AT ST. LUKE’S-ROOSEVELT HOSPITAL

A Day in the Life of an Intern

St. Luke’s Morning

Get Vitals at Roosevelt or St. Luke’s All lists are available on the Surgery Database which can be

accessed at both hospitals 6 AM jitney from Roosevelt Arrive at St. Luke’s

One intern gets signout from nightfloat intern One intern gathers supplies needed for rounding/last minute vitals

Round with team 7 AM conference

Monday: chief meeting (chiefs only) Tuesday: Vascular Wednesday: Basic Science Thursday: Colorectal Friday: Trauma Conference or Basic Science Quiz

St. Luke’s Daytime

7:30 AM: OR starts Prior to starting the OR, the entire team “runs the list”

Discuss plans for each patient (studies, consults, post op care)

Ask any questions about patients/plans Pre-op paperwork should be completed PRIOR to 7:30

Morning Notes S.O.A.P. note format

Execute Plans Place orders (diets, meds, ambulation, studies) Call consults Ensure orders are carried out—sometimes requires the

intern to go beyond just placing the order (bring a patient to CT scan, call echo or IR, draw labs, walk the patient, etc)

St. Luke’s Daytime

Labs Labs appear in PRISM between 9-11 AM Labs should be recorded on paper and

presented to the senior resident Electrolyte abnormalities should be corrected Labs for tomorrow should be ordered after

discussion with the senior residentUpdate

Throughout the day, the senior residents should be updated about the patients– run the list between cases

Keep the List up to date throughout the day

St. Luke’s Afternoon

Prepare for afternoon rounds Gather current vital signs and note any abnormal vitals during

the day Chart check (look for notes from attendings, consults, PT) Pre-Round on patients

Afternoon Rounds The whole team meets and discusses what went on with the

patients during the day See patients (faster than AM rounds)

Run the List The whole team runs the list again with any plans for the

evening/night Update the list

Signout One intern signs out the list to the nightfloat intern (brief

summary of the patient, post op checks, follow up plans, nightchecks)

St. Luke’s Clinics

Monday 1:00PM: G1 clinic (Wedderburn, Lorieo)Wednesday 10AM: Breast clinicWednesday 1:00PM: bariatric clinic (G2 interns)Thursday 1:00PM: G2 and colorectal (Koshy,

Talbert, Gandhi)

Vascular (interns on vascular only go to vascular clinic): Monday – Benvenisty Tuesday – Lantis Wednesday – Lee Friday – Lantis

Roosevelt Morning

Arrive at Roosevelt and get signout from nightfloatPre-Round

Split the patient list Get vitals, examine the patient, take down dressings

Round with team around 6:00AM Senior residents and one intern examines patient together and

does dressing changes One intern writes the notes (S.O.A.P. note format)

7AM conference Monday: chief meeting (chiefs); Moore rounds (blue) Tuesday: Vascular Wednesday: Basic Science Thursday: Colorectal Friday: Trauma Conference or Basic Science Quiz

Roosevelt Daytime

7:30 AM: OR starts Prior to starting the OR, the entire team “runs the list”

Discuss plans for each patient (studies, consults, post op care)

Ask any questions about patients/plans Pre-op paperwork should be completed PRIOR to 7:30

Execute Plans Place orders (diets, meds, ambulation, studies) Call consults Ensure orders are carried out—sometimes requires the

intern to go beyond just placing the order (bring a patient to CT scan, call echo or IR, draw labs, walk the patient, etc)

Roosevelt Daytime

Labs Labs appear in PRISM between 9-11 AM Labs should be recorded on paper and presented to the

senior resident Electrolyte abnormalities should be corrected Labs for tomorrow should be ordered after discussion with

the senior resident BELGRAIER patients– put labs in chart!!!

Update Throughout the day, the senior residents should be updated

about the patients– run the list between cases Keep the List up to date throughout the day

Roosevelt Afternoon

Prepare for afternoon rounds Gather current vital signs and note any abnormal vitals during the day Chart check (look for notes from attendings, consults, PT) Pre-Round on patients

Afternoon Rounds The whole team meets and discusses what went on with the patients during the day See patients (faster than AM rounds)

Afternoon Conference Monday 4:00PM: chest/thoracic Tuesday 5:00PM: Hepatobiliary Thursday 5:00PM: tumor board

Run the List The whole team runs the list again with any plans for the evening/night Update the list

Signout One intern signs out the list to the nightfloat intern (brief summary of the patient,

post op checks, follow up plans, nightchecks)

Expectations

Know what is going on with the patients at all times “Make It Happen” – ensure the plans are executed Keep the senior residents up to date Learn how to prioritize and multi-task Be Prepared

All OR cases are assigned the night before – this allows the intern to read about the case

READ – be prepared for basic science lecture, quiz, trauma, rounds Practice makes perfect – suturing, knot tying Ask Questions

Never be afraid to ask the senior residents questions Prepare educated questions to ask attendings during a case

Think ahead Anticipate the plan Formulate your own plans or solutions to problems and discuss them

with chiefs