Rounding in Peds?

[nightowl]

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I always hear people complaining of the amount of rounding you do on internal medicine. It seems like the nature of peds is very similar, but I very rarely hear of people complaining of rounding on peds... Is there a difference, or does peds spend just as much time rounding? Just wondering...

 

[TexasRose]

We can still spend quite a lot of time rounding. However, far fewer of our patients have the multitude of medical issues that ill adults can have (with the exception of the critical care patients). So maybe we don't spend as much time talking about the new diagnosis in light of the existing DM, COPD and chronic hepatitis...

Or maybe it's just that we're a happy bunch and don't complain as much? 😉

 

[CrazyPeds527]

I think TR brought up a good point...even in the ICU, it is hard to find patients with a problem list >10, maybe part of the reason why it is easier to round by system rather than by problem.

In the adult ICU, for the handful of medicine patients i had turfed there on my clerkship, the average number of problems was 15, sometimes 20!!

I do agree though, we complain less...and we are efficient!

 

[Caddie]

I agree with all of the above comments. But, one more observation is the number of ward months that peds residents do compared to IM residents. We have a lot more out-patient months than they do. I can see how having 10 months of rounding per year could get old!!!

 

[Marigold]

Yes, one of the reasons I love Peds is the fact that our pts usually only have a couple problems at once...it takes much less time to discuss them when they're comparatively simple!

 

[oompaloompa]

Another awesome thing about pediatrics is that our patients are a lot more likely to have problems we can do something about. The following conversation would never occur in pediatrics:

"So you have severe progressive COPD, are you going to quit smoking?"
-"Nope."

Sir, you're rapidly progressing towards liver failure, it's absolutely imperative that you cut down on your drinking and IVDA, okay?"
-"Nope."

"Ma'am, your morbid obesity has already led to out-of-control diabetes, venous stasis, and coronary artery disease. Have you thought about any weight-loss options?"
-"Nope. Get me a sandwich."

 

[drbon]

"Ma'am, your morbid obesity has already led to out-of-control diabetes, venous stasis, and coronary artery disease. Have you thought about any weight-loss options?"
-"Nope. Get me a sandwich."

hehehehe. more like "Get me a burger and a cigarette and get me the hell out of here 'cause you people aren't doing anything for me anyway!"

adult medicine...yuck

 

[nightowl]

HAHAHAHAHALove it!

 

[doctawife]

Another awesome thing about pediatrics is that our patients are a lot more likely to have problems we can do something about. The following conversation would never occur in pediatrics:

"So you have severe progressive COPD, are you going to quit smoking?"
-"Nope."

Sir, you're rapidly progressing towards liver failure, it's absolutely imperative that you cut down on your drinking and IVDA, okay?"
-"Nope."

"Ma'am, your morbid obesity has already led to out-of-control diabetes, venous stasis, and coronary artery disease. Have you thought about any weight-loss options?"
-"Nope. Get me a sandwich."

The above is the EXACT reason I went into pedi. Usually, whatever is wrong with our patient is NOT his or her own fault. The parents' fault, possibly, but not the kiddo.

Makes life so much easier...

 

[freein2010]

I'm a second yr med student interested in peds. Would any residents out there please recommend what to take your 4th year and describe residency (what blocks you have had so far in residency etc.)? I tried looking at the Chicago U website but they've removed their PGY1-3 schedules. Thank you in advance