ST. MICHAEL'S HOSPITAL
This information is meant to help guide you. If you have any questions, please make sure to ask your residents and site directors.
CLINICS
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INFORMATION/TIPS
Email the preceptor and their admin to let them know you will be joining them and to ask when/where the clinic will take place, preferably 2 days ahead of time to give them time to respond
You will receive an email with a list of contact information from the medical education coordinator
Let the preceptor know you will join later if there is a seminar in the morning
Bring your stethoscope for OB and Gyne clinics. A measuring tape for OB clinics would also be useful if you have one
Help clean the room in between patients
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DETAILS
Storage: usually in the preceptor’s office
Lunch: usually a small room to store and heat up food, ask the admin
Dress code: Scrubs and business casual, both acceptable
Start time: variable, confirm with the preceptor through email
Notes: on Soarian or on paper, depends on the clinic and preceptor
LOCATIONS
OB: 61 Queen St E, 4th floor
Gyne/Colposcopy: 61 Queen St E, 5th floor
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GYNE
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INFORMATION/TIPS
Rounding:
Prepare the list: print the signout list, write the vitals on the side, photocopy enough for your team
Prepare the charts: SOAP format, ID, post-op day, vitals, BW, new imaging
Chief clinics are on Thursdays only
Let the chief resident know you will join later if there is a seminar in the morning
If you will be in the OR and there’s a seminar in the morning: Try to introduce yourself to the patient before you start seminar if there is time (in the pre-op area if the OR has not started yet)
Never do a pelvic exam on an unconscious patient in the OR if you did not meet them previously – unless given express permission by the team
Write your name, level of training (CC3), and glove size on the whiteboard in the OR. Grab your gloves and hand them over sterilely to the scrub nurse
Tucking rounds to check on the patients before signing off; done with the chief resident; no notes needed; occurs before 6pm handover
DETAILS
Storage: 15th floor CC3 call room in Cardinal Carter South
Lunch: Fridge and microwave in 15th floor nursing lounge, food court on Cardinal Carter 6th floor
Dress code: scrubs; business casual for chief clinic on Friday’s
Start time: Set by the chief resident the night before (the chief resident will add you to the chat generally by 9pm the day before to set a time for rounding)
OR start time: 7:45 Mon-Thurs, 8:45 Fri; (Rounding/teaching comes first)
Notes:
Consults: on the white/yellow consult sheets found in the ED
Wards: paper progress sheets in the charts
Patients on the 15th floor
LOCATIONS
In-patients: 15th floor Cardinal Carter South
OR: 5th floor Cardinal Carter Wing
Chief clinic: 61 Queen St E, 5th floor
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L&D
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INFORMATION/TIPS
Write your name, level of training (CC3), and phone number on the whiteboard at the nursing station
Useful to exchange phone numbers with the resident at the beginning of the shift
Always introduce yourself to the patient before you attend their delivery; check in with the preceptor if you did not get a chance to do so before the patient started pushing
Components: vaginal/cesarean deliveries on L&D, assessing patients in triage
Always bring back-up socks! (you may be splashed with bodily fluids)
If you know the resident on your team for the day, let them know you will join later if there is a seminar in the morning. If you don’t know, it is fine to find them after and explain that you were at teaching
Write your name, level of training (CC3), and glove size on the whiteboard in the OR. Grab your gloves and hand them over sterilely to the scrub nurse
DETAILS
Storage: Li Ka Shing lockers or 15th floor call room in a corner
Lunch: fridge and microwave in 15th floor nursing lounge, food court on Cardinal Carter 6th floor
Dress code: Scrubs
Start time: 7:00am for postpartum rounding (teaching is also at 7:00am, join when teaching ends), L&D starts at 8:00am
Notes:
Triage: on paper
Labour Checks: on paper
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LOCATIONS
SMH Cardinal Carter North 15th floor
Typically meet on L&D if you cannot find them
OR for CS: Cardinal Carter North 15th floor in the same area as L&D behind the nursing station area
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CALL
SEE ABOVE NOTES FOR L&D. ADDITIONAL INFO BELOW:
Call is always on L&D, regardless what week you are on
Start time: 6:00 pm
Covers gyne, both inpatients and ED consults
Dinner: The team will order together – make sure you thank them!
Call room: 15th floor Cardinal Carter South
Follow instructions from MedEd, sheets and blankets in hallway closet/shelf
Attend seminar post-call