Guide for Adult Residents, PGY3s and PGY4s
Peds neuro consults is a busy rotation, but very educational for the adult residents. You will carry your own follow-up patients in addition to seeing new patients, and helping rotators.
This is a large team comprised of:
1 Peds Neuro Fellow
1 Adult PGY4
1 Adult PGY3
1 Gen Peds PGY2
1 Harlem Peds PGY2
Team members are expected to be “in-house” from 8 AM-5PM, with attending rounds at 9AM. The Peds fellow will let you know where rounds will start.
The last new consult is assigned at 4:50 PM, unless there is an emergency requiring later in-person consult.
The pager number is 8SCAN (87226), which will be held by either the Peds Neuro fellow or the Adult PGY4.
You are responsible for sending email signout EVERY NIGHT to the home call coverage (see amion).
This rotation is a great opportunity to perform your peds NEX evaluation with an attending.
Please view the Intro to Peds Consults lecture on niresidents.org
As a PGY3, you will be responsible for seeing your own follow-ups, as well as new consults assigned by the team seniors. Your hours will generally be 8-5 PM, with the exception of weeks where there is no PGY2 scheduled on PEMU, during which you also will be crosscovering these 5-6 patients from 5-6:30 PM, until you signout to the Night coverage.
As a PGY4, you will carry the Peds Consult pager and be responsible for home call on M, W, and F every week, in addition to covering PEMU/Epilepsy on two out of the 4 Sundays that you are on Peds Consult (check amion for dates).
Monday – Take pager 7 AM. Answer pages for your patients, and distribute new consults.
5 PM start home call, which will continue until Tuesday 7 AM.
Tuesday – 7 AM send email signout, and confirm fellow has taken pager.
1-5 PM – Peds Neuro clinic in VC3
Wednesday – Hold pager 7AM – 7AM Thursday.
Thursday – PGY4 goes home at 1 PM
Friday – Hold pager 7AM – 7AM Saturday
Saturday – off
*Sunday – cover PEMU/Epilepsy list 7AM-6:30 PM if scheduled.
After 5 PM, consults are taken as phone consults, unless there is an emergent situation that requires in-person evaluation.
You must have access to XLtek on your laptop (through apps.nyp.org) to perform EEG checks. If you do not have it, call 5-HELP to have it installed.
For home call you need to be close enough to come into the hospital if necessary. This is very, very rare, but does occasionally happen.
Have a very, very low threshold for calling the attending overnight. Most attendings expect that you will call them with every question.
ALL consults that are sent home from the ED require a discussion with the attending.
In the morning after your call at 6:45 AM, you will send an email signout detailing which consults need to be seen, with the priority on seeing patients awaiting dispo decisions in the ED first.