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A day in the life of a resident…. a coordinator's perspective

A day in the life of a resident…. a coordinator's perspective. Natalie Moore Education Program Manager University of Utah Department of Obstetrics and Gynecology. A day in the life.

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A day in the life of a resident…. a coordinator's perspective

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  1. A day in the life of a resident….a coordinator's perspective Natalie Moore Education Program Manager University of Utah Department of Obstetrics and Gynecology

  2. A day in the life “Residency is an essential dimension of the transformation of the medical student to the independent practitioner along the continuum of medical education. It is physically, emotionally, and intellectually demanding, and requires longitudinally-concentrated effort on the part of the resident” - ACGME Common Program Requirements

  3. A day in the life We KNOW the WORDS of the Competencies: • Medical Knowledge/Surgical Skills • Patient Care • Professionalism • Interpersonal and Communication Skills • Practice - based learning and improvement • Systems - based practice

  4. A day in the life My Goals • Gain a better understanding of the demands and limitations of residency training • Not be in the way 

  5. GYN service • 5:00 AM: Begin rounding • Student teaching, patient reports and assessments • 9:00 AM: Tired already and have a headache • Procedure in clinic • Preparation for surgery • More rounds! • 12:00 - No lunch in sight!

  6. GYN service • Patient consents for surgery • Orders, paperwork, and pain meds – oh my! • Follow up on clinic procedure and patient in L&D • 1:00 PM: Still no lunch! • Surgery – LAVH • Surgery – Vaginal tumor • 3:00 PM: Lunch – FINALLY!

  7. GYN service • ER consultations • Rounds on post-op patients • 5:45 PM: Heading home!

  8. labor and delivery • 5:45 AM: Antepartum rounds • 6:30 AM: Orders and notes • 6:45 AM: Board check out • 7:00 AM: Started running! • Triage patients • Labor checks • Deliveries • C-sections

  9. Labor and delivery • 1:00 PM: Lunch! (I couldn’t believe it) • 1:30 PM: Antepartum rounds with attending • More running from room to room! • Notes, orders, nurse questions, phone calls

  10. labor and delivery • 5:30 PM: Board checkout starts • End of the day: • 7 Vaginal deliveries • 2 Unmedicated • 2 C-sections • 5:45 PM: Heading home!

  11. A day in the life And on top of ALL that…. • M&M list preparation • Dictations • Case log entry • Grand Rounds/lecture preparation • Research project • Reading/studying

  12. A day in the life • Life long learning • Preparation for patient education, minute to minute • Electronic medical records • Communication with attending (sometimes grumpy) • Schedules/coverage • Manpower distribution and on-the-fly team administration

  13. What did I learn? • Greater respect for the residents as people • Personal sacrifices being made every day • Stressful, hard, overwhelming, intense clinical and personal situations • Demanding schedule • Emotionally and physically draining • Really, when do they eat??

  14. Going forward • Don’t compare your Chapter 1 to someone else’s Chapter 20 • Hard times define the physician they will be • Show encouragement and compassion • Build relationships with strong foundations of mutual respect and appreciation

  15. Going forward It is our job to ensure that the residents are the BEST they can be • Boxes checked/accreditation? • Boxes checked /needs of resident met? • LOOK outside the paperwork and boxes! • Find a relationship with each that is respectful, supportive and compassionate

  16. a day in the life

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