The Resident of the month for April 2020 was Tyler Johnson, CA1 resident.
Dr. Johnson was nominated by Melissa Yildirim, MD, a Pediatric ICU fellow, during his recent PICU rotation. This has traditionally been a tough rotation for our residents, so this was a much appreciated note to our program leaders.
“I wanted to let you all know know on behalf of the entire PICU how much we’ve enjoyed having Tyler Johnson on our service. I’ve been consistently impressed by his dedication, clinical savvy, and poise throughout a very difficult month.
Right from the start, Tyler was assigned to a complex patient (trach/vent/Gtube) who was being prepared for discharge. In this phase of care, these patients require a lot of interdisciplinary discussion and planning, unfortunately none of which is particularly exciting. All the same, Tyler rose to the challenge and the patient’s discharge went as smoothly as possible. This definitely wasn’t glamorous ICU work, especially for someone used to the operating room, but this transition is so important to complex patients and their families. Tyler’s ability to buckle down and focus through some tedious tasks showed us all what a dedicated and thoughtful clinician he is, and it earned him a lot of trust from the PICU team. I think a lot of our own Pediatric residents can really learn from his work ethic.
Tyler’s a great clinician. He thinks critically about moving his patients’ care forward, and does not get stuck in the “continue to monitor” trap that a lot of residents do. He proposes his own ideas, but understands when and how to compromise to work effectively within a team. He is open to every learning opportunity available. He communicates very effectively with families: when a patient’s mother could not make it to the hospital to visit due to COVID restrictions, he called her (without prompting) daily to provide updates and answer questions. This type of over-and-above attention to the nuances of pediatric care was very much appreciated. Because of how hard he worked, he earned a level of independence and autonomy that not a lot of residents do in the PICU. He was invited to participate in procedures and sedation’s – and I’m sure there would have been more opportunities if not for the low census with surgical case cancellations.
It’s been a difficult month all across the hospital and, and Tyler has shown us all how willing he is to roll with the punches. The PICU resident schedule itself changed, but so too did the way rounds and most PICU procedures function. I can’t even count the number of variations on tele-rounding we tried before settling into one that worked, and Tyler maintained a positive, patient attitude throughout. He was proactive about making tele-rounding work – he often had the technology in the room set up before the Peds residents did.
Tyler really put in an exemplary performance this month. We all feel so lucky to have had him on service during this rocky time, and are sad to see him go!” -Dr. Yildirim
Prior Resident of the Month
The Residents of the month for March 2020 were Dr. Chad Duncan, CA1 and Dr. Emmarie Myers, CA1. Both are currently off-service and being recognized by other departments for their outstanding work during this extremely difficult and turbulent time of the current pandemic.
“With COVID, our rounds have been very different. We have people in different room of the ICU rounding from iPads/webcams/computers via WebEx in an attempt to keep the 6-feet-apart rule. As this is the first week we’re doing this, there has been a huge learning curve. Rounds have functioned differently literally every single day with us trying to figure out the best way accommodate our new rules. To say it has been frustrating is an understatement…but Chad has been a trooper. Despite less than ideal rounding situations and less than normal teaching, he’s energetic and rolled with the punches, even when things seemed absolutely absurd. One of our cardiac NPs yesterday told me she was the most bored I’ve ever been because the residents this month are so involved and doing everything. Also of note, even though we’ve had no time to teach on rounds, they’ve all actively sought out information, asked questions, asked for lectures, etc…If they’re this good while trying to function in a system we haven’t yet figured out, I can only imagine how good they would be under normal circumstances. I thanked them for tolerating us while we figure our temporary new way-of-life out, but I wanted to share their tolerance and willingness to adapt with those who work with them regularly.”
Clyde J Smith, MD, Pediatric Critical Care Fellowship Associate Program Director
Similarly, Emmarie is working on front lines in the ED. Never complaining, working hard at anything and everything thrown her way to help. This type of attitude, work-ethic, and teamwork has made both these residents standout across department lines at UVA.