Comer – Silver Service


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


  • 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

Welcome to The Silver Service! Along with our Maroon and Gold services, your time on the Silver service should help expose you to a wide range of complex medical diseases seen among the pediatric population. While on this service you care for and round with attendings from Gastroenterology and Neurology.

Responsibilities for PL-2 Team Leaders

  • PL-2 leader is in charge of all patients on service and will carry patients when patient load is high
  • Alternate late days between co-seniors.  One leader must be in house until 6pm to sign out to the night team.
  • Oversee/conduct signout and keep EPIC signout 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

Responsibilities for PL-1s:

  • Interns on Silver work all day shifts – no night shift rotations on this service
  • 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


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