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Pediatrics - Tulane Ochsner Residency - Curriculum - Daily Report

Morning/Noon Report

Morning/Noon report, conducted by the Chief Residents at Tulane and by several dedicated faculty members at Ochsner, is held four to five times per week from 7:30 - 8:00am at Ochsner Hospital, and from 12:00 - 1:00pm at Tulane Hospital. Residents on campus-based rotations are required to attend. General pediatric and subspecialty faculty are also in attendance. Morning/Noon Report is an interactive case-based learning experience derived from a recent admission/presentation to the wards, PICU, ER, or clinic. An intern or resident presents each case, which is an opportunity for us to discuss how to think actively about taking a relevant history and performing an effective physical exam. After this, we build a differential diagnosis and discuss best strategies for workup and management.Read More

The discussions are geared toward one of the primary educational goals of the program: Fostering critical thinking. We don't just want you to know what questions to ask, or what you're supposed to do in a given situation; we want you to know why - it is at that point that you have gained knowledge that is truly a tool rather than a paperweight, because it is something that you can apply as a principle in other settings.

Toward this end, "why" informs all aspects of Morning/Noon Report. Why did you want a particular detail from the history - what was the clinical thinking that made you think that would be useful? Why are you interested in a particular exam finding? What is the underlying method that informs how you assemble a differential diagnosis for a given complaint? And why do you want a particular laboratory or imaging test - what information will it give you, and why is it worth adding to the cost of care? More importantly, why is it important enough to justify additional discomfort for your patient? Since our patients (at least the preadolescent ones) are not the ones giving consent for interventions, it should be a matter of honor to us that we force ourselves to ask this particular "why," in the pursuit of the least invasive and painful medical experience safely possible.

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