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--- resident:mason_welcome [2021/07/10 18:41] – [Welcome from Dr. Mason] jonathan
+++ resident:mason_welcome [2024/04/16 20:25] (current) – [Day Call] michael
@@ Line 14: / Line 14: @@
 The following cases are required for graduation:\\
 \\
-^ Index Cases ^ #
+^ Index Cases ^ # ^
-|Primary cleft lip repair| 7
+|Primary cleft lip repair| 7 |
-|Primary cleft palate repair| 7
+|Primary cleft palate repair| 7 |
-|Secondary cleft lip or palate repair| 7
+|Secondary cleft lip or palate repair| 7|
-|Craniomaxillofacial reconstruction|
+|Craniomaxillofacial reconstruction|∅|
-|Vascular malformation (laser)|
+|Vascular malformation (laser)|∅|
-|Other head and neck congenital defects procedures|
+|Other head and neck congenital defects procedures|∅|
-|Total|50
+|Total|50|
+==== Weekday Workflow ====
+\\
+The usual week call schedule is as follows. If the attending is on University call for the week, they take the entire week at Children's as well.\\
+^ M ^ T ^ W ^ Th ^ F/Sa/Su ^
+|K|M|F|D|On Call|
+\\
+**0600 Rounding and Patient Pre-op**\\
+\\
+Prep any patients for first cases in the preoperative holding area. Assure consent is complete and signed. If any concerns, notify operating surgeon ASAP. Round on inpatients. Be sure you have a working knowledge of how patients on the service fared overnight, their salient vitals, the status of their wounds, and any laboratory data including culture results, sensitivity patterns, current antimicrobials, and lab work (CBC, H/H, lytes, albumin, prealbumin, CRP, etc.)
+\\
+**0700 OR Start**\\
+\\
+The resident will be in the OR as the patient is prepared for surgery. Please read material about the case prior to the date of surgery and be well prepared.
+\\
+**0830 Wednesday Chief Rounds**\\
+\\
+The resident will round with Dr. Mason and the Yellow Team on Plastic Surgery inpatients. The resident is relieved of other commitments until rounds are complete.
+==== Weekend Workflow ====
+The resident and on-call surgeon will round on each patient on the list at least one of the two weekend days. They will decide upon the time to round.
+==== Resident Responsibilities ====
+  - Morning rounds-you are in charge
+  - Keep the inpatient list current
+  - Prepare for all cases
+  - Preop (Check in) all assigned patients
+  - Obtain sign out in the morning from the night call and give sign out in the afternoon to the oncall
+  - Connect to TigerConnect and keep the Team updated with pertinent patient information after rounds and/or as the day progresses. To connect call 7-HELP.
+  - See and evaluate all Emergency Room consults. Once complete staff with on call surgeon
+  - See and evaluate all inpatient consults. Once complete staff with on call surgeon
+  - Complete all indicated charting in relationship to patient care
+  - Attend Monday evening conferences 4-6 pm
+==== The List ====
+. Keeping an updated and accurate list of inpatients and consults is essential to accuracy in continuity of care. It is the responsibility of all of us to keep the list current and accurate. The CHCO resident will keep the list preened in real time, however, keeping the resident informed is our collective responsibilities. Please communicate liberally via Tiger Connect or phone call if you experience any of the following:\\
+a. Admit a patient without the resident at your side\\
+b.Operate on a patient without the resident at your side\\
+c.Change the plan on a patient without the resident at your side\\
+d.Encounter any other event in patient care that would impact future care without the resident at your side.\\
+\\
+. It is imperative that the resident pager and phone be working, accessible, and answered. If the resident is to be in the OR, please massage the OR team such that they answer your communications in a timely fashion. If difficulties arise with OR staff assisting, please connect with Dr. Mason.
+\\
+. Transitions of care are also essential to high quality continuity of care. At a minimum a review of the patient list should occur in the mornings to the CHCO resident starting the day and again at the end of the day around 5:00 pm when the night call resident is assuming responsibility.Weekend sign out on Fridays around 5:00 pm and sign ins on Monday mornings should similarly be done comprehensively.
+==== CHCO Conferences ====
+^ Timing (Monthly) ^ Mode ^ Conference ^ Description ^
+|First Friday| Present |Resident Conference | Resident will present 2-4 cases planned for the month. Workup, intervention, and postoperative care will be highlighted. |
+|Third Wednesday| Learn | Craniofacial Conference | Multidisciplinary conference with wide range of topics. Looks for flier for specific for the month you are on service. |
+|Fourth Monday| Learn | Cleft Lip and Palate Conference | Multidisciplinary conference with wide range of topics. Looks for flier for specific for the month you are on service.|
+|Final Friday| Mock Orals | Mock Orals | The pediatric plastic surgery division will perform Mock Oral Boards for the resident. Topics include: Unilateral and bilateral cleft lip, cleft palate, facial paralysis and syndactyly.|
+==== Preferred Weekly Schedule ====
+^ ^ Monday ^ Tuesday ^ Wednesday ^ Thursday ^ Friday ^
+|Week 1 AM | Dr. French Clinic | Dr. Khecohyan South OR | Dr. Khecohyan Clinic | Dr. Domeshek Clinic | Main Operating Room |
+|Week 1 PM | Dr. French Cleft Clinic | Dr. Khecohyan South OR | Dr. Khecohyan Clinic | Dr. Domeshek Clinic | Main Operating Room |
+|Week 2 AM | Dr. French Clinic | AM Children's Clinic | Vascular Multi-Disciplinary Clinic | Dr. French or Dr. Khecohyan OR  | North Operating Room |
+|Week 2 PM | Dr. French Cleft Clinic | AM Children's Clinic | Burn Multi-Disciplinary Clinic | Dr. French or Dr. Khecohyan OR | North Operating Room |
+|Week 3 AM | Dr. Khecohyan Orthognathic Clinic | Dr. Domeshek Main OR| Dr. Khecohyan Craniofacial Clinic | Dr. Domeshek Brachioplexus Multi-Disciplinary Clinic | Dr. French Main OR |
+|Week 3 PM | Dr. Khecohyan Orthognathic Clinic |   Dr. Domeshek Main OR | Dr. Khecohyan Clinic | Dr. Domeshek Brachioplexus Multi-Disciplinary Clinic | Dr. French Main OR |
+|Week 4 AM | Dr. Domeshek North OR | Children's Main OR | Dr. French Craniofacial Clinic | Dr. French or Khecohyan Craniofacial OR | Dr. French Main OR |
+|Week 4 PM | Dr. Domeshek North OR | Children's Main OR | Vascular Malformation MDC | Dr. French or Khecohyan Craniofacial OR | Dr. French Main OR|
+|Week 5 AM | Dr. Domeshek North OR | Dr. Domeshek Main OR | Dr. Domeshek North Hand Clinic | Dr. French or Khecohyan Craniofacial OR | Dr. French Main OR |
+|Week 5 PM | Dr. Domeshek North OR | Dr. Domeshek Main OR | Dr. Domeshek North Plastics Clinic | Dr. French or Khecohyan Craniofacial OR | Dr. French Main OR|