The Johns Hopkins Oncology rotation is a month-long rotation where residents rotate through the Solid Tumor service in Johns Hopkins while working in a team composed of a Johns Hopkins Osler intern and oncology fellow. Here you will have the chance to work in a closed unit dedicated to caring for patients with solid malignancies and complications. You will also get to experience admitting and managing oncology patients as they receive treatment or management of oncologic complications.
General Information
Parking Location: Orleans Street Garage
1795 Orleans St, Baltimore, MD 21205
Location: 4th and 5th Floor Weinberg Building
Both floors have the same layout
Primary workspace: 4B unit (4th floor Weinberg Building)
Access code is written on the door
To-Do Before your Rotation Begins
Complete the EPIC training and ensure you have EPIC access prior to your arrival
You will be given a JHED account after completing the training
Please coordinate with Ms. Ikia at least 2-3 months prior to the oncology rotation to have the credentialing process started
Obtain your ID badge at the security/badging office, which may happen on your 1st day of the rotation
Secure the parking pass from the previous rotator prior to the start of the rotation which will need coordination amongst the residents as you will need the parking pass to both get IN and OUT of the garage
Receive sign outs from the previous rotator regarding the patients on your list
Schedule
During your time, you will be placed under the YELLOW solid tumor team which includes the Johns Hopkins Osler intern and an Oncology fellow. Additionally, you will also get to work alongside the GREEN team in the same workspace which comprises of a St. Agnes resident, Johns Hopkins Osler resident as well as an Oncology fellow.
See more detailed call schedule template HERE.
EPIC
EPIC is the EMR utilized at Johns Hopkins University. The coordinator for the renal transplant rotation will reach out to the Sinai resident to help with scheduling. If EPIC training conflicts with inpatient Sinai duties, the resident is responsible for arranging coverage and letting the chiefs know. EPIC training must be completed prior to the start of each JHU rotation.
Floor Plans & Maps
rounding
Rounds start at 8:30AM in 4A.
Workstations-on-wheels are in 4A which will be brought to the 5th floor to round on patients
Remember to return the workstations-on-wheels back to 4A after
Rounding team includes the core team, oncology attending, pharmacist, unit charge nurse and the patient’s primary nurse (sometimes with social worker/CM)
After presenting the patient’s case/discussing plans for the day, the team usually enters the patient’s room and shares the day’s plan with the patient, which is done for all patients in the list
Admissions
It is recommended that you see and observe how admissions are done including the admission orders that need to be placed
The unit operates on a rolling-cap system with a cap of 7 patients per intern/resident (total of 14 patients per team), which means if a patient is discharged from your list, a slot becomes available for admission
You will be added to EPIC secure chat groups of an admission where you will be informed of the patient’s name, reason for admission, location, estimated time of arrival (ETA) (if any), as well as a contact number/point person who you can call to receive sign outs regarding the patient
Sometimes, patients will come in for scheduled chemotherapy as a direct admission and will have an ETA provided
Other times, patients can come in through the OETC (Oncology Evaluation and Treatment Center), located on the 2nd floor of the Weinberg building, or the Emergency Department
You will need to start the admission process as soon as you are able to after being informed of the admission and when patient is physically in the hospital (oncology ward, ED, or OETC)
You do not need to wait until the patient is physically in the oncology ward (i.e. 4A, 4B, 5A, 5B, 5C, 5D) to start the admission
Admissions during the day can be tricky as you will be balancing both existing patients and new patients, but you can always reach out to your oncology fellow if you have questions or need assistance
During the day you will only be admitting to the YELLOW team
During long call days (Wednesdays), you are expected to admit patients in the evening between 6pm to 10pm to EITHER team (yellow or green), depending on the number of slots available, after signing out your existing patients to the Moonlighter/Nocturnist between 6pm to 7pm at the workstation
Please note down each team’s primary oncology attending for the week to include it in the admission orders
On long call days (Wednesdays), there will be a hard stop in admissions at 9PM, which means you can no longer receive any new admissions past that time
This ensures that you have the remaining hour to work on orders and finalize admission notes
After you are done with admissions on the long call days (Wednesdays), remember to sign out the new patients to the Moonlighter/Nocturnist before leaving the hospital who can be reached via EPIC secure chat