Pediatric Hospitalist Service

• You will work with Dr. McHardy and Dr. Driscoll.  Pt’s are essentially all pediatric patients without a private Pediatrician (SCFM, PCHC, no-docs).  Dr. McHardy and Dr. Driscoll may also have you see their private patients if the service isn’t very busy.

• In the mornings, you will meet the attending on the Peds floor between 8-9AM most days.  Your goal should be to arrive early enough to have seen all the patients and have your notes written before the attending arrives.  Then when the attending comes in, you will see the patients together, discuss the A/P, and he will write his note.

• Afternoons will be spent at Small World Pediatrics (Dr. McHardy’s and Dr. Driscoll’s private practice).  You will see patients on your own, then present them to the attending, then go back in to the room and see them together.

• Admissions on the Peds service are the responsibility of the Peds intern during normal business hours.  That means if you are at Small World Pediatrics and an admission comes in, you should return to the hospital to take care of the admission.  If you are post-call or in clinic, Dr. McHardy or Dr. Driscoll will handle the admissions themselves.

• Remember to include pregnancy, birth history, nursery history and immunizations in the pediatric history. Also get a social history (i.e. Smokers in house, who child lives with).  Refer to Dr. McHardy’s Pediatric H&P Sheet given out during Orientation for more details.

• In addition to dictating an H&P, write a brief admit note in the chart including assessment & plan.