residency day to day

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ou812

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OK, I have a question (well, three actually)

For those of you in a residency program, what do you do on your frozen day? Who grosses in your derms? What is your weekend call like?

thanks

O
 
They're all different, ou. I haven't done a day on my current program's frozen service, but others I have seen vary.

A lot of places you spend the morning reviewing slides with attendings, the afternoon grossing, and possibly the evening previewing slides for the next day. Frozens may interrupt you during the day. There are also programs where there is a separate resident just for frozens and so you don't get interrupted. Some places have PAs do frozens. Some places have it split up so you do grossing one day, microscope sign out the next. The extreme is a 4 day schedule where you do frozens on day one, gross in the rest day two, preview on day 3, and sign out with attendings day 4. A lot of times it turns into a balancing act, depending on when the attending wants to sign cases out. Often they will want to sign out in the afternoons so you have to get more grossing done in the AM or stay late.

Who grosses in derms depends a lot on the program. At some residents have to do them all. At others PAs will do most.

Weekend call also varies. Often someone will be on beeper call for either AP or CP (sometimes both together) for the entire weekend. Often this involves coming in at least once a day to take care of any specimens that have come in, take care of loose ends. (Usually a couple of hours depending on the program). If you have an autopsy you have to do that, although my program now has a separate autopsy only weekend call. But I don't know of any path programs where you have to stay in the hospital when you are on call. Maybe someone else does.
 
1) On frozen days at University, we do frozens and then look at either outside consult cases or cases with the other resident who's on with us in between frozens. At our other hospitals, you gross and do frozens as they come in.
2) PA's gross our derms at the University hospital. We gross them at the other hospitals and occasionaly help gross derms at Uni when the PA's are busy with other stuff.
3) One resident covers autopsy for Sat and Sun with cutoff time for cases at noon each day (i.e.- can't start a case after 12 pm). There is one resident on AP/CP call for University and one for Methodist (large private hospital) each weekend; sometimes we have to come in for blood bank procedures or microbiology stuff. Other call weekends can go by with nothing at all.
 
interesting...thanks to you both for replying! I think that I was given a false impression on my interview at the program where I am now in regards to the 'scut work'. Here we gross derms on our frozen day (residents do the frozens) which is a real pain as it gets way to busy to deal with the derms, they pile up and we get yelled at. We have one PA who helps with grossing and doesn't touch derms. Our weekend call is basically 2 additional grossing days. You stay late (12 am) on fri and gross and come in to gross on sat whatever comes in on fri night, and sun you gross what comes in sat night. You also cover frozens for the weekend. I was on a few weekends ago and had over 45 trays of slides for my signout (i lost count). We lost a PA before I got here and I think that may be part of the problem, but there is no talk of getting a new one. Anyway, I am getting killed and just wanted some ideas of how to improve the way we do things, esp derms (which I hate!).
Grossing for Life,
O
Just read your reply Y: We have the extreme 4-day week here.
 
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