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Length of Training
The 60 months of training will
be divided such that each trainee spends 30 months in pediatrics and
30 months in emergency medicine. Residents will be assigned to either
pediatrics or emergency medicine for 3-6 month intervals. The reason
for spending both three and six month blocks in each field is to allow
the trainees to experience the seasonal variation of illness that is
particularly important in pediatric practice.
ResidentsWe will recruit two residents each year for a total of ten
residents in the combined program. Currently, the pediatric program
has 36 categorical positions and the emergency medicine program has
30. There are also combined programs in Internal Medicine/Emergency
Medicine and Internal Medicine/Pediatrics.
Clinical Rotations/Core Curriculum Requirements
PGY1
During this
year, there is a broad exposure to many medical disciplines including
pediatrics, emergency medicine, critical care medicine, anesthesia/ultrasound
and trauma. This will enable the resident to develop basic skills
in each of these areas upon which he/she can build in subsequent
years of training.
PGY2
Once basic skills have been attained, the
resident will be exposed to more critical care (MICU, NICU) and subspecialty
experience. This will be balanced with continued exposure in both
adult and pediatric Emergency Departments. A formal rotation in OB/GYN
will enable the resident to become proficient in performing pelvic
examinations, delivering newborns, and treating common gynecologic
problems and emergencies.
PGY3
This year begins the transition to
senior resident status. The resident will be expected to assume more
of a supervisory role and be afforded greater responsibilities in
both the pediatric and adult populations. The R Adams Cowley Shock
Trauma Center here on campus, will continue to serve as the site
for residents to learn about trauma since it is the center of the
state coordinated trauma system. Transport medicine, as a formal
emergency medicine service (EMS) rotation, will be offered.
PGY4
This year continues the emphasis on supervisory/ leadership skills
that were initiated in the PGY3 year. The resident will now assume
a supervisory role on the inpatient pediatric services. Elective
experiences will be chosen by individual residents in order to round
out their knowledge/ experience. Each resident will be assigned to
a pediatric trauma rotation. The resident will also continue to assume
a supervisory role in the pediatric and adult emergency departments.
PGY5
The final year of the program will provide a major exposure to
both the pediatric and adult emergency departments. A final senior
NICU rotation, trauma, pediatric anesthesia and ultrasound will round
out the curriculum. A continuity experience is an important aspect
of pediatric practice and will be provided as a half day/week continuity
clinic panel during each rotation in pediatrics. Thus during training,
each of two residents will have 30 months of continuity clinic. These
two residents will act as "partners" by sharing a patient
panel. This insures that one partner is always available for care of
patients in their continuity practice. The residents will also be given
an in depth didactic experience throughout all 5 years in both pediatrics
and emergency medicine.
Clinical Care
We are responsible for 142 inpatient beds -- 106 at University Hospital
(32 general inpatient, 14 intermediate care, 10 PICU, 30 NICU,
and 10 NICU step-down) and 36 at Mercy Medical Center, our community
affiliate as well as two full term nursery practices -- There are
approximately 4,500 admissions annually, including 1,000 admissions
to the PICU/IMC. Ambulatory visits total over 100,000 annually
-- 75,000 at University and 25,000 at Mercy. Our services range
from primary care to highly specialized treatment programs that
attract patients from the entire mid-Atlantic region.
Our Mercy Medical Center operation, staffed by full-time faculty,
is an integral part of our program. It affords housestaff opportunities
which complement the University Hospital experience. The Community
Practice Program allows our residents to develop a longitudinal one-on-one
relationship with a community pediatrician. They gain insight into
the role that the practicing pediatrician plays in the community,
with families, and in child advocacy.Active working relationships exist
with virtually all clinical departments in the hospital. Especially
strong are the department’s linkages
with psychiatry, OB/GYN, internal medicine, emergency medicine, and
surgery.
Physical Facilities
The department of pediatrics has over 130,000 square feet of space
in the Medical Center. All inpatients are on two floors, creating
a "hospital within a hospital" dedicated to pediatrics.
A new state of the art pediatric emergency department is now contiguous
with the new adult emergency department.
All inpatient rooms are private or semi-private and afford rooming-in
for family. On-call rooms, convenient for housestaff, are in all
inpatient areas and in the emergency room. A pediatric pharmacy and
a NICU lab are also located in the central inpatient area.
Pediatric Research
and Education
Our department ranks in the top ten among all state
university pediatric departments in federal research grant awards. Overall, grants
and contracts total more than $19 million.
To Apply to Our Combined Program:
If you are interested in applying for both the Emergency Medicine/Pediatrics
program as well as the categorical emergency medicine program,
you must submit a separate ERAS application for Emergency Medicine
and Emergency Medicine/Pediatrics. If, on the other hand, you are interested
in applying for the Emergency Medicine/ Pediatrics program as well as
the categorical pediatrics program, you must submit an ERAS application
for Pediatrics and one for Emergency Medicine/Pediatrics.
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