that)
Education responsibilities - Watch 3 videos (epidural kit/how to perform a CSE/H&P video)
Clinical Responsibilities - For those of you on your second OB rotation (you need to complete at least 5 lateral blocks and 5 ultrasound guided blocks) please enter your US guided and lateral neuraxial blocks in this document
2) Expectations
Sign-out: We meet at 7:00am (8:00am on Mondays) outside the fellows' office in the back hallway of L&D (Rm 2885). Be changed and ready to go in case there is an emergency (leave your belongings in the resident's call room (Rm 2892, code: 1234) prior to sign-out)
Workflow: You are primarily responsible for epidurals, c-sections, consults/preop evaluations, and postop follow-ups. You may also be asked to assist with IV placement (especially important for postpartum hemorrhages)
3) Education
Protected teaching: M-F at 2:30pm (fellows will cover the floor during this time, except on simulation days)
QI teaching on Friday afternoon at 2:30pm - dedicated to discussing the previous week’s QI data, which is presented by the Friday call resident
Ask for the QI list on Monday when you are presenting on the Friday (a fellow can print the QI list for you)
An example of how the data should be formatted is attached
In addition, you are expected to present a topic pertinent to one of the cases (if you're having trouble finding a topic, one of the fellows can assist you)
Please have an electronic version of the QI list that can be shared on this Zoom link (password 757792) as faculty join the QI discussion by Zoom (please send it to Leziga (ltomd22@stanford.edu) who can help)
Add your presentation to your portfolio on MedHub-"Resident Portfolio" as it qualifies as a QI experience
4) Office Space
We are very limited for space on L&D and also because of social distancing etc. please be respectful of the fellows' office space as they are working on research projects and/or preparing for high-risk cases etc. There are several workstations around L&D and in your call room that you can use to write notes, look up patient charts, etc.
5) Secondary OB Resident Call Room
A call room for the second OB Anesthesiology call resident has been allocated on the 3rd floor of LPCH West Building (Rm 3851), which is in a trainee space as part of the pediatrics residency lounge (access code: 5423).
Quick Reference
Quick Reference
OB Anesthesia Quick Reference_4.8.18.pdfCall Structure
Call Structure
OB Anesthesiology Resident Daily Schedule_7.1.25.pdfCall Rooms
Call Rooms
OB Anesthesiology Resident Call Rooms_7.1.25.pdfHemorrhage
Hemorrhage
OB Massive Hemorrhage Flowchart_10.3.23.pdfCheat Sheet
Cheat Sheet
OB Anes - Cheat Sheet_11.7.22.pdfLabor Analgesia Algorithm
Labor Analgesia Algorithm
Labor analgesia algorithm_2.23.23.pdfBackup Help OB Anesthesia Workflow
Acute Pain night call residents will help provide backup services for the OB anesthesia team in emergent situations - for example, simultaneous emergent C-sections.
OB Anesthesia_Backup Help Flowsheet_7.2.23.pdfPage updated
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