Where did you start/are you starting

[oldbearprofessor]

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Tell us the truth.😛

 

[eviorr]

I have been assigned to start with two weeks of vacation. Kind of a bummer since I've been off for almost a month already, and feel like I might really have needed those two weeks sometime around October instead.

After that I have two weeks of night float (we only have q4 call on NICU/PICU, inpatient teams on the floor use a float system) and then 4 weeks in the NICU. So not the best schedule, but at least I didn't end up starting with night float on the Heme/Onc floor.

- Erick

 

[ChildNeuro]

I have been assigned to start with two weeks of vacation. Kind of a bummer since I've been off for almost a month already, and feel like I might really have needed those two weeks sometime around October instead.

After that I have two weeks of night float (we only have q4 call on NICU/PICU, inpatient teams on the floor use a float system) and then 4 weeks in the NICU. So not the best schedule, but at least I didn't end up starting with night float on the Heme/Onc floor.

- Erick

Do PDs stagger the start dates of interns so that they can be brought up to speed individually i.e. more intensive training in the begining? Usually July is prime for people who want to take vacations, i.e. families out of school, feels like summer.

 

[eviorr]

Do PDs stagger the start dates of interns so that they can be brought up to speed individually i.e. more intensive training in the begining? Usually July is prime for people who want to take vacations, i.e. families out of school, feels like summer.

I've never heard of that. We all start on 6/15 with orientation for about a week, and then I'm off until 7/8 while the other 27 interns are all on. Since our blocks are all four weeks long, our two week vacation is always paired up with 2 weeks of night float.

- Erick

 

[bensadic]

I've been lurking for a while and finally decided to post...

Yes, I did really start in the NICU and if you knew my old program's AMION log-in, you could go back a few years and confirm it.

To make matters worse, I WAS ON CALL the first night too. I should mention that it wasn't *that* bad. The way my program did it, the first day there's overlap with the outgoing interns before they leave for a little vacation. So that first day both the outgoing and new intern will be on call together.

Of course, most of the seniors will let the outgoing interns go home early and not stay over.

Since I was in the NICU however, everyone figured it'd be better if the outgoing intern did indeed stay over the whole night. I was so thankful that she did! I don't know how I would have made it through the night without her.

The person who got it really bad was the other new intern. He was on call by himself (meaning no outgoing intern, there was a fellow or an attending in-house). Like the extra 24 hours of being an intern made him ready for that night.

 

[oldbearprofessor]

I've been lurking for a while and finally decided to post...

How about going a step further out of lurk mode and starting a thread about being a pedi hospitalist? Lots of folks are interested in that.

 

[oldbearprofessor]

Making a sticky for a few weeks...

Come on folks, tell us about your first month as a pedi intern.

Who got their first LP as a first month intern?
First intubation?
First case of kiddy crud?

 

[Cardsfan]

My first month was on gen peds/neuro inpt floor. Got my first champagne tap during a call night where i admitted 11 kiddos. Crazy! Looking forward to second year in a few weeks

 

[Freibi]

My first month was on gen peds/neuro inpt floor. Got my first champagne tap during a call night where i admitted 11 kiddos. Crazy! Looking forward to second year in a few weeks

Ha, same thing happened to me! The night wasn`t that bad though, because I had a great floor senior who helped me with all the paperwork.

 

[Droopy]

I have NICU followed by a month of PICU then I slow down and do a month on the floor then an Onc floor month. 👍

I wanted to be front heavy for the first several months, hopefully it won't kill me. 😱

Droopy 🙂

 

[oompaloompa]

I'm starting on Heme/Onc, but I do have friends starting in the NICU and totally freaked about it. However, I think the absolute worst is starting on Night Float. At our hospital that means mostly working solo and being responsible for putting out fires on over a hundred patients you know nothing about. Fan-friggin-tastic, right? May God have mercy......on all of us.

 

[oldbearprofessor]

Welcome new doctor
To the land of small sick folks
A great place to learn

Preterm and teenage
Child life, teachers and fun art
Pedi wards are special

You will feel sad here
Not all go home or get well
But love it you will

Your night call might suck
And you may live on fast food
But kids will hug you

Yes, forget adults
The rewards of a kid's smile
Makes the years go quick

New interns it's time
Get ready for next week's start
Be glad you chose peds

 

[Bernardo_11]

Hmm... it wasn't really NICU so I voted for other. My first rotation was in the Newborn Nursery. Although the patient management was simple yet VERY useful to learn as the first rotation, the part that scared the hell out of me was being part of the resus team the whole day. Now that was something I was not exposed to that much during med school.... assissting in a high risk delivery. Most of the deliveries were quite simple... term newborns, light mec... usually started crying before we had to intubate to suction out meconium. Lotta 8,9 APGAR deliveries. BUT for the rare complicated ones.... It was the scariest thing, being the one who had to somehow "breathe life" into this seemingly lifeless, floppy baby.

So yeah... first intubation and first LP happened during this month. But any baby we admitted from a high risk delivery was then taken by the NICU team. So the day to day management I did not have until my later NICU rotation.