The Intern Survival Guide

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 the Intern’s survIval GuIde

      University of Nevada School of Medicine
             Department of Pediatrics


               Class of 2012




Compliments of those who came before you….
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Diligence and conscientious behavior have more to do with success in internship than intelligence.

YOUR COLLEAGUES ARE YOUR FRIENDS. You have finally arrived at your destination. Congratulations! You
have worked hard and earned it. Now it is time to get rid of your old habits. These people are your friends and future
community of doctors. Welcome to the family!

BE A TEAM PLAYER! The patients are divided amongst the interns, but the entire team is responsible for the care
of the patients. Even though you won‟t formally present the other intern‟s patients on rounds, it is a good idea to know
them. You will eventually have to as a senior.
A few tiny ingredients for team work are:
1. Everybody has a name
2. Follow the golden rule
3. Be specific with both praise and criticism

HELP YOUR FELLOW INTERN OUT. If you are done with your work, you might write a script for a patient
being discharged or write discharge orders. Your colleague will appreciate it and things will run much smoother in the
end. At continuity clinic, you will see your own patients but there will be times where the clinic schedule is packed and
your fellow residents need your help to see some patients. The goal is to finish the afternoon together – it‟s a team
effort.

ASK FOR HELP. The sign of a good doctor is one who recognizes his/her own limitations. No attending or senior
will frown when asked for advice or help regardless of how basic or difficult you think the question may be. So go ahead
and wake your senior up if you have the least bit of doubt.

KEEP YOUR SENIOR INFORMED! If you get called for something significant, let your senior know (even if you
feel you have dealt with the situation).

THE NIGHT FLOAT! So this is how it works: The float/2nd year starts at 7pm on Sun and 430pm on Mon – Wed.
The float then off from Thurs pm until Sun night and does not have continuity clinic for the month. The intern on call
stays overnight. On the night before continuity clinic, the intern may take short call until 10pm or have their clinic
cancelled the following day. Fri and Sat calls are 24 hrs (8am – 8pm).

POST CALL DAYS! The ward interns are allowed another 6 hrs for continuity of care so they have until noon
conference to finish their work. Post-call residents can leave before noon conference except on Mondays for class
meeting and housestaff meeting. The cross cover interns cannot return to their rotations (it‟s not continuity of care) so
they are free after sign out expect for the newborn nursery resident who has to see their existing/previously seen
patients and sign out to their attending prior to leaving.

SIGN OUT! BE ONTIME FOR SIGN-OUT! Weekdays: 6am and 430pm. Weekends: 8am and on Sun 7pm. This
means you are responsible for all admissions until 6am on weekdays and 8am on weekends. If you had a rough night,
the on coming team may choose to do the admission for you, but ultimately it is your responsibility.

USEFUL INFORMATION:

 CALL ROOMS:
    o UMC: Housekeeping comes every morning, but you may have to call them for the NICU call rooms.
    o Sunrise: Again, housekeeping should come every morning, but sometimes you may need to call them.

 MEALS: Eat when you can.
   o UMC: Cafeteria (closes at 7pm, reopens 12am-3am)
   o Sunrise: Doctors lounge (all day but meals served at bkfst and lunch weekdays only) Open all day except
      4am-6am

 INTERNET:
                                                                                                                      3


       o   UMC: Library (5th floor of 2040) or Call room
       o   Sunrise: Library

 DRESS CODE: Wear scrubs in the NICU, ED, Surgery and when on call. It is preferred that you wear
  professional clothing during your continuity clinic. The official dress code is available in Carole‟s office.

 PARKING:
    o UMC: Employee parking/A lot usually has spots available until 8am. There is also the I lot for residents to
       park. If both the employee parking and I lot are full, residents may be allowed into the trauma garage by an
       officer. For noon lectures, you can park at the meters outside the 2040 building or the 2-hour physician
       parking. Beware: residents have occasionally received tickets by parking at sites across the street from the
       2040 building such as CVS or Delta Point.
    o Sunrise: Your badge will give you access into the doctors parking lot. Parking spots are usually available.

 NOON LECTURES:
   o BE ON TIME! Absolutely MANDATORY!
   o Important for preparation for your in-service exams and your pediatric boards.
   o No lunch provided at noon lectures.
   o Grand Rounds on Friday mornings. First Friday at UMC and the rest at Sunrise.
   o If in doubt about the schedule, call the chief‟s office 671-6444 or the chief resident.

 NURSING: Please be respectful and courteous! During your first few months, many of them can be helpful with
  their fund of experience. For example, you can always ask “What has been done in the past?” to get an idea of how
  to handle a situation. Remember: First impressions last. Make an effort to introduce yourself. If a nurse calls with a
  concern, get up and go check the patient. This will be really helpful in your learning process. Good nurses have
  good instincts. Always add an addendum when you do something at night.

 ORDERS: Be clear and write legibly. If in doubt about dosing of medications ask your senior or call the pharmacy
  (and include dosing as mg/kg). Don’t forget to date, time and sign your orders. If you give telephone orders, be
  sure to go to the chart and sign them. This will reduce everyone‟s time at medical records.

 PROCEDURES: We keep track of all procedures on www.acgme.org/residentdatacollection/. You will be
  receiving a login/password and instructions on how to logon. You will need the patient‟s age/gender , and date the
  procedure was performed. Best way to keep up is to log them in at the end of each week– do not procrastinate!
  Important for graduation and credentialing.

 CALCULATOR: This is an essential tool on the wards and in the ICUs. You will need it to calculate medication
  doses, In‟s & Out‟s, calories, etc.

 REFERENCES: When on the wards your Harriet Lane is most valuable so carry it with you at all times. You can
  also download several programs on to your PDA that you may find useful (i.e. Harriet Lane, 5 Minute Peds Consult,
  LexiComp, MobileMDX, etc.). Other options are UMC Library, several books in UMC call room, Sunrise Library,
  Cabinets on floors of Sunrise Wards. There are numerous reference materials at Lied Clinic and Kid‟s Health Care
  clinic. On-Line: MD Consult, First Consult, UptoDate Peds (but $).

 HANDHELDS: LexiComp and MobileMDX are two pharmacopeias you can download for free. There are many
  sites on the web with free downloads i.e. www.fppda.com/free.html, www.pedspalm.com or
  www.pediatricsonhand.com. If you have questions about palm programs, ask one of the techies (Huy, Naseem).

 DOOR CODES:
   UMC
       o Call Room: 2154
       o NICU call room (5th floor): 3425
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          o PCN (level 2 nursery): 6171
          o Delivery/OR: 1234*
          o PICU: 2154*
          o ER: 2154
          o Overflow (3rd floor): 2154
       SUNRISE
          o Call Rooms: 214
          o Ward staff lounge: 2587
          o Ward treatment rooms, clean utility, nourishment: 2587
          o Doctors Lounge: swipe or 3186#
          o NICU: 1436 (call room/dr‟s lounge)

 RADIOLOGY REPORTS:
   UMC
       1. Call 383-RTAS/7827
       2. A personal code is necessary. You will be given a form to fill out to get your own code. Here‟s one to
          use until you get one of your own: 991250.
       3. Follow the prompts
       4. You will need the patient‟s date of birth.
       5. * To go to next report, 7 to rewind to beginning, 6 to slow down the report.
   SUNRISE
       1. Call 369-6221 or press “37” from a hospital phone
       2. Site ID is “1” followed by the # key
       3. User ID is “90” (if busy press 91-99).
       4. Enter patient medical number record
       5. The most recently dictated report will start first
       6. 3 to restart or play, 7 to go back to last report, 8 to skip to next report

Note: Always look at the films yourself! This quadruples your learning, plus you know the patient! Don‟t be afraid to
take a film to the radiologist to review with you. UMC and Sunrise now have PACS systems (ED, PICU, NICU) and
each resident will have their own log in.

DICTATIONS:
    UMC:
        1. Dial 8045 inside, 877-282-8674 outside.
        2. You will be prompted to enter your dictation ID (last 5 digits of your ASO number) followed by the #
             key.
    Sunrise:
        1. Dial 30 inside, 731-8146 outside
        2. Enter your physician ID
    Common instructions:
        1. Enter the work type: 20# for H&P and 50# for D/C summary. If you need a stat D/C or transfer
             summer you must press 60# and follow-up your dictation with a call to transcription in which you give
             them the job number and fax number you would like the summary sent to.
        2. Enter patient account# followed by the # key.
        3. Then you will be instructed to spell the patient‟s name, give the medical record number and state the
             attending physician‟s name(if in doubt, call the Peds ER and ask who is on call for the night). Then,
             begin your dictation.
        4. Basic command keys to know:
             UMC: 7 to pause, 3 to rewind, 2 to resume dictation, 5 to get job # and finish, 8 to get job # and
        dictate another report.
             Sunrise: 4 to pause, 3 to rewind, 2 to resume dictation, 9 to get job # and finish, 5 to get job # and
        dictate another report.
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DICTATION POINTERS:
 THIS IS A PERMANENT MEDICAL RECORD! Speak clearly, spell terms when necessary. Use appropriate
   professional language (no slang).
 REMEMBER, EVERYONE READS YOUR DICTATION!
   What would you want to know about this patient if they were to return for re-admission/follow-up. All helpful
   information will be pertinent (Meds, procedures, questions asked by parents and your responses…)
 TIMING: Dictate all admissions and discharges immediately. Do not wait until the chart is in medical records
   because you will remember the patient least at this time.
 FAXING COPIES/CALLING PMD: At the end of your dictations you can request that a copy of the discharge
   summary be faxed to the PMD, consultants or any relevant persons. Whenever possible, include the fax number
   with your request. Additionally out of courtesy, communicate with the PMD and let him/her know the patient‟s
   hospital course for better continuity of care. You can usually find their numbers in the rolodex or on the ward
   computers.
 JOB NUMBER: Write down your dictation number on the H&P OR discharge orders. This will save from
   repeating your work if dictations are lost.
 MEDICAL RECORDS: Please keep up and make an effort in signing your charts at least once a month at both
   hospitals. Call ahead for medical records to locate your charts. The easiest time to sign them is when you are on
   call. Your hospital privileges can be suspended if charts are not kept up.
 UMC Cquence: Allows you to do E-Signs and access archived H&Ps, DC summaries, consults and ER
   summaries. https://esign.umcsn.com/common/login.cfm?accountID=UMC
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PEARLS FOR ROTATIONS:
 WARDS
   GENERAL
      Assignment of Patients: The patients are divided between the two interns, but the entire team is responsible
        for the care of the patients.
      Efficiency & Organization: Your goal should be to finish your notes by rounds in order to make time for
        teaching rounds. Your roles are being chief information gatherers and getting things done; both in an
        efficient manner. You will learn these skills especially during your winter months!
      Sign-Outs: Should take 30 to 45 minutes. Signing out existing patients should simply summarize what
        happened during the day or over night. Presenting new patients should be kept brief as well.

     ROUNDS & MORNING REPORT
       Presenting patients: Present in a concise, logical manner. With new patients, be prepared to present all
        details. With established patients, start with a one liner (name, age and diagnosis), developments during the
        night, vital signs and pertinent physical findings along with your assessment and plan by systems for patients
        with multiple issues. If you don‟t know the plan, ask your seniors. You are not expected to know
        everything, that‟s why you‟re in residency! Use your progress notes as a guide (more impressive, if you can
        present without reading). Be attentive and conscientious to your attending‟s presentation preference.
       Morning report: Morning report is at 8am on Thursdays at UMC and on Wednesdaysat Sunrise. At UMC,
        it is the General Resident‟s Lounge and at Sunrise, it is in the Lake Mead Conference room. The intern or
        occasionally the medical student, post-call will be presenting a case from overnight. Be prepared with your
        H&P, all labs & radiology.

     CALLS & ADMISSIONS
       Call: Keep your senior informed about all admissions and situations on the floor. Being a good doctor
         means communicating with your peers and knowing when to ask for help.
       Admissions: The decision to admit is made by the ER attending so ask them the reason for admission (the
         patient usually was a lot worse before you saw them). At UMC, admissions will go to the ward attending.
         Occasionally at UMC we may follow an interesting patient with a subspecialist. At Sunrise we only follow
         patients with the hospitalists.
       Insurance: Usually HPN patients not seen at Sunrise exceptions include cardiac patients. If you are not sure
         if a patient belongs on your service, ask your senior or attending. Always check the insurance before
         admitting a patient at Sunrise.

     DISCHARGES & OFF-SERVICE NOTES
       Dictate every patient you send home. When cross-covering, it is your responsibility to dictate all discharges.
         If it is a complicated case, i.e. the child has had a prolonged hospital course; the resident who is the primary
         caregiver should dictate the discharge summary. At Sunrise, no DC summary is needed if the patient stayed
         <48hrs but you must still fill out the „short sheet‟.
       Off-Service notes: At the end of the month, interns should write off-service notes for all patients admitted
         > 48hrs to aid with transitioning to the new team. Best organized by systems, summaries should include the
         patient‟s hospital course and plan.
       Transfer Summary: When transferring a patient from ward to PICU, it is courtesy to write a transfer note
         summarizing with a brief HPI, the hospital course thus far, current medical problems and the reason for
         transfer. Additionally transfer orders MUST be written.

 NURSERY
   This is your time to perfect well newborn exams. Be present during hearing screens, blood tests and Newborn
    screens. You might need to perform these tests yourself.
   Deliveries: You will be called to Low-Risk deliveries. This is a good opportunity to implement your NRP skills,
    APGARS etc.
   Timing: You will be rounding on the well babies as well as patients in Level 2 nursery. We recommend arriving
    between 6:30-7am so you can finish your rounds by 9:00-9:30 and then round with your attending.
                                                                                                                        7


 NICU
   Before you start: At UMC, submit call requests with the Chief and review the schedule with Dr. Dudhbhai. At
     Sunrise, there are 7 calls – 5 weekdays and 2 weekends (weekend calls are short at Sunrise!). When you make
     your call schedule for Sunrise, submit a copy to the Chiefs.
   First Day: Write your name and pager number on the dry erase board inside the UMC NICU to be available for
     deliveries. You or the PL-3 will carry a transition nursery and a resident pager. At Sunrise, inform the unit clerk.
     At Sunrise, let the NNP of the day that know you‟re there so that they can find you for deliveries and
     procedures.
   Rounds: At UMC, be sure to arrive early and finish your notes before rounds that occur 9am-12pm. At
     Sunrise, show up at 8:30am daily. Rounds begin at 8:30 sharp so be on time! Radiology rounds are on Tuesdays
     at 8am in the Radiology Reading Room. More pertaining to Sunrise, they will be impressed if you present the
     neonates you admitted and the ones you have been following. This is not required and nobody will ask you to
     do it so take the initiative. Once you do they will know you are interested.
   Patient Assignments: You will be assigned patients by the attendings. At UMC, patients will be split between
     you, the PL-3 and the NNP. At Sunrise they‟ll start you off with the feeders and growers and advance you to
     more difficult patients once you are capable.
   Progress Notes: At both hospitals, everything is computerized. Your attendings should familiarize you with the
     system.
   Deliveries: Attend as many deliveries as possible. The more you attend the more comfortable you will feel.
     Learn to assign APGARs and review your Neonatal Resuscitation. You will attend deliveries with a Nurse and
     RT. They are a valuable resource for questions.
   Procedures: Opportunities to do procedures (i.e. UVC, UAC, intubations, LPs, etc.) are always available, make
     an effort to be proactive. Nurses will teach you to draw blood or start an IV. Don‟t forget to practice the Ballard
     scores for assigning a gestational age based on physical exam
   Learning: The attendings all love to teach and are knowledgeable but you must ask questions or they will not
     know you are interested.
   At UMC, stick with Evelyn the Nurse Practitioner. Let her be your guide.

 SURGERY
   Once again there is no handholding so show interest.
   You will split time between rounding on floor patients and doing/watching procedures.
   Timing: Show up to the OR on time, usually 7am, so that you can start an IV and occasionally intubate. If you
     aren‟t there they won‟t wait for you. The more you are around the more you will see and do. Don‟t expect to
     intubate on the first day. Be patient, but show interest. The booklet they give you to read is especially helpful.
   Clinic: This is your opportunity to see which cases you should and should not refer to surgery. Additionally, it is
     a good time to ask questions because the surgeons are not as busy. Arrive on time, notify them of noon lectures,
     your call schedule and read on your down time.

 ER
   Before you start: Dr. Nelson will get in touch with you to discuss the schedule.
   Procedures: This is when you will get to do most of your procedures. Make sure you carry your procedure log
     and then log them in when you can.

 CLINIC (Lied Month/Continuity Clinic)
   Focus: This is when you will get experience with well baby & child checks. Practice your Developmental
     Milestones & Tanner staging on all your well child checks. Additionally, you will see hospital and ER follow-
     ups.
   Translators: Knowing Spanish helps. If you do not know Spanish there is an in-house translator available. If
     the translator is not available or you need help with another language you can dial 789 from any of the portable
     phones to reach an AT&T interpreter.
   Timing: During your Lied month you should arrive at 8:45am. For continuity clinic you should arrive no later
     than 1:15pm. Don‟t be late.
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     Procedures: This is where you will get hands on experience with circumcisions. At the beginning of the rotation
      be sure to express an interest to Dr. Denton. At KHC, do your own rapid streps and urine dipsticks so that you
      get the practice. It is also nice to know how to administer vaccinations.

 DEVELOPMENT
   Focus: This is the time to perfect your developmental milestones, neurological exams and understanding of
    ADHD & Autism to say the least.
   Attend Nevada Early Intervention Services/NEIS with Dr. Clemons. Be Punctual and there are also
    opportunities to attend special clinics there (i.e. Genetics with Dr. Morris, Metabolic with Dr. Powell).
    This is the month you will do Advocacy Seminar so choose your topic and meet with your mentor early on.
   Enjoy your only call free month!
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FORMATS FOR WRITING AND DICTATING:

HISTORY & PHYSICAL:
Informant:                                 PMD:

CC:

HPI: ___year old F/M with PMH significant for _____ in his normal state of health until ___days prior to admission
who presented… (Any fever? vomiting? diarrhea? cough? runny nose? sick contacts? changes in urine output? PO
intake? Bowel movements?, Etc.)

Review of Systems: Ask about all systems regardless of the chief complaint. Parents do not always know to volunteer
all information. If it was covered in your HPI, it is okay to write “as per HPI.”

ER course: Include all medications, imaging and lab tests done, good idea to ask what the patient looked like upon
arrival.

Birth Hx: FT? NSVD vs C-sec?, birth weight?, which hospital?, complications?, infections during pregnancy? GBS
status? Antibiotics given? Pre-natal care? Gravida? Parity? NICU stay?

PMH: Hospitalizations? Surgeries? ER visits?

Diet: Especially important with infants: How much? How often? Which formula? Breast-feeding…how long?

Development: Ask if milestones were met on time and do your own exam for current age.

Immunizations: Are they up to date? Do not forget to ask about Synagis if applicable.



Allergies: To food or medications, include what happens with ingestion.

Current Medications: Try to get actual doses if possible; best to read them off the bottle, call the pharmacy they went
to if they are unsure.

Family Hx: Be sure to probe for conditions that may be related to the chief complaint (i.e. history of allergies, asthma
or eczema in a patient with increased work of breathing)

Social Hx: Household members, pets, smokers, recent travel, daycare, type of insurance.

Physical exam: Vital signs, Plot the weight (occasionally will find a FTT), General, HEENT, Neck, CVS, Resp,
Abdomen, GU, Ext, Skin, Neuro

Labs:

Radiology: Be sure to look at the film yourself!

Impression: __ year old F/M with….include all relevant diagnosis (better to be general and write “vomiting” or
“fever” if etiology is unknown) as well as pertinent PMH (Down Syndrome, S/P ASD repair 1 month ago)

Differential Dx: Brainstorm and list possibilities; THIS IS YOUR TIME TO SHINE!

Plan: Format should be by system: FEN/GI, CVS, RESP, HEME/ID, etc. Be sure to include your reasoning for your
plan. Your seniors, attendings, and consultants read your H&P‟s so make a good impression!
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ADMISSION ORDERS:

(ADC VANDALISM)
Admit to Peds or for 23 hour observation to Dr _____ and residents.
Diagnosis:
Condition: Guarded? Fair? Stable? Critical?
Vitals: as per routine
Allergies:
Nursing: daily wts, strict I/Os, cont pulse ox, reflux precautions?
Diet:
Activity: as tolerated
Labs:
IVF: None, Heplock, D5….
Special/Consults: Be sure to call the consultant yourself
Meds:
Please call MD if….
Thanks to nursing!

PROGRESS NOTES:

(SOAP)
Subjective: Parents at bedside? Patient resting comfortably?
        Complaints or issues over night? Fevers? Pain? Tolerating
        PO? Include all relevant details from the night before.
Objective: Vital signs, O2 sats, Weight (Weight change), I/O, UOP,
        Physical exam, Meds and labs can be listed in the margin or in this section.
Assessment/Plan: Assessment should be a one sentence cap:
        __year old M/F admitted with….who is improving? who is now complaining of pain? Plan should be organized
        by system: FEN/GI, CVS/RESP, ID/HEME, NEURO, SOCIAL, D/C PLAN. Be sure to include your
        thought process. Will discuss with attending and team.

           Things to keep in mind:
             Can I heplock the IV?
             Can I advance the diet?
             Does the social worker/case manager have the discharge plan?
             What supplies/home health does the patient need for home?
             Why does the patient still need to be in the hospital?
                                                                                                             11


DISCHARGE SUMMARY:

Date of admission:                  Date of discharge:
Admission Diagnosis:                Discharge Diagnosis:
Consults:
Procedures:
Brief History of Presentation: ____ year old M/F who presented
         with the following symptoms. Keep it brief.
Hospital course (by systems)/Significant findings: Include relevant labs,
         clinical course, and if complicated then organize it by system
Disposition /Physical Exam: At the time of discharge: Include vital signs and weight
DC Condition: stable
Activity:
Diet:
Medications:
Follow up: with PMD (name and # if possible) and Specialists
Instructions: Patient was advised to seek medical attention or return to ER if……… Parents understand these
instructions and are agreeable to d/c at this time…
Copies/’cc’ to pertinent physicians


DISCHARGE ORDERS:

DC IV
Discharge home: With parents? Legal guardian? CPS?
Discharge Diagnosis:
DC Condition: Stable
Activity:
Diet:
Meds:
Follow up:
Instructions: Please return to ER /Call PMD if …
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THINGS TO DO:

 The Great Outdoors
   Near
      Red Rock Canyon
         Directions: Take Charleston West past the 215. It will cost $5 per car. $20 year long pass.
         Recommend: Ice Box Canyon and Calico I/II trails.
      Mountain Biking
         Near Red Rock Canyon
      Mount Charleston
         Directions: Take 95 North past town
             Hike/Picnic: Turn left onto 157 for Kyle Canyon
             Skiing: Turn left onto 156 (past 157) for Lee Canyon
      Lake Mead
         Directions: Take 95 South and follow signs
         Things to do: Sailing, Beach, Water ski, Fishing

      Far
        Zion Canyon
            Directions: Take I-15 North towards Utah (3 hours)
            Recommend: Angel‟s landing, The Narrows & Weeping Rock
            Accommodations: Any of the Lodges or Desert Pearl Hotel in Springdale
        Bryce Canyon and Cedar City /Cedar Breaks
            Directions: 1.5 hours North of Zion
            Recommend: Peakaboo trail loop, Rim trail at Bryce, Scenic drive at Cedar Breaks
            Accommodations: Lodge or Camp, Use park shuttle service
        Grand Canyon
            Directions: 3-4 hours Southeast into Arizona
            Accommodations: Cabins on the South Rim
            Recommend: Rim Trail

 Miscellaneous
      Shopping (Fashion Show Mall on Spring Mountain & Las Vegas Blvd, The District at Green Valley Ranch
         Casino, Miracle Mile at Planet Hollywood, The Forum Shops at Casear‟s Palace, the Outlet Mall (I-15 and
         Charleston), Town Square ( off Las Vegas Blvd near I-15 and 215)
      Shakespeare Festival (dates to be announced)
      Skiing (Brian Head, Utah, I-15 North to Utah, near Cedar Breaks, approx 3 hours and Las Vegas Ski &
         Snowboard Resort at Lee Canyon, approx 40 minutes near Las Vegas)
      Sky diving (Boulder City near Airport)
      Rock Climbing (Indoor: Powerhouse Gym on Charleston & Durango or Outdoor: Red Rock Canyon)
      Indoor Soccer (Rampart & Summerlin Parkway)
      Basketball
      Golf (Calloway, Angel Park, “ghetto” Golf Club)
 Eating
   American:
      Raffles (Mandalay Bay), Trumpets (Anthem Parkway & Hampton Road in Henderson), Capriotti‟s
         Sandwiches, Hash House (Sahara & Rainbow), Burger Bar (M.Bay)
      Steak Houses: Lawry‟s (Flamingo & Paradise), The Tillerman (Flamingo & Eastern), Fleming‟s in
         Summerlin, Morton‟s, Ruth‟s Chris
      Wings: Any Buffalo Wild Wings location
      Breakfast: Bagel Café (Summerlin Parkway & Buffalo) and Egg and I (Sahara & Decatur)
                                                                                                               13


          Buffets- various hotels

    Asian:
      Chinese: Kung Fu (Chinatown), Any PF Chang‟s, Joyful House, Harbor Village, Ping Pang Pong (Gold
         Coast), Tea Planet
      Indian: Gandhi (Flamingo & Paradise), India Oven (Sahara & Paradise), Mantra Masala (Warm Springs and
         S Durango)
      Japanese: Osaka (Sahara & Valley View), Makino (Decatur & Flamingo, All you can eat)
      Korean: Korean BBQ (Chinatown)
      Thai: Krung Thai (Flamingo & Decatur), Jasmine (Flamingo & Buffalo), Thai BBQ (on 3rd near Las Vegas
         Blvd & Wyoming) and Lotus of Siam (Sahara & Maryland Parkway), Pin Kaow ( 2 locations – Rainbow and
         Robindale or Rainbow and Lake Mead)
      Vietnamese: Pho So I (Decatur & Spring Mountain)
      Hawaiin: Aloha Kitchen (Decatur & Sahara) and Aloha Specialties (California Hotel)

    Latino/Hispanic/South American:
      Cuban: Florida Café (Las Vegas Blvd between Charleston & Oakey)
      Mexican: Pink Taco (Hard Rock Hotel), CozyMel (Paradise & Flamingo), Any Roberto‟s Taco Shop, Lindo
         Michoacan (Desert Inn & Eastern), El Sombrero (Main & Bonneville); Casa Don Juan
      Peruvian: Inka Si Senor (Maryland Parkway & Sahara)
      Spanish/Tapas: Firefly (Paradise between Flamingo & Twain), Café Baba Reba (Las Vegas Blvd in Fashion
         Show Mall)

    Mediterranean:
      Greek/Persian: Paymon‟s (Flamingo & Maryland Parkway or West on Sahara near Buffalo)
      Italian: Spago‟s (Ceaser‟s Palace), Buca di Beppo (Paradise & Flamingo)
      Moroccan: Marrakech (Paradise between Flamingo & Twain)


 Lounges
   Hookah Lounge (Flamingo & Maryland Parkway, West on Sahara near Buffalo), Peppermill Lounge
   Ice House (Main & Bonneville), Gordon Biersch (Flamingo & Paradise)
   Whiskey at Green Valley (SE), Cherry at Red Rock (NW), Foundation Room at Mandalay Bay, Ghost Bar at
     Palms, Morea at Mandalay Bay, Vbar at Venetian, Caramel at Bellagio, Tabu at MGM, Beauty Bar (Downtown)

 Clubs
   Mega: Ice at Harmon & Koval, Rain at Palms, Pure at Caesars, Body English at Hard Rock, Studio 54 at MGM,
     Ra at Luxor, Drai‟s at Barbary Coast (After-hours, good for post-call)
   Medium: Tao at Venetian, Jet at Mirage, Light at Bellagio, Tangerine at TI, Rum Jungle at Mandalay Bay, Curve
     at Aladdin, Risque at Paris, Vivid at Venetian, OPM at Ceasar’s, Tryst @ Wynn
   Salsa (Gold Coast Showroom)

 Work (Open 24 hours)
   UMC (Charleston & Rancho in the Trauma Building)
   Sunrise Hospital (Desert Inn & Maryland Parkway)




GOOD LUCK AND HAVE A GREAT YEAR!!!
14


                                      LOG-IN AND PASSWORD CHANGES

                                                    LOG-IN           PASSWORD
UMC:
           Windows:

           AS400:
                    (inner window):

           EMSTAT:

           Cquence:

           Radiology:

Sunrise:
           Meditech:

           Radiology:

Procedure Log-in:
On-call Schedule:
        www.amion.com:
Evaluations:
        www.e-value.net:

                                               USEFUL NUMBERS

UMC: 383-                                 Resident Pager: 381-0425
         Floor: 3939     Computer Room: 3668
         PICU: 3949      Sr Room: 3667
         ER: 3734        Backline: 3852
Sunrise: 731-                             Resident Pager: 699-1788
         Floor:
           Front: 1-8051              Sr Room: 1-5622
           Middle: 1-8265
           Back: 1-8341
         PICU: 1-8640
         ER: 1-5150      Backline: 1-8515
                                               15


CONSULTS NUMBERS
ID
  Dr PC (Patamascon)                381-0210
  Dr EZ (Ezeanolue)                 381-0091
Cardiology
  Children’s Heart Center           732-1290
Pulmonary
  Dr Nakamura/ Dr Saeed             598-4411
  Dr Parks                          992-6868
GI
  Dr Gremse                         381-4641
  Dr Baron, Dezenberg, Rhee         791-0477
Neuro
  Drs Halthore, Johns, Maller       796-5505
Surgery
  Drs Reyna, Scheidler              650-2500
  Drs Fiore, Kogut                  233-8101
  Dr Hendrickson                    733-8202
  Dr. Gosche (UMC)                  671-2273
Heme/Onc
  Drs Kline, Rashid                 732-0971
  Dr Bernstein                      524-9691
Nephrology
  Dr Aigbe                          639-1700
Endocrinology
  Dr Rice                           992-6870
Cardiac Surgery
  Drs Wiencek, Ciccolo              735-1454
Neurosurgery
  Dr Peoples                        263-0117
  Drs Anson, Duke, Garber, Kaplan   737-1948
Orthopedics
  Dr Camp, Nielson, Stuart          434-6920
  Dr Barry                          731-1616
Ophthalmology
  Dr Nelson                         384-2020
  Dr Mahon                          731-3333
  Dr Snyder                         869-6326
ENT
  Drs Schroeder, Goll, Yu           792-6700
   O-Lee                            992-6828
Urology
  Dr Ganesen, Plaire, Feng          369-4999
  Dr Close                          220-4006
16


THE LAWS OF INTERNSHIP


     1. LISTEN WHEN NATURE CALLS

     2. MAKE TIME FOR MEALS

     3. SLEEP WHENEVER POSSIBLE

     4. CALL SPOUSE OR SIGNIFICANT OTHER WHEN ONCALL
17
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Notes
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     Notes

						
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