Comer – Maroon Service

 

Contacts


Before Your Rotation

  • Review the Goals and Objectives
  • The senior residents for each block should reach out to the team 1-2 months in advance to discuss scheduling, which will then be reviewed by the Chief Residents once completed
  • All oncoming team members must receive verbal patient signout from the outgoing team on their new patients; you should also review the off-service notes posted in Epic by the outgoing interns

Schedule

  • PL-1 residents:  Required rotation, typically for a total of 6-10 weeks over the course of the year (exclusive of night service)
  • PL-3 residents:  Required four-week rotation
  • Total of four days off over the course of the four-week rotation, to be scheduled by senior residents
  • Daily schedule as follows:
    • Day team arrives for signout at 6am in Maroon workroom
    • At least one intern and senior are designated as “long” each day and will stay through evening signout (which begins at 6pm)
    • You will still be scheduled for continuity clinic during this rotation on some of your “short” days

Roles and Responsibilities

Welcome to The Maroon Service! Along with our Silver and Gold services, your time on Maroon should help expose you to common Pediatric Diseases, in addition to a wide range of complex medical conditions. While on this service you care for and round with fellows and attendings from the General Pediatrics Hospitalist Team, Cardiology, Endocrinology, Infectious Disease, Pulmonology, and Rheumatology.

Please reference the PHM box prior to the start of your rotation. It contains information regarding daily schedule, discharge huddle instructions and the teaching schedule.

Responsibilities for PL-3 Team Leaders

  • 2 day seniors
  • One leader must remain in house until 6pm to sign out to Night Team
  • Coordinate rounding time with attendings on all services for which patients are admitted
  • Leaders do not carry patients but ensure equitable distribution of patients on service
  • Oversee and conduct sign-out and keep EPIC signout up to date
  • Help interns with daily plans for patients; double-check all work done by interns
  • Teach medical students and sub-interns
  • Examine all patients daily prior to morning report
  • Attend conference daily, with 75% attendance expected
  • Write HPI and daily progress notes for all patients followed by sub-interns
  • Alternate weekend days off with co-senior

Responsibilities for PL-1s:

  • Four interns per month, with two to remain on days all four weeks and the other two to alternate 2 weeks of days/2 weeks of nights as part of Night Team (this is indicated on Amion)
  • Perform the primary patient care role
  • Pre-round on patients and write daily progress notes and orders (need to write a complete progress not on all patients, including those followed by MS3 medical students)
  • Present patients on rounds, with assessment and plan presented
  • Call consults as early as possible if needed, and formulate a specific question to ask them
  • Take care of daily work associated with patient care
  • Communicate with patients, families, and primary physicians
  • Fax discharge summary to primary care physician in a timely manner (ideally within 24 hours of discharge and primary to patient’s follow-up appointment)
  • Attend conference daily while on day team, with 75% attendance expected

Locations

Links can be clicked for directions in Google Maps (opens in new window)


Resources