Resident Handbook - UC Davis Health System

The service is staffed by a single resident working closely with the obstetrical service andpediatric service attendings. PGY3s will have two 2-week block of night shift. PGY2swill have one 2-week block. PGY1s will have one 2-week block later in the academicyear. PGY1s will always have an upper level resident available on the Night floatMedicine service to provide supervision. The night shift resident will work from 5:30p.m. to the 7 a.m. check out. The night shift resident will work five shifts Monday-Friday. In addition, the night shift resident has family practice clinic on Mondayafternoons. Admission policies are described in the Ob and Peds rotation section above.The night shift should review all admissions with the attending physician during the nightor prior to end of shift – this assures both quality of care for the patient and education forthe resident.C. Service Duties:Overview: The resident team will generally consist of two PGY1s and two seniorresidents. Each senior resident/ PGY1 team generally spends two 2-week blocksalternating between the pediatric and obstetrical service. The senior resident is the teamleader and assigns duties as appropriate. Each attending for OB, Pediatric, and NICUwill arrange with the senior resident the time for rounding. See also Night Float Ob/Pedsabove.MFHC Clinic:• Residents scheduled in the FPC must arrive at the FPC on time for their firstappointment. These patients count on you being there.• The PGY2 or PGY3 resident in house will manage the POB service, assignPGY1s to admissions, L&D, etc.Admits:• Newborns from attendings who do not do Nursery care will be managed on thenewborn service with the senior assigning those newborns to first year residentsas appropriate.• Pediatric ward admissions will be followed by the team member who performedthe admission, or assigned if the admission occurred during the on-call period.Mercy OB Clinic:• As available, PGY1 or PGY2 residents will attend the Mercy OB clinic Tuesdaymorning, Wednesday afternoon, and Thursday morning as scheduled by the seniorresident and ONLY if there is an on-site supervising attending in order to complywith Medicare and MediCal supervision guidelines, ensure procedural supervisionand attainment of competency, and ensure the appropriate care of the oftencomplicated prenatal patients seen in the MOB clinic.Checkout:• Service Checkout in L&D will occur when all residents are availablePage 60 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc