Pediatric Resident first on-call

[doctr1]

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Hello,

I just started my pediatric residency and will have my first on-call next week, I was wondering between three pockets which will help me the most during my call

1- Pocket Pediatrics: The Massachusetts General Hospital for Children Handbook of Pediatrics

2- The Philadelphia Guide: Inpatient Pediatrics

3- Pediatrics On Call (LANGE On Call)

P.M for Seniors : do you get annoyed by receiving a call about every issue from your resident who just started ? 🙂

thank you.

 

[Cuthbert]

I used the Philadelphia guide and found it very useful during residency. It was very "to the point."

Also, don't worry about how much you need to run past your senior. You should do that as an intern. Worry about learning. That way, you know the answers as a senior and can be just as helpful to the interns. Teaching will become the best way to solidify the knowledge that you gain this year.

Go have fun and kick some ass. 😉

 

[nogolfinsnow]

I like Harriet Lane, haven't tried any of the others, and easy access to a computer with Up to Date is always nice. 1st years should always feel comfortable paging their senior, patient safety always comes first. Your reliance on your senior will decrease as the year goes on.

 

[J-Rad]

The problem with the big "handbooks" (which, in the case of Harriet, hasn't been for years) is that they're, well, big. They get heavy in the pocket. I wish the electronic versions of Harriet-which most people find to be the "standard" (though I think the Philadelphia Guide fills a slightly different niche with a textual-outline format-vice HL which is a little more bare bullet points format) were better, but both Skyscape and Unbound versions suck and are way overpriced. That said, you can download the HL in Kindle and Nook format for a much better price (~$33). The other thing is, at least where I trained, there was almost always a copy of the HLH sitting in every ward for you to pick up obviating the need to carry one around (it is also on mdconsult). If you feel the need to have a handbook with you, some other options are: the Washington Manual of Pediatrics which I think looks nice (http://www.amazon.com/Washington-Ma...hington+handbook+pediatrics#reader_0781785766), the Texas Children's Handbook of Pediatrics and Neonatology (http://www.amazon.com/Childrens-Hos...keywords=texas+children's+handbook+pediatrics), both of which are likely more up to date than the Philadelphia Guide which was last published in '05. For pocketability the two Tarascon Pediatric (true) handbooks can't be beat and contain a great deal of info relative to their size.

That all said, really what I used most as an intern were: a drug database (preferably on my smart phone, Lexicomp being the best, but most expensive), code cards for PALS and NRP (I used the latter more often as an intern), and I had a miniature copy of the GBS guidelines for newborns stuck to the back of my ID cards). Like doctr1 said, early on, your seniors are most often your go to sources of info while on call. Time permitting for deeper reading, current texts, mdconsult, emedicine, and uptodate.