Our community-based rotation is designed to provide resident physicians with an understanding of cultural, economic, and familial risk factors so they will have a full awareness of services that are offered within the community and develop networking and consultative skills to better serve patients.
During the community pediatrics rotation, residents are exposed to some of the community resources that serve adolescents at risk, including the court system and child protective agencies. Through involvement in four adolescent clinics per week and participation in a teenage pregnancy clinic, the resident learns to integrate health issues, social-emotional challenges, and community context to develop an integrated approach to providing services to the adolescent population. The rotation is supervised by a fellowship-trained subspecialist in adolescent medicine.
The Division of Child Development is fully committed to resident and medical student teaching. The four-week pediatric residency rotation offers direct clinical exposure, inpatient consultations, exposure to psychologists, speech/feeding specialists, occupational and physical therapy, and audiology specialists at the Hospital and affiliated sites, and community experiences at early intervention and special pre-school programs. The curriculum includes case studies, learning didactics, and participation at noon conference presentations. A core syllabus of Child Development, Denver II kits and manuals, are provided.
Programs in the Division of Child Development include a development clinic which provides developmental evaluations and treatment recommendations for infants and children.
Pediatric Infectious Diseases
The infectious disease rotation provides consultative services in the outpatient and inpatient settings. Residents actively participate in the management of commonly seen pediatric infections in the community as well as follow-up of more complex and serious hospitalized patients. The core curriculum is delivered during the rotation as well as during noon conferences and laboratory exposure. Familiarization with common laboratory tests pertinent to infectious diseases as well as infection control procedures are provided during the rotation.
The clinical experience in pediatric neurology provides residents with exposure to the common pediatric neurological disorders and their management. Residents are taught how to perform a neurological exam, recognize deviations from normal maturation and development in infants and children, when referral to a pediatric neurologist is appropriate, and the application of neuro-diagnostic tests such as EEG, skull and spine x-rays, MRI, MRA, MRV, and CT scans. A full-time board certified pediatric neurologist supervises this rotation.
This very active service involves approximately 80 percent outpatient and 20 percent inpatients. A full-time board certified pediatric G.I. specialist directs the Division of Pediatric Gastroenterology and educates residents in all aspects of this subspecialty. Malabsorptive disorders, inflammatory bowel disease, GI bleeding, and nutritional disorders are commonly seen conditions. Management of these and other conditions and exposure to many clinical procedures such as endoscopies, liver biopsies, pH monitoring, and wireless capsule endoscopies are part of this unique experience.
The curriculum is composed of lectures, inpatient consultations, outpatient clinical supervision, and grand rounds. Second and third year residents have a one-month pediatric GI elective. During this rotation, residents evaluate patients in various clinical areas under the direct and close supervision of the specialist. They attend procedures and special conferences (pathology/radiology) during the rotation. The rotation exposes residents to pediatric GI conditions and teaches the skills to manage them from the pediatrician's perspective.
The Division of Pediatric Pulmonology provides residents with the background to diagnose and manage pediatric patients who present with acute and chronic respiratory disorders. It also promotes understanding of normal pulmonary physiology in pediatric patients and their families. Residents learn to effectively counsel chronically ill patients and their families and provide health education as well as to do preventive counseling related to pulmonary disease.
A full-time board-certified physician is responsible for the pediatric cardiology consultation services and outpatient clinics. Approximately 2,000 echo-doppler studies and 3,500 EKG tracings are performed annually. In addition, the division has approximately 90 outpatient visits each month. The division also provides didactic teaching to the residents as part of an elective rotation, which also includes scheduled conferences and formal teaching rounds. Clinical skills are developed during the cardiology rotation and participation in the cardiology clinic.
During the first year, residents are encouraged to select a suitable clinical topic, formulate a study hypothesis, identify a clinical advisor, and produce a formal research proposal. The proposal includes an introduction summarizing research evidence in the area, statement of objective, predicted results, and a detailed methodology section. As part of research training, each resident is expected to complete the IRB certification program offered by the National Institutes of Health and to become familiar with federal guidelines for protection of human participants in research and research ethics. In their second year, the residents are expected to have their proposal reviewed by the departmental and hospital research committees and start data collection. By their third year, the residents are expected to complete data collection, perform statistical analyses, and produce an abstract for local and national conference presentations.
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Conferences and Workshops