MOUNT SINAI HOSPITAL
This information is meant to help guide you. If you have any questions, please make sure to ask your residents and site directors.
CLINIC
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.
DETAILS
Storage: preceptor’s office, call room in MSH, locker if assigned one in MedEd
Lunch: usually a small room to store and heat up food, ask the admin; food court located downstairs
Dress code: Scrubs and business casual both acceptable
Start time: variable, confirm with the preceptor through email
Notes: on Accuro or on paper, depends on the clinic and preceptor
LOCATIONS
OB: OPG Building 3rd Floor
Gyne: OPG Building 8th Floor
Urogyne: OPG Building 8th Floor (Right as you enter)
REI: 250 Dundas St W 7th floor (Mostly online during the pandemic)
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GYNE
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INFORMATION/TIPS
Rounding:
Prepare the list: print the signout list (Powerchart WIPS gyne signout password will be given to you by the team detailed print), write vitals + BW + new results, make enough copies for the team
Prepare the charts: SOAP format, ID, post-op day, vitals, BW, new imaging
The chief resident will discuss what will be happening the next day in the group chat, typically on WhatsApp. If the option is available, decide with your colleague if you are going to the OR or helping with other tasks such as consults (this may change day to day, go with the flow)
Chief clinics are on Fridays 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 at 8am: 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: 16th floor call room in a corner, usually by the couch
Lunch: Fridge and microwave in 16th floor call room, food court on main 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 pink consult sheets found in the ED
Wards: paper progress sheets in the charts
Patients on the 15th floor: Powerchart
LOCATIONS
In-patients: located on various floors, 11, 14, 15
OR: MSH 5th floor, sometimes at WCH but CC3’s generally stay at MSH
Chief clinic: OPG Building 8th Floor (Head over with chief resident after rounding)
GYNE ONC
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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 or resident know you will join later if there is a seminar in the morning
Not required to round in the morning
ORs are either in MSH or TGH. You are encouraged to wear the appropriate scrubs for the site you will be at
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:
Clinic: In a corner in the work room; also a closet if you ask someone to show you
OR: MSH 16th call room or TGH resident call room on the 10th floor (liaise with the residents or use the locker assigned in Helliwell)
Lunch: fridge and microwave available, ask the PA’s
Dress code: Scrubs for OR days, either scrubs or business casual for clinic days
Start time: variable, confirm with the preceptor through email
Notes: Make sure you set up dictation for UHN for clinic at PMH; you will likely be encouraged to dictate and you can edit your dictation through CLIP shortly after. The PA’s are extremely helpful.
LOCATIONS
Clinic: PMH 5th Floor (There’s a big sign where the clinic is located. Tell the front desk who you will be working with. If you’re not sure, tell them you will be with the surgical team.)
OR: MSH 5th floor, or TGH 2ndfloor
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L&D
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INFORMATION/TIPS
Postpartum Rounding:
Typically starts around 6:45-7:00am​
Meet in call room where list will be divided
See the patients, write the note in Powerchart, then join your team for handover
If there are any concerns about patients, make sure to let your resident know
Two teams:
Team A: blue, low-risk, off-service resident typically present
Team B: green, high-risk, fellow present, off-service resident sometimes present
Choose with your colleague; if nobody is scheduled on L&D with you, you can choose
Write your name, level of training (CC3), and phone number on the whiteboard at the nursing station and at triage
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: 16th floor call room in a corner, usually by the couch
Lunch: fridge and microwave in 16th floor call room, food court on main floor
Dress code: Scrubs
Start time: 8:00am (7:00am for postpartum rounding)
Notes:
Triage: OB Progress Note (full note format)
Labour Checks: Labour Assessment Note (cervical exams recorded in this template get updated on the board); typically the preferred template, check with the resident
LOCATIONS
MSH 15th floor
Typically meet the resident in the call room, or go directly onto L&D if you cannot find them
OR for CS: MSH 15th 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
Team A: Covers gyne, both inpatients and ED consults
Dinner: The team will order together – make sure you thank them!
Call room: 20th floor only accessible by Murray St Elevators
Follow instructions from MedEd, sheets and blankets in hallway closet/shelf
TIP: get a call room sooner rather than later, sometimes there are none left!
Not required to attend seminar post-call