OB rotation changes
I am in negotiations with St Luke's on your OB rotation.
This rotation will be directed by EIHC.
Please post any changes you would like to this rotation.
Our best chance for change is now.
This rotation will be directed by EIHC.
Please post any changes you would like to this rotation.
Our best chance for change is now.
Thinking about reducing this to 3 weeks of OB plus one week of EM/Vacation. This is because of the US training will require 4 US shifts in second year. Getting these 4 US shifts will be difficult on various levels if the come directly from EM senior shifts. Adding in a week of EM/vacation will keep flexibility in scheduling. Call this trickle down economics. I think everyone will still get enough vaginal deliveries with 3 weeks of OB.
ReplyDeleteI think a schedule of Monday/Tuesday 12 hour day shift, Wednesday 8 hour day shift, and Thursday/Friday 12 hour overnight shift would be much better for wellness and still allow for journal club/conference attendance
ReplyDeleteThree weeks seems sufficient. Definitely more weekday shifts rather than weekend, there are more inductions and thus babies during the week. Make sure we don't get stuck doing circumcisions, as there is talk these are going back to the OB service to perform rather than FM. Clarify what we are responsible for, because right now residents have continuity from resident to resident handoffs (separate from the faculty handoff) and do all the morning rounding, progress notes, discharges, etc and carry the pager. If we keep nights make sure the EIHC resident call room will continue to exist. One of the staff refuses to hold the pager overnight, so anticipate some logistical challenges.
ReplyDeleteIf we are going to keep rounding and doing all the charting, it makes sense to me to do all days.
Mon: 6a-6p
Tues: 6a-6p
Wed: 6a-4p
Thur: Off
Fri: 6a-6p
Sat: 6a-2p
Sun: Off
I like the idea of having a mix of days/nights. Nights tended to be fairly busy in terms of deliveries plus there is no rounding/notes which is a nice bonus.
ReplyDeleteThe above suggestion seems fair: 6-6 M and T. 6-4 W. 6 P-6 A Thursday and Friday. This is a reasonable schedule that would allow us variety in hours.
Things to remove from the rotation: rounding on newborns and continuing to NOT do circumcisions.
I feel that having to be up at night two nights a week is less than ideal. I certainly understand that if you don't have patients you can sleep, however many residents who have already done the rotation know that it is very rare to not be busy at many times throughout the night. I think that an alternative would be covering "evening" shifts like 12-12 as most of the inductions are getting going by then and you wouldn't be likely to miss them leaving at midnight. You still have the added benefit of not having to round and you're not there all night.
ReplyDelete