As a member of the hospitalist division, the fellow will participate in all aspects of clinical care under the supervision of the Hospitalist attending or Service attending. The fellow will be required to work a minimum of twelve 12-hour shifts per month. Weekend and holiday coverage are required. Other call may be required based on the clinical service rotation. You will be expected to provide clinical care at the highest level to patients in accordance with hospital and evidence-based care guidelines. You are expected to promote a culture of patient safety. Your clinical responsibilities are assigned by the Hospitalist Division Director and may be altered in response to changing Departmental, Division or Hospital needs. Clinical duties include but are not limited to the following:
- Evaluation and management of patients in triage
- Participation in Emergency Response Teams (rapid response, adult codes, delivery response and massive transfusion protocols) and management of unexpected emergencies on L&D, antepartum unit, postpartum unit and other areas of the hospital
- Management and delivery of patients in L&D: unassigned patients and those of other attendings and services as requested
- Acting as a surgical assistant when needed
- Surveillance of labor progress and fetal heart rate tracing on patients on L&D
- Perform or assist with emergent gynecologic surgery for cases such as ectopic pregnancies or incomplete abortion curettage as needed with gynecology attending
- Participate in call coverage for Morbidly Adherent Placenta team
- Evaluation and management of all Obstetrical and gynecological transfer patients
- After hours and weekend oversight of patients assigned to the fetal intervention and maternal-fetal medicine service
- Coverage of Fetal Intervention (FI) patients after hours and weekends
- Coverage of Minimally Invasive Surgery (MIS) service patients after hours when requested
- Participation and leading of L&D board rounds
- Participate in daily safety briefings
- Participation in Quality Initiatives within the hospital
- Daily rounding on antepartum and postpartum patients
- Participate in simulation
All faculty are expected to actively participate in the educational mission of BCM and will adhere to the guidelines of the BCM Educational Compact between Teachers, Learners and Educational Staff. This document can be accessed through the BCM website. As hospitalists
we will participate in the education of residents, fellows, medical students, nursing staff/students, allied health care workers, and others.
You will be expected to maintain medical staff privileges in good standing at Texas Children’s Pavilion for Women and you are bound by all policies and bylaws of the hospital. You must complete documentation and billing of professional services provided in a timely manner. You will participate in hospital and departmental committees as needed. You must continue to hold and maintain a permanent, valid and unrestricted license to provide patient care in the State of Texas and comply with BCM credentialing criteria. You are expected to maintain certification in Advanced Cardiovascular Life Support (ACLS).
You will not be required to complete a research project during time in fellowship, but given the academic environment in which we work there is an expectation to participate in research within the department or hospital. Participation as a primary or secondary investigator in a clinical research project or quality improvement project is highly supported.