Welcome to The Silver Service! Your time on Silver exposes you to a wide range of complex medical diseases seen among the pediatric population, focusing on Gastroenterology and Neurology problems. In the winter months, you will also be taking care of patients on the Pediatric Hospitalist 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; 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 4-8 weeks over the course of the year
  • PL-2 residents:  Required 4-week rotation as PL-2
  • Total of four weekend days off over the course of the four-week rotation, to be scheduled by team leader
  • Daily schedule as follows:
    • Day team arrives for signout at 6am for signout. Night Team will sign out to day team
    • 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
  • Neurology Round: 9AM-10AM daily
  • GI rounds: 10AM-11AM daily
  • Teaching is to be scheduled amongst fellows, residents, attendings during afternoon sessions

Roles and Responsibilities

PGY-1s Responsibilities:

  • Interns work day shifts
  • Perform the primary patient care role
  • Pre-round on patients and write daily progress notes and orders
  • Present patients on rounds with complete and concise assessment and plan
  • Call consults after formulating a specific question for 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 morning and noon conference daily with 75% attendance expected

PGY-2 senior resident Responsibilities:

  • Seniors are in charge of all patients on the service and will carry patients when patient load is high
  • One senior resident must be in house until 6 PM to sign out to the night team.
  • Oversee and conduct sign-out
  • Keep EPIC sign-out and problem lists up to date
  • Help interns with daily plans for patients
  • Double-check all of the work completed by interns
  • Examine all patients daily prior to morning report
  • Attend morning and noon conference daily with 75% attendance expected

Locations

The Silver team works in the conference room just across from the staff elevators on Comer 5