NCC Pediatrics Residency @ Walter Reed Bethesda
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Ward @ CNMC

Rotation Information: Inpatient Ward @ CNMC

updated April 2016

Rotation at a Glance

Type of rotation: Required

Rotators: PGY1

Faculty Supervisor: Academic Team Attending

Evaluation: weekly verbal feedback and end of rotation written evaluation through electronic evaluation system

Schedule Requests : Contact supervisor 12 weeks in advance

Curricular Components: Obtain access to ->go to Click ‘Create new account’ -> complete information After you sign up, email Andrew Abreo, aabreo,


POC: Yo’Lauder Holt (YHolt AT will be in contact with you via email to remind you where to obtain your ID badge and parking information.


Rotation Overview and Goals and Objectives

Welcome to the Hospitalist Academic Teams!

Your 4 week rotation on Academic Team 1 (AT1) or Academic Team 2 (AT2) will be an incredibly rewarding experience in inpatient general pediatrics. Here are some details to help you learn more about the rotation. Please request access to as described above to access all of the most updated documents.

Rotation Structure: Academic Team 1 (AT1) is subdivided into AT-1 Red and AT-1 Silver. Academic Team 2 (AT2) is subdivided into AT-2 Orange and AT-2 Purple. Each team has an attending physician, senior resident (PL-3), 1-2 interns, and multiple medical students.

Prior to Rotation: Whether this is your first or second month on an Academic Team, it is important to review the following material prior to the first day of your rotation. The text below is linked to additional information.

1. For Walter Reed Intern: Click to review the syllabus.

2.For All Rotating Interns: Click to review orientation PowerPoint

4. Top 10 Intern Expectations

5. Rotation Learning Goals

6. Rotation Logistics (important) - log on to to view the following items.

Communication (Role Based Team Contact Info / Important Hospital Phone Numbers

Supervision (Resident supervision policy)

Education (Morning Teaching Schedule / Teaching Evaluation Form)

Patient Care (Escalating care for sick patients / Admission, Transfer, & Discharge Checklist / Conditional discharge process for hospitalist teams / Discharge planning rounds / How to find PCP information / How to make outpatient appointments)


Feedback: Feedback is a key part of the rotation! Feedback contributes to growth and development as a learner and mentor. It can come in various forms from on-the-fly to Feedback Friday. Each Friday, you will have a chance to reflect on your experience and create new goals for the upcoming week with your senior resident and attending. You will receive a weekly feedback form that you will use to create goals for the rotation. Seniors, fellows, and attending should observe a portion of a patient encounter (Structured Clinical Observation) and provide this feedback weekly. Notify your attending if there is a particular encounter you would like feedback on.

Sign Out: Intern sign out (handoff) must start at 5 PM Monday-Thursday and at 6 PM on Friday to facilitate patient care and compliance with duty hours. Similar to other rotations, the academic teams use I-PASS to ensure safe hand off.

1. All teams will "run the list" every weekday at approximately 3PM. The goal is to update the team on each patient and ensure tasks are completed. Interns are asked to update written sign out during this time to ensure it will be done for 5PM sign out.

2. Your attending, fellow, or senior resident will observe sign out Monday-Thursday during week 1 of each block.

3. Be familiar with the I-PASS handoff tool.

Discharge Education Initiative: Discharges are often complex and require attention to detail to ensure a smooth process. Discharge issues should be addressed at the end of the medical student or intern presentations and included in the 'discharge section' of the progress note:

  • Clinical discharge criteria (i.e. SpO2 >90% in room air x 12 hours)
  • Services (i.e. physical therapy, home nursing, etc)
  • Teaching (i.e. NG, CPR, feeding, mixing special formula, etc)
  • Equipment (i.e. NG supplies, GT supplies, etc)
  • Medications (new meds, discontinued meds, refills needed, pharmacy) Complete medication reconciliation during rounds prior to the day of discharge.
  • Follow Up (due to this admission and chronic issues)
  • Social (social barriers to discharge)


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