Rotation Expectations
Self-study responsibilities:	□ Obtain resident flash drive and begin reviewing various topics
	□ Review the “Considerations in Pediatric Patients”
	□ Comprehensive review of the following reading assignments:
	□ Meningitis
Residents are expected to complete the reading assignments, understand the material, and prepare student topic discussions	□ Seizures
	□ Asthma
	□ Cystic Fibrosis
	□ Failure to Thrive
	□ Urinary Tract Infections
	□ Others as appropriate
Materials	□ Residents will be provided a flash-drive with learning objectives, required and recommended readings/articles, as well as other helpful information. Flash-drives must be returned to receive completion credit.
	□ Residents will provide preceptor a copy of their monthly calendar and will receive a copy of the student calendar for coordination of monthly activities, discussions, exam, and presentation dates.
	□ Residents will receive a list of additional references (databases, hospital policies, textbooks, and websites) to which they will have access during the rotation to research unfamiliar medications/disease states
	□ Use of electronics including iPads, PALM pilots, and electronic drug database (eg, Lexi-Comp) are helpful but not required.
Daily monitoring & profile review of patients medication orders	□ Monitor patients’ medication regimens, labs, vitals and clinical progress daily for ways to optimize outcomes
	□ Look for opportunities to make clinical interventions, including IV to PO, streamline antibiotics, consolidate therapy, etc.
	□ Monitor orders for compliance to pediatric weight-based dosing using appropriate references.
	□ Review and process chemotherapy orders, including protocol, tracker, BEACON entry and releasing, IV room coordination.
	□ Document pertinent information in medical record (flowsheet, progress notes, Ivents, etc).
Direct patient care and interaction responsibilities	□ Perform medication histories and reconciliations on all rounding and off service patients.
	□ Identify patient’s own medications for use while in the hospital in accordance with KUH policy as needed.
	□ Perform discharge counseling to patients and caregivers as needed
Multidisciplinary team interaction	□ Attend rounds daily (as applicable); time and location varies greatly, so be on the unit and check with team.
	□ Form relationships with physicians, med students, nurses, and other team members.
	□ Communicate regularly and frequently with Peds, PICU, Hem/Onc, and off-service residents and physicians regarding patient medication problems, recommendations, and issues.
	□ Provide drug information when appropriate to nurses, physicians, students, and team.
	□ Follow-up on pharmacy-related questions that arise on rounds.
	□ Dress professionally, including white coat (see extern manual for details).
Education	□ Use clinical Resident Rotation Checklist as a guide for personal growth and learning (w/ preceptor check off).
	□ Discuss patient drug therapy problems/questions with preceptor daily.
	□ Discuss personal development and clinical problems/questions with preceptor daily.
	□ Attend weekly Pediatric Ground Rounds (Fridays at 8:00 a.m. in Wahl Hall West Auditorium).
	□ Research pediatric drug/disease states that are unfamiliar.
Additional activities	□ Complete a personal project as decided upon in collaboration with preceptors.
	□ Provide in-service to pharmacy and/or nursing staff.
	□ Present twice monthly Journal Club article reviews during the month.
	□ Attend Pediatric Ground Rounds (Fridays at 8:00 a.m. in Clendending Auditorium).
Precepting	□ Serve as “co-preceptor” for students.