PL-1: Gold Intern
Please read the following articles BEFORE starting your Gold rotation:
- Intestinal Transplant Manual (Written by Drs Kaufmann, Rekhtman, Fishbein and Matsumoto)
- Solid Organ Transplant Tips
- Excellent Review article on Pediatric Solid Organ Transplantation
- Jaundice 101 (lecture by Dr Rekhtman)
- Conjugated Hyperbilirubinemia article from Pediatrics in Review 2012
- Viral Hepatitis (lecture by Dr Yazigi)
The Gold team manages the medical needs of pre- and post- gastrointestinal transplant patients. Common issues include malnutrition, parenteral nutrition dependence, developmental delay, vomiting, diarrhea, dehydration, electrolyte imbalances, sepsis, short bowel syndrome, complications of liver failure, immunosuppression and rejection, and the psycho-social needs of these patients and their families. This team works intimately with the gastrointestinal transplant surgical team (attendings & fellows), GI social worker, case managers & nurse practictioners. The pediatric Gold day-team consists of 1 PGY2 resident & 1 PGY1 resident. It is very important to read the transplant manual attached to the Gold team rotation guidelines prior to starting your rotation.
Morning sign-in for the Gold team (senior & junior resident) is at 6:15am Monday through Saturday (senior-only on Saturday). Evening sign-out for the Gold team is at 5:30pm on Monday through Saturday. The SAR is the primary resident for the Gold team patients overnight from 5:30pm-6:15am (Monday through Saturday) and all day Sunday.
The PGY1 residents will share primary responsibility for the patients on the Gold team on weekdays (except ½ day weekly for CYAS clinic attendance). The PGY1 residents will take overnight cross-cover call at GUH for the “Blue” Heme-Onc Team on Saturdays and Sundays only.
The Gold team PGY1 resident will know each of her/his patients on the service. Under the supervision of the Gold team senior, the Gold team junior resident will examine her/his patients daily, write daily progress notes, admission history and physicals, transfer/accept notes, discharge summaries, and off-service notes, present her/his patients during rounds, and help execute each patient’s management plan as developed by the team.