A Day In The Life

This page gives you access to a typical diary of a resident’s daily schedules. While a resident’s activities are somewhat different each day, the information below is typical and is taken from the Monday activities of the Administrative Chief Resident who runs the trauma service.

 

 

Resident Diary

5:45 a.m.

Rounds begin on third floor. All patients and active consults seen from third floor upward. SICU rounds on the 7th floor followed by rounds in ER to see overnight admits awaiting rooms.

6:45 a.m.

Meet Dr. Rifkind ( Director of Trauma) in cafeteria. Discuss new trauma admits over breakfast.

7:15 a.m.

Round with Dr. Rifkind on key players

 

7:40 a.m.

Review plans for the day with junior residents before going to OR.

7:45 a.m.

Scrub in OR to perform Fem-PT bypass with Dr. Sastry.

 

10:15 a.m.
Between cases. Review test findings and modify treatment plans with residents from floor.
10:45 a.m.
Take junior resident through small bowel resection.
1:25 p.m.

Perform total abdominal colectomy for multiple synchronous carcinomas with Dr. Addasi.

4:00 p.m.

Hand in cases for Wednesday M&M conference.

Trauma Conference with Dr. Rifkind. Residents and PAs on trauma service, EMTs and Trauma Nurse Coordinator Shindler in attendance. Present interesting and difficult cases from previous week and discuss treatment protocols and potential improvements.

5:00 p.m.

Afternoon rounds. Review intern/medical student ER workups and examine new patients. Do sign-outs for evening.

6:15 p.m.

Dinner in cafeteria before a night on-call.

7:00 p.m.

Review Tuesday OR schedule and make resident assignments. See to completeness of materials for tomorrow’s tumor board meeting.

9:10 p.m.

Code Blue called in ER. Patient involved in serious motor vehicle accident brought to ER hypotensive and with airway problems from facial injuries.

9:14 p.m.

Run trauma evaluation and resuscitation. Patient intubated and nasal bleeding stemmed as fluid resuscitation begun. Exam of abdomen equivocal, facial exam shows free floating maxilla and motion at midface-frontal junctions. Patient stabilized.

9:40 p.m.

Portable CXR OK. To CT suite for CT of head, face, and abdomen.

10:05 p.m.

Patient remains stable, but with large fluid requirement. CT shows no intracranial bleed or cerebral edema. Leforte III/I fracture and free fluid in abdomen. To OR. Junior resident to call plastic surgeon to meet us in OR.

10:25 p.m.

Exploratory lap begun. Splenectomy and repair of liver laceration performed. Patient stable throughout. Plastic surgeon arrives during procedure to review CT and examine patient under anesthesia.

12:14 a.m.

Decision made to proceed with primary ORIF of facial fractures. This will be a good specialty case for me to scrub on.

12:25 a.m.

Begin maxillofacial procedure with plastic surgeon. Combined mid-face/craniofacial approach performed to secure rigid internal fixation of Leforte III/I injury.

3:40 a.m.

Patient taken in stable condition to SICU.

3:55 a.m.

To bed!