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Schedules
The yearly schedule for each resident is composed of 13 four-week blocks. There are some variations between individual schedules in each of the three years, but all have equal amounts of time in the major areas: intensive care, inpatient wards, outpatient clinics, selective / electives and vacation. Call is distributed among members of the same year. Selectives are 4 week rotations chosen by residents to focus on a subspecialty area in pediatrics. Jeopardy call is sick call intended for emergencies and illness. It is a junior and senior responsibility activated by the chief residents. Resident Reserve and Quality Improvement rotation is covered by one junior and one senior. The clinical responsibilities include daytime cross-cover activities, a quality improvement project, and jeopardy.
PL-1 Schedule
| Type of Rotation | Time |
Call |
Inpatient General Pediatrics |
2-3 Blocks |
|
-Lucile Packard |
4 wks |
3 weekend calls |
-Packard El Camino |
4 wks |
Short call/Weekend shifts |
-Santa Clara Valley |
4 wks |
Every 4th night |
-Kaiser |
4 wks | Every 4th night |
Inpt/Outpt Subspeciality* |
3 Blocks |
|
-GI/Liver |
2 wks IN/ 2wks OUT |
2 weekend calls |
-Renal/Rheumatology |
2 wks IN/ 2wks OUT |
2 weekend calls |
-Cardiology/Pulmonlogy |
2 wks IN/ 2wks OUT |
2 weekend calls |
| NICU | 4-8 wks |
Every 4th night |
LPCH Night-Float |
4 wks |
Night call Sun-Thursday |
Development/Behavior |
4 wks |
Every 4th night cross-cover |
Urgent Care Clinics |
|
|
-Santa Clara Valley** |
2 wks |
** |
-Lucile Packard |
2 wks |
Evening ER shifts |
| Well Baby Nursery | 2 wks |
Evening ER shifts |
| Emergency Pediatrics*** | 4 wks |
2-4 shifts/wk with above rotations |
Community & Advocacy |
4 wks |
No Call |
Elective Call-Free |
4 wks |
No Call |
Vacation |
4 wks |
No Call |
*Outpatient Subspecialty: 2 wks per chosen specialty, no call
**Urgent Care Valley: 2 wks during Community and Advocacy Rotation
***Emergency Pediatrics: 4 wks during Lucile Packard Urgent Care and Well Baby
PL-2 Schedule
Type of Rotation |
Time |
Call |
Inpatient Supervisory Month |
4 wks |
|
-Lucile Packard |
0-4 wks |
2 weekend calls |
-Santa Clara Valley |
0-4 wks |
Every 4th night |
Oncology |
4 wks |
3 weekend calls |
Bone Marrow Transplant |
4 wks |
4 weekend shifts |
PICU |
4 wks |
Every 4th night |
NICU |
0-4 wks |
Every 4th night |
Night Float Oncology |
2 wks |
Night call Sun-Thursday |
4 wks |
Every 4th night cross-cover |
|
| Emergency Room | 6 wks |
3-4 shifts/week |
| Urgent Care Clinic | 6 wks |
|
-Santa Clara Valley* |
2-6 wks |
Every 4th night cross-cover |
-Lucile Packard |
0-4 wks |
|
| Adolescent Medicine** | 4 wks |
** |
| Resident Reserve | 0-4 wks |
|
| Hematology Outpatient | 2 wks |
No Call |
Elective Call-Free |
4 wks |
No Call |
Vacation |
4 wks |
No Call |
* Urgent Care Valley: Each junior performs 2 weeks of evening shifts with no cross-cover responsibilities.
**Adolescent Medicine: May have call or jeopardy responsibilities.
PL-3 Schedule
Type of Rotation |
Time |
Call |
Inpatient Supervisory Month |
8 wks |
|
-Lucile Packard |
4-8 wks |
2-3 weekend calls |
-Santa Clara Valley |
0-4 wks |
Every 4th night |
PICU |
4 wks |
Every 4th night |
NICU* |
0-4wks* |
Every 4th night |
| LPCH Night Float Sup | 2 wks |
Night call Sun-Thursday |
| Selective | 4 wks |
Every 4th night cross-cover or 2 Saturdays |
Urgent Care Clinic |
4 wks |
|
-Santa Clara Valley |
0-4 wks |
Every 4th night cross-cover |
-Lucile Packard |
0-4 wks |
|
0-4 wks |
||
Teaching Senior |
4 wks |
|
Well Baby Nursery |
2 wks |
No call |
Elective Call-Free |
12 wks |
No call |
Vacation |
4 wks |
No call |
*NICU: Each senior will cover the NICU either on-service or with cross-cover responsibilities.
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Life in the Hospital
Our program has successfully instituted a night float system for our ward teams. Currently, a dedicated team of two interns and one senior resident care for ward patients at night, allowing for the daytime team members to only take call on weekends. There is also a night float system on the oncology ward, where a junior resident cares for patients at night. The LPCH ICU's and all rotations at Santa Clara Valley Medical Center, and Kaiser still operate on an every fourth night call system.
At LPCH, residents on call or on night float can gather in the Housestaff Lounge for meals, activities, and an evening educational curriculum, consisting of a case-based lecture every evening directed by the attending Hospitalist. The lounge was remodeled in 2007, creating a pleasant environment for relaxing and teaching.
We have morning report 4 days per week at LPCH, with case based presentations of in-house patients. This is directed by the Chief Residents and Teaching Seniors. On Friday mornings, residents attend hospital wide Grand Rounds in the LPCH Auditorium. Noon conference is an hour long, and takes place daily. At noon conference, lectures are given by faculty. Breakfast and lunch are provided during Morning Report and Noon Conference. On weekends, food is ordered from local eateries. Residents (at LPCH, SCVMC and Kaiser) also receive cafeteria money credited to their ID badge for each night spent on call. These funds can also be used at the Starbucks Coffee Cart and Mrs. Fields Cookies at Stanford Hospital.
Beginning in the 2002 – 2003 academic year, our program instituted duty hour guidelines for residents of all classes. In rotations where call is on average every 4th night, all residents sign-out post-call by noon on the following day (approximately 30 hours of duty time). There is no post-call afternoon continuity clinic. On average, residents have one weekend day each week entirely free. All residents have at least one “Golden Weekend” with both Saturday and Sunday call free.
Our Jeopardy call system consists of four to six junior and senior residents on call for illnesses and emergencies. In addition, we recently implemented a Resident Reserve rotation to assume daytime cross-cover responsibilities when not working on a quality improvement project.
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Resident Support and Retreats
In acknowledgement of the difficulties inherent in medical training and residency, in particular, a variety of forums have been established for resident expression, exploration and general support. These include Intern Support Group, Housestaff Open Forum, Happy Hours, Holiday Parties, Resident Wellness Program, Quality of Life Committee, and Resident Retreats. The Resident Wellness Program consists of activities throughout the work day and on weekends focused on wellness. The goal is to offer opportunities in multiple modalities so as to appeal to a wide-range of residents. Some examples of this program include massage therapy during a wellness noon conference, hikes on the weekends, and dinners at faculty homes. In addition, the residents have a formed a quality of life committee which works to improve resident satisfaction from food choices at conference to coordinating events outside of the hospital. The faculty members are regularly involved in our activities, including poker parties at attendings’ homes and annual bowling and softball matches.
Every year, each class of residents is covered for a 1 day (and 1 night) retreat at staggered times through the year. Primarily planned by the class members, past retreats have included Monterey-area beach house, a night at the Ritz Carlton in Half Moon Bay, and a nice dinner and rented house in San Francisco. Residents are excused from duties and funding is provided for the activities.
With its central location, our program offers the opportunity to explore Stanford University campus, Palo Alto, the San Francisco Bay Area, and all of California. The campus itself offers unparalleled beauty and serenity surrounded by a myriad of extracurricular activities. Complimenting Stanford's world-renowned educational resources is a nationally competitive inter-collegiate sports program, providing a wide range of exciting matches. The near-perfect year-round weather will enable you to maintain your individual fitness pursuits, whether they be golf, tennis, cycling, running, hiking, or swimming. As a resident you will have access to Stanford University's recreation and sports facilities.
Off campus, the Palo Alto and San Francisco Bay areas offer some of the most exciting and desirable places to explore. Within three hours drive, you can visit Lake Tahoe, wineries in Napa Valley, the rugged coastline of Half Moon Bay, or the serene woods of Portola Valley. For living accommodations, residents typically live in the communities surrounding campus, including Palo Alto, Mountain View or Menlo Park. However, some individuals choose to commute from San Jose or San Francisco. There are also convenient campus apartments available through the lottery system. City sponsored events, restaurants, theaters, clubs, museums, and recreation areas are abundant. The hills, valleys, and coastline of California are explored by automobile with remarkable ease, and three nearby airports make travel options limitless.
Driving Time to Nearby Destinations
|
San Francisco |
40 minutes |
|
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Santa Cruz |
60 minutes |
|
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Napa Valley |
90 minutes |
|
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Carmel/Monterey |
90 minutes |
|
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Yosemite |
4 hours |
|
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Lake Tahoe/Reno |
4 hours |
|
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Los Angeles |
6 hours |
Various housing options are available to interns and residents in the Palo Alto area. The Office of Graduate Medical Education is working with hospital administration and Stanford University to expand the number of affordable rentals for our housestaff.
Welch Road Apartments:
The Welch Road Apartments are located at the intersection of Pasteur
Drive and Welch Road within easy walking distance to both Stanford
Hospital and Lucile Packard Children’s Hospital. Apartments are
subsidized and configured as studio, one, and two bedroom units, and are available
to incoming housestaff via lottery in early May of each year.
Stanford West Apartments:
The Stanford
West Apartments are located on Sand Hill Road adjacent to
the Medical Center within easy walking distance to both Stanford Hospital
and Lucile Packard Children’s Hospital. The complex features
one, two and three bedroom apartments. Assignment is by eligibility
category and date of application.
Palo Alto Area
Current residents live in a variety of communities in the Bay Area, even
including San Francisco itself. While many incoming residents express
a strong desire to live in Palo Alto, rents are somewhat less expensive
in neighboring areas such as Mountain View and Redwood City.
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Please see the Stanford
Graduate Medical Education Site for information
on basic benefits and other
benefits.
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