Welcome to Saint Anthony Hospital! You will see a wealth of acute general pediatrics in addition to gaining unique insight into the challenges of working in a community setting, with fewer availability of resources and access to sub-specialty services. Your patient population will be an ethnically and socioeconomically diverse community, often different from patients you see at Comer.
You will also be taking care of patients requiring critical, PICU-level care in the IMCU (Intermediate Medical Care Unit). We provide continuous monitoring and treatment modalities for critical patients including status asthmaticus, DKA, and acute respiratory failure requiring HFNC and BiPAP. We also see a high number and uncommon presentations of acute appendicitis.
Photo credit: https://sahchicago.org/about-us
Before Your Rotation
- Review the Goals and Objectives.
- Ensure that you have completed necessary paperwork and submitted to the PMEO office.
- Ensure that your Saint Anthony log-ins are functional. Help line number 773-484-1900.
- Receive verbal sign-out from previous residents.
- 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.
- If not previously completed, Paragon (EMR for Saint Anthony Hospital) training will be done on the morning of the first day.
- Floor service is comprised of one PL-1 and one senior resident (PL-2 and above) supervised by the on-call hospitalist
- Hospitalist schedule often rotates on daily basis.
- 2- to 4-week rotation includes 28-hour Q4 call for the senior resident.
- The PL1 works day shifts and stays until ~9:00 PM for admissions every third day.
- Days off are dependent on call schedule, residents are off weekend days on which you are not on call or post-call
- Sign out is at 7:00 AM on weekdays and at 8:00 AM on weekends and holidays
- All residents pre-round on patients until 8:30AM
- Teaching rounds take place at 10:00 AM every morning by the designated teaching attendings. Rounds conclude in time to allow post-call resident to complete tasks and notes before 11:00 AM.
- Lectures are scheduled on a weekly basis at 3:00 PM. Attendance is mandatory, however you are excused if post-call.
- Residents sign out to on-call attending by 4:00 PM.
Roles and Responsibilities
- Pre-round on all patients: review vitals, labs, and radiology results
- Round on all patients on the floor
- Full History and Physical on all new admissions
- Contact the On-Call Hospitalist with all admissions, discharges, changes in clinical status, and any questions.
- Write daily progress notes (up to 10 progress notes); senior resident should assist with writing notes if greater than 10 notes
- Keep sign-out accurate and up-to-date
- Asthma Action Plan for all patients admitted for asthma exacerbation
- Teach medical students
- Attend daily morning rounds that 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
- Discharge Summaries should be done within 24 hours of discharge and should be sent to PMDs
Senior Resident Responsibilities:
- Supervise intern and medical students
- Help lead/run rounds every day
- Participate in the interdisciplinary rounds everyday at 9:00 AM
- Update the PMDs and specialists daily after rounds
- Alert On-Call Hospitalist and/or Intensivist when the clinical condition worsens
- If patients and families are primarily Spanish-speaking, use the video interpreter services to communicate and update the parents at least daily
- Prepare discharge medications, review discharge education with families
- Assist PL-1 resident with writing daily progress notes
- Teach medical students on common pediatric illnesses: give 5 min talks on general pediatric topics (otitis media, pneumonia, gastroenteritis, fluids, etc); log topic/time and signature in log book provided
- Present Grand Rounds at the end of the rotation on a relevant topic, with assistance from PL-1
Map to St Anthony Hospital
Pediatric Team works on the 3rd floor of hospital – Pediatric unit