2. Pediatric Surgery Service Overview
The Team
- 2 Pediatric Surgery Accredited Clinical Fellows
- 4 or 5 Pediatric Surgery Sub-Specialty Fellows (Colorectal, Fetal, HVMC/Oncology, Trauma, International)
- 1 or 2 Senior Surgery Residents (PGY-3)
- 1 Junior Surgery Resident (PGY-1)
- Pediatric Surgery and Trauma Nurse Practitioners
- Junior Moonlighter Residents (PGY-1 to 4)
On-call Structure
The call structure varies each month with the number of residents available. The call schedule is prepared by the senior Pediatric Surgery Fellow on a monthly basis. Schedule requests should be discussed with that fellow as far in advance as possible; not all requests can be accommodated.
Pediatric Surgery Fellows: q2 weekday and every other weekend home call (junior fellow takes in-house Friday call every other week for first 6 months)
Sub-Specialty Fellows: ~6-8 calls per month (~2 weekends per month)
Senior Residents: ~8 calls per month (2 weekends per month)
Junior Residents: T-F day call, every Sunday 24-hour call
Every day, the “on-call team” consists of the following:
- Pediatric Surgery Fellow On-call
- Senior Resident (R3 or sub-specialty fellow) On-call
- Junior Resident (R1, sub-specialty fellow or APRN) On-call
- Surgeon of the Week
- Attending On-call
Attending Call Structure:
- Surgeon of the Week (SOW): Weekdays 6 am – 6 pm; Saturday 6 am – Monday 6 am
- Rounds in NICU, PICU, and on SOW (acute care surgery) patients
- Covers all new inpatient, ED and trauma consults
- Covers Liberty consults/patients with Attending on Call
- Attending on Call: 24 hours from 6 am to 6 am, Monday thru Friday
- Operates on cases, starting at 730 am
- Covers all new inpatient, ED, and trauma consults between 6 pm and 6 am
- Back-up Liberty Attending (Saturday/Sunday): Saturday 6 am – Monday 6 am
- Covers all new Liberty consults/cases and existing inpatients
- Backs up SOW as necessary
- Assists SOW with any eCPR cannulation
- Trauma Attending: Daily
- Rounds on admitted trauma patients (all new traumas go to SOW and Attending On-Call)
- Serves as back up in event of multiple trauma (if needed by SOW)
On-call Basic Duties:
- Clinical Fellow:
- Senior Resident on Call (R3, Sub-specialty Fellow, Moonlighter):
- New ER Consults
- Parental phone calls (nights and weekends only)
- Doc-Right (primary exam) in trauma bay for all traumas
- Junior on Call (Intern, Sub-specialty Fellow, Moonlighter, APRN):
- New Inpatient Consults
- Floor issues not covered by NPs
- Management of Census
- Night talks with charge nurses on A3N, A4N, A4S
- “In-House Call”:
- Board eligible/certified sub-specialty or accredited fellows serve as in-house trauma response when they are Senior Resident on Call, or as a back-up to R3/International Fellow
- Attendings take in-house call on nights when there is not a board eligible/certified fellow taking in-house call
** Issues with floor patients or new consults on patients already known to an attending should be referred directly to that primary attending, at any time, day or night. If they are unavailable, or the issue is significantly remote, then the issue or consult should be discussed with the SOW/Attending On-Call **