A Day in the Life of an Intern
AT ST. LUKE’S-ROOSEVELT HOSPITAL
St. Luke’s Morning
 Get Vitals at Roosevelt or St. Luke’s

All lists are available on the Surgery Database which can be accessed at both
hospitals
 6 AM jitney from Roosevelt
 Arrive at St. Luke’s


One intern gets signout from nightfloat intern
One intern gathers supplies needed for rounding/last minute vitals
 Round with team
 7 AM conference





Monday: chief meeting (chiefs only)
Tuesday: Vascular
Wednesday: Basic Science
Thursday: Colorectal
Friday: Trauma Conference or Basic Science Quiz
St. Luke’s Daytime
 7:30 AM: OR starts
Prior to starting the OR, the entire team “runs the list”
 Discuss plans for each patient (studies, consults, post op care)
 Ask any questions about patients/plans
 Pre-op paperwork should be completed PRIOR to 7:30
 Morning Notes
 S.O.A.P. note format
 Execute Plans
 Place orders (diets, meds, ambulation, studies)
 Call consults
 Ensure orders are carried out—sometimes requires the intern to go
beyond just placing the order (bring a patient to CT scan, call echo or
IR, draw labs, walk the patient, etc)

St. Luke’s Daytime
 Labs
 Labs
appear in PRISM between 9-11 AM
 Labs should be recorded on paper and presented to
the senior resident
 Electrolyte abnormalities should be corrected
 Labs for tomorrow should be ordered after
discussion with the senior resident
 Update
 Throughout the day, the senior residents should be
updated about the patients– run the list between
cases
 Keep the List up to date throughout the day
St. Luke’s Afternoon
 Prepare for afternoon rounds
 Gather current vital signs and note any abnormal vitals during the day
 Chart check (look for notes from attendings, consults, PT)
 Pre-Round on patients
 Afternoon Rounds
 The whole team meets and discusses what went on with the patients
during the day
 See patients (faster than AM rounds)
 Run the List
 The whole team runs the list again with any plans for the evening/night
 Update the list
 Signout
 One intern signs out the list to the nightfloat intern (brief summary of
the patient, post op checks, follow up plans, nightchecks)
St. Luke’s Clinics
 Monday 1:00PM: G1 clinic (Wedderburn, Lorieo)
 Wednesday 10AM: Breast clinic
 Wednesday 1:00PM: bariatric clinic (G2 interns)
 Thursday 1:00PM: G2 and colorectal (Koshy, Talbert,
Gandhi)
 Vascular (interns on vascular only go to vascular clinic):




Monday – Benvenisty
Tuesday – Lantis
Wednesday – Lee
Friday – Lantis
Roosevelt Morning
 Arrive at Roosevelt and get signout from nightfloat
 Pre-Round
 Split the patient list
 Get vitals, examine the patient, take down dressings
 Round with team around 6:00AM
 Senior residents and one intern examines patient together and does
dressing changes
 One intern writes the notes (S.O.A.P. note format)
 7AM conference
 Monday: chief meeting (chiefs); Moore rounds (blue)
 Tuesday: Vascular
 Wednesday: Basic Science
 Thursday: Colorectal
 Friday: Trauma Conference or Basic Science Quiz
Roosevelt Daytime
 7:30 AM: OR starts
Prior to starting the OR, the entire team “runs the list”
 Discuss plans for each patient (studies, consults, post op care)
 Ask any questions about patients/plans
 Pre-op paperwork should be completed PRIOR to 7:30
 Execute Plans
 Place orders (diets, meds, ambulation, studies)
 Call consults
 Ensure orders are carried out—sometimes requires the intern to go
beyond just placing the order (bring a patient to CT scan, call echo or
IR, draw labs, walk the patient, etc)

Roosevelt Daytime
 Labs
Labs appear in PRISM between 9-11 AM
 Labs should be recorded on paper and presented to the senior
resident
 Electrolyte abnormalities should be corrected
 Labs for tomorrow should be ordered after discussion with the senior
resident
 BELGRAIER patients– put labs in chart!!!
 Update
 Throughout the day, the senior residents should be updated about
the patients– run the list between cases
 Keep the List up to date throughout the day

Roosevelt Afternoon
 Prepare for afternoon rounds



Gather current vital signs and note any abnormal vitals during the day
Chart check (look for notes from attendings, consults, PT)
Pre-Round on patients
 Afternoon Rounds


The whole team meets and discusses what went on with the patients during the day
See patients (faster than AM rounds)
 Afternoon Conference



Monday 4:00PM: chest/thoracic
Tuesday 5:00PM: Hepatobiliary
Thursday 5:00PM: tumor board
 Run the List


The whole team runs the list again with any plans for the evening/night
Update the list
 Signout

One intern signs out the list to the nightfloat intern (brief summary of the patient, post op checks,
follow up plans, nightchecks)
Expectations





Know what is going on with the patients at all times
“Make It Happen” – ensure the plans are executed
Keep the senior residents up to date
Learn how to prioritize and multi-task
Be Prepared


All OR cases are assigned the night before – this allows the intern to read about
the case
READ – be prepared for basic science lecture, quiz, trauma, rounds
 Practice makes perfect – suturing, knot tying
 Ask Questions
 Never be afraid to ask the senior residents questions
 Prepare educated questions to ask attendings during a case
 Think ahead
 Anticipate the plan
 Formulate your own plans or solutions to problems and discuss them with chiefs