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Day in the Life of a Pediatrics Resident

Get more insight about life in our program—from alarm clock to lights out—from those who really know, our residents!

PG1 Resident: Day in the Life on Inpatient Service

An intern describes a day in the hospital on inpatient service...

4:30 am

Wake up, get ready, grab breakfast, pack my bag for the day

5:30

Jump in the car and head to the hospital (thank you parking garage!)

5:50

Walk through the Daly lobby, swipe in for the day, and drop my things off in the resident work room

6:00

Say hello to the night team (and cross your fingers that you didn’t get too many admissions overnight!) then start receiving signout on your patients

6:15

Sit back, enjoy your coffee, chart review, and put on some fun music to start the day!

7:00

Start pre-rounding on my patients, making sure to check in with their nurses once they are done getting report at 730

8:00

Start working on progress notes for the morning so they are ready for final updates after rounds

8:30

Family centered rounding with the patients, their families, their nurse, team of doctors and students, and sometimes even the pharmacists!

10:30

Get to work! Time to place orders, call consults, work on discharging patients, and finishing up progress notes (you’ll be happy you started these early!)

12:00 pm

Grab some lunch and touch base with the medical students; make sure they are doing ok!

12:30

Go check in on my patients to see how things are going (they will be more awake and happier to see you now that lunch has arrived!)

1:00

Sign all progress notes and send them to the attending for review

1:15

Open for business! If all work is wrapped up from the morning, it’s time to start accepting admission from the ER

3:00

Check back in on patients and update them with new information on their care. If there’s time, I’ll join them out on the play deck and see if our child life team has any special guests visiting the Children’s Hospital!

4:30

Prepare signout so the night team is ready to hit the ground running

5:00

Signout my patients to the night team; bring them a snack from the resident room (the chiefs keep it stocked with lots of goodies!)

5:30

Hit the road!

6:00

Get home, start making dinner, and see if my co-interns want to hang out later in the night

8:00

Start winding down for the evening, pack my lunch, and do a little reading before bed

10:00 pm

Lights out!

PG2 Resident: Day in the Life in the PICU

This second year resident walks you through a day in the PICU...

5:15 am

Alarm goes off , time to wake up. Rush to shower, eat breakfast, make coffee and pack lunch.

5:55

Head off to work, another day in Pediatric Intensive Care Unit.

6:15

Arrive to PICU for sign out. Three patients, one of which is new admission and two who have been in the PICU for greater than 5 days. One patient with aspiration pneumonia sedated on a ventilator, another patient with biventricular heart failure admitted for cardiorenal disease and work up of possible PE and a third patient who is status post a procedure kept overnight for cardiac observation. I meet the new medical student who will be co-carrying one of my patients, read up on the new admission note in the EMR and review everyone’s overnight nursing notes, labs and vitals.

7:00

Start/open notes for each patient. Assist our medical student with starting a discharge note for the patient she is co-carrying. During this time one of my patients has a desaturation event requiring brief increase of oxygen on her ventilator to 100%.

7:30

Pre-round, examine and discuss each patient with their parents. We start with the patient our medical student is co-carrying and see them together.  

8:00

Review my medical student’s presentation, do some quick teaching on our physical exam findings and presentation techniques.

8:20

We start rounding on the overnight admissions first, presented by my co-resident who is coming off of his 24 hour shift. After he finishes presenting the two new patients we start with the sickest patients and round on each patient with their families.

11:00

Rounds end. We reach out to all consultants, update orders and add final physical exams and updated plans to our notes for the day. My ventilated patient has another desaturation event requiring brief bagging at 100%.

1:00 pm

Microwave my lunch and take time to eat while reviewing my medical student’s discharge summary which she started. Give feedback on note writing and answer questions.

1:30

Call one patient’s PCP with updates on care prior to discharge, leave a message for a return call. Reach out to another patient’s outpatient specialist.

1:55

Discharge one patient. Then attend a pre-meeting with Palliative care, the PICU attending on-call and another PICU attending prior to a family meeting for my complex patient with biventricular heart failure.

2:00

Attend the family meeting where we discuss outpatient palliative care options and hospice and discuss the patient’s and families wishes with regards to these options.

3:30

Meet with Case management, surgery and adult heart failure for recommendations for further care for one of my patients.

4:00

Catch up on emails missed over the weekend. And follow-up on new lab results from my sedated and ventilated patient. With the new ABG results, I adjust the ventilator settings with plans to recheck an ABG again in 4 hours.

4:30

Go by and see each patient and make sure nursing needs no further orders prior to leaving for the day.

5:00

Sign out to the Resident on his 24 hour shift.

5:15

Drive home. Once at home pack lunches and dinner for tomorrow for my 24 hour shift. And start dinner for tonight.

6:30

Eat dinner followed by a block of study questions. Unpack one box (we just moved).

8:30 pm

Off to bed.

PG3 Resident: Day in the Life on Elective

A senior resident gives you a glimpse into her day on elective...

6:00 am

Alarm goes off, press snooze but one of the kids wakes up before I have the opportunity to really enjoy my snooze! 

6:45

Grab some fresh fruit and homemade yogurt in hand as I head out to clinic.

7:30

Morning Report, enjoy a few tidbits of knowledge I had not yet known about congenital heart disease!

8:00

Swing over to the Allergy and Immunology department (my second site) to see some patients in the field I love! 

10:30

Short lull in the morning - take the opportunity to review my case presentation with my attending prior to submission for a national conference! 

12:30 pm

Get some lunch in the cafeteria with my badge (too many options!) before driving over to clinic.

1:00

Arrive to clinic and get my computer settled while grabbing a cup of coffee.

1:15

Check schedule to find my 1:00 pm and 1:30 pm patient both arrived at the same time, good thing I've practiced prioritizing! 

3:00

Working on my 4th patient of the afternoon, I stop by the BHN office to get some of their support - without their services I'd be lost! 

5:15

Wrap up with my last patient, time to head home! 

6:00

Run in the door and get some dinner on the stove. Thank my mom for getting the kids off the buses and homework accomplished! Meanwhile attempt to clean up the mess that has somehow become my family room! 

6:15

Sit down to dinner with the kids, with the chance to see how everyone's day went.

6:45

Drive out to drop my oldest daughter off at Girl Scout Meeting.

7:00

Teeth, story time and a few minutes of cuddling with my youngest before she goes to bed.

7:30

Pack lunches for everyone for the next day, take the opportunity to enjoy a hot shower! 

8:00

Teeth, story time and a few minutes of cuddling with my middle child before he goes to bed! 

8:30

Finalize a few of my notes that are left over from clinic.

9:00

Teeth, story time and a few minutes of cuddling with my oldest before she goes to bed. (Don't worry - she made it home from Girl Scouts as my husband picked her up on his way home from work!)

9:30

Pull up the reading for conference tomorrow on Google drive. 

10:00 pm

Read a few of my emails from bloggers that I follow (gardening, financial or parenting related) before falling asleep in preparation for the next day!