Saint Anthony Hospital

 

Welcome to St. Anthony Hospital!

Contacts

  • Pediatric Chairman:  Romeen Lavani MD
  • Resident rotation directors : Shilpa Singh MD
  • Resident rotation Coordinator:  Belinda Cadena

Location

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

Block Schedule and Days Off

  • Floor service comprised of a single team including 1 PGY-1  resident  and 1 senior resident supervised by the on-call hospitalist for the day
  • 4 week rotation includes 28 hours call every fourth night for the senior resident
  • The intern works day shifts only and stays late every 3rd day to help with admissions
  • Days off are dependent on call schedule and fall on weekend days on which you are not on call or post-call
  • Clinic will never fall on days on which you are on call or post-call

Daily Schedule

  • Sign out is at 7AM every morning from the post call person on weekdays and on 8AM on weekends and holidays
  • All residents pre-round on patients until 8:30AM
  • Teaching rounds take place at 10 AM every morning by the designated teaching attending. Rounds conclude before 11AM to allow post call resident to complete tasks and notes in order to leave before 11AM
  • Lectures are scheduled on a weekly basis at 3pm .Attendance is mandatory and you are exempted if post call
  • Residents sign out to on-call attending by 4PM
  • Days off during the rotation are on weekends when a resident is neither post-call nor on call
  • Residents have regularly scheduled continuity clinic throughout their rotation

Before Your Rotation

  • Review the Goals and Objectives below
  • Ensure that your Saint Anthony log ins are still functional.(help line number 773-484-1900)
  • Receive verbal sign out from previous residents
  • If not previously completed, paragon training will be done on the morning  of the first day
  • Paragon training and IDs should be obtained prior to beginning the rotation during initial orientation. If not done then should be obtained on the first day of the rotation.

Roles and Responsibilities

Welcome to Saint Anthony Hospital. While at Saint Anthony your breadth of   knowledge of general pediatrics will be enriched by exposure  to children with acute medical problems commonly encountered in the community like dehydration, gastroenteritis, bronchiolitis, urinary tract infections, cellulitis, acute asthma exacerbation etc . Learn an understand the challenges of working in a community setting, with limited availability of subspecialists .Though its a community hospital we are unique as we have an IMCU with 24/7 Pediatric critical care coverage. We provide continuous monitoring and treatment modalities for critical patients like status asthmatic, DKA, Acute respiratory failure on HFNC and BiPAP. We also see high number of patients with acute appendicitis and some very uncommon presentation of the disease. 40% of our ER patient are  children and the ER is pediatric certified by Illinois Department of public health.

Educational Objectives

These rotations are meant to expose residents to concepts of management of children in the community with acute medical illnesses. We cater to a community with wide array of ethnic and socioeconomic diversity. Residents will be exposed to community pediatrics and manage medical illness acute gastroenteritis, dehydration, viral bronchiolitis, urinary tract infection. The resident should be able to coordinate and integrate the efforts of an interdisciplinary team including physicians, nurses, therapists, social workers, educators, dietitians, representatives of outside agencies (DCFS, SAAS), and learn to work with pediatricians in the community. The resident will be able to recognize patients with deterioration n clinical status and will then transfer them to the Intermediate care unit (IMCU) at SAH or to the University of Chicago  PICU for further management.

Responsibilities for PL-1s:

  • Round on all patients on the floor in the morning.  This includes a physical examination, and further history that may be necessary.
  • Review labs and radiology results and collect 24hr vitals and be ready to present to Senior Resident and Attending.
  • Full History and Physical on all new admissions
  • Always contact the Hospitalist on call with all admissions, discharges, questions and changes in clinical status. They are here to supervise, teach and help you manage the patients.
  • Daily Progress Notes should be completed on all patients. Intern writes up to 10 progress notes, anything over, the senior may help
  • Discharge Summary –To be done for all patients within 24 hours of discharge
  • All Asthma patients must have an Asthma action plan
  • Teach medical students, review notes and cases; give a 5 min talk on general pediatric topics (otitis media, pneumonia, gastroenteritis, fluids, etc). Log topic/time and signature in log book provided.

Keep sign-out accurate and up-to-date.

  • Attend daily morning rounds which are conducted by faculty pediatricians from the community. As there is a different attending every day for the teaching rounds, residents will be exposed to different styles and perspectives ha

Responsibilities for Senior Residents

  • Be the supervisor for the PL1 resident and the medical students
  • Update the PMD’s and specialist daily after rounds and schedule a discharge follow up date.
  • Participate in the interdisciplinary rounds everyday at 9am
  • If there are Spanish speaking patients use the video interpreter services to communicate and update the parents daily.
  • Prepare for patients discharge by faxing the medications to the pharmacy, arranging the nebulizer machine if needed, provide discharge education to the parents, including a thorough asthma action plan on all the asthmatics
  • Teach medical students on common pediatric illnesses
  • Present Grand rounds at the end of the rotation on a relevant topic.
  • Help lead/run rounds every day
  • Alert Hospitalist/Intensivist on call when the clinical  condition worsens