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Overview

The general pediatrics residency program at Cohen Children's Medical Center is designed to prepare candidates to meet the demands of providing general pediatrics or specialized services in a private practice or academic setting. The course of instruction and clinical experience is based upon progressively increasing responsibility for the management of patients. The daily didactic program consists of morning report, clinical rounds and noon lectures by program directors, full-time faculty and attending pediatricians. The daily schedule also includes:

  • Subspecialty conferences and lectures
  • Multi-disciplinary teleconferences (Gemini)
  • Grand Rounds
  • Morbidity and Mortality conference
  • Journal Club
  • Pediatric Board examinations preparation

The strong emphasis on academic and clinical skills is further enhanced by resident participation in pediatric research. All house officers have the opportunity to work with a research mentor of their choice. Many residents each year present their research at regional or national conferences, and publish their work in peer-reviewed pediatric journals.

For detailed information about curriculum, rotations and schedules, download our curriculum packet.

Resident pathways

Each resident is assigned an advisor who serves as a guide throughout the three years of training. They will help you create individual learning plans and unique curricula. To assist residents in developing an individualized curriculum for their career goals, we have created a number of pathways or tracts. These have been designed by the faculty and residents to create unique preparatory experiences for each year.

Traditionally these are selected by the residents prior to their PGY2 year. Although these pathways provide guidance, by no means are they restrictive and residents can adapt them with consultation with their mentor and program director. These pathways can be discussed in more detail during your interview. The pathways currently offered include:

  1. General Pediatrics
  2. Subspecialty Pediatrics
  3. Critical Care (PICU, NICU, ED)
  4. Hospitalist
  5. Global Health
  6. Research
  7. Community Medicine (Engaging in health advocacy through neighborhood collaboratives)

Ambulatory experience

Residents spend one half-day per week for three years in the pediatric continuity experience. During this time, residents gradually develop a pediatric "practice" for which they serve as primary physicians, facilitating a longitudinal experience.

By following the same children over several years, residents learn the natural history of disease, normal growth and development, common problems of child raising, sibling and parental interaction and long-term management of chronic diseases. The panel of patients includes well babies and children, children with chronic illness (such as asthma, failure to thrive or diabetes) and behavioral and school problems such as learning disabilities. Residents learn to interact with ancillary health personnel including nurse clinicians, social workers, psychologists, nutritionists and the visiting nurse service. Residents act as primary pediatricians responsible for the patient.

Residents work closely with one of 10 full-time teaching faculty, formulating a diagnostic and therapeutic plan for each patient. Daily lectures, bedside teaching and inclusion in divisional research projects are the hallmarks of the learning experience.

Enhanced primary care experience

Primary care pediatrics is the foundation for the effective care of all children and their families. That’s why we provide extensive training in primary care so our residents develop specific knowledge, skills and attitudes in order to understand and manage the primary care problems and needs of children and families. Our program provides enhanced experiences in primary care and urban health care for children and their parents, including the underserved population.

Residents may elect in their second and third year of training to have a full day of continuity clinic. There are two options for this continuity clinic experiences. First, residents may choose the hospital based clinic under the direct supervision of full-time CCMC full time faculty; or, they may choose to be placed in one of the carefully selected private practice sites in our Private Pediatricians Residents Education Program (PPREP), with one designated practicing pediatrician as their mentor for two years.

In addition residents may elect to spend a four week "block" rotation in a general pediatric ambulatory practice or in a pediatric "private practice" in order to experience the full work day responsibilities of the office pediatrician.

Graduates have successfully obtained superior private practice and hospital-based positions in the geographic areas of their choice.

Global health

Training residents in global health is an important part of our program. The curriculum includes a didactic component, local global health training and an international component. For those who wish to immerse themselves in the subject and consider global health to be a future career we offer a “Global Health Tract.”

Community Medicine

During their monthlong experience, residents on Community Medicine rotation will explores issues in regard to social determinants and their effects on the health and well-being of children and their families. Residents will partner with various community-based organizations, schools and social service agencies to learn how to advocate for families’ cultural, social and economic needs.  During this rotation, residents will develop the necessary skills to deliver culturally effective care and to serve as health consultants and collaborative leaders within the community.

Sample activities include:

  • Community asset mapping
  • Nutritional outreach
  • Asthma education for parents
  • Bullying conferences
  • Advocacy workshops
  • Health lectures at junior high schools
  • Legislative days with community based organizations

Testimonials

“It was helpful to learn about what kind of resources are available out in the community that we can utilize in our day-to-day practice to facilitate the medical care we provide to our patients. It allowed me to realize the importance of tapping into these resources to be able to address the social determinants of health that are often more significant in influencing our patients’ health than the medical aspects of their care that we tend to primarily focus on during our other rotations.” – Former resident

“I think this experience allowed us as doctors to become more engaged in the community. We were welcomed and encouraged to participate. Working as a pediatrician is a lot of long hours and a lot of business. However, this experience reminded us that we joined the field to also have fun playing, which we definitely did!”  -- Former resident

Going forward, I think this rotation will help me to be more aware of the needs of my patients. I am more likely to remember to address this part of patient care, because I have seen it personally. I also now know what is available and where to refer my patients. Being able to actually see the resources and speak to the staff made much more of an impression than just reading about them. I think this will make the information more memorable in the long run.” – Former resident

Those who have further interest in these topics can join the ENHANCE (ENgaging in Health Advocacy through Neighborhood Collaboratives.)

ENHANCE

ENgaging in Health Advocacy through

Neighborhood Collaboratives and Education 

Jointly sponsored by the Departments of Medicine, Pediatrics and Family Medicine, ENHANCE is a two-year training pathway for residents in internal medicine, pediatrics, and family medicine interested in learning more about the delivery of primary care, with a focus on community engagement and advocacy.

Goal: 

To prepare residents for leadership roles in primary care by building skills in (a) population health (b) social determinants of health and (c) community engagement.

Residents will: 

  1. Learn how to evaluate and address social determinants of health (SDH) in primary care
  2. Develop, implement and evaluate a longitudinal, community-based practice improvement project that addresses an identified population health need
  3. Receive enhanced exposure to community-based practice settings
  4. Work collaboratively with members of other departments and professions
  5. Strengthen skills in patient advocacy

Benefits of participation:

  • Enriched training in community health and primary care
  • Track completion will fulfill academic project requirements
  • Receive mentoring from an interprofessional faculty in in primary care and community health

Pre-fellowship training

Cohen Children’s Medical Center offers residents a unique opportunity to pair up with a subspecialty pediatrician on an ongoing research project, or one of their own choosing. Pre-fellowship residents may choose to spend one half-day per week during 2nd and 3rd year in a subspecialty clinic, in order to expand their knowledge of the field, and to enhance their credentials for applying to a fellowship program.

The children’s hospital offers 14 subspecialty fellowship programs. Because of the size of the center, most of those programs have a large number of subspecialty faculty, who provide a comprehensive range of expertise and the critical mass necessary to stimulate the decision-making skills of the residents.

Residents have the opportunity to elect a 4 week block rotations in the subspecialties of their choice. During these rotations, residents are instructed in a "core curriculum" designed by the faculty to provide them with the training in the most common issues confronted in each field. In addition, residents who plan to go on to fellowship training may choose a specific mentor in that field at any time during residency.

Residents seeking subspecialty training have been very successful in securing positions in the sub-specialty program of their choice, either at Cohen Children's Medical Center or at renowned institutions both locally and nationally

PL-1 training year

The first year of the program (PL-1) is designed to provide a broad introduction to pediatrics. The trainee, with supervision, undertakes direct responsibility for the care of assigned patients. Rotations include pediatric medical and surgical units, the Adolescent Unit, Urgent Care Center, the Emergency Medicine Department, Child Development Center, newborn nurseries and the Neonatal Intensive Care Units of Cohen Children's Medical Center. Although patient responsibility is pre-eminent, there is time for reading, attendance at teaching conferences and specialty rounds. Inpatient units are set up so that the trainees work as members of a team consisting of medical students, residents, chief residents and attendings.

PL-1 residents are responsible for approximately 6 patients on any unit. Two PL-1's are under direct supervision of a senior resident. Specialty consultations are available at all times with specialty fellows and full-time faculty.

Year 1
  • First-year residents rotate through the following areas:
  • Inpatient General Pediatric Medical and Surgical Floors – 4 1/2 blocks
  • Emergency Department – 1 block
  • Well Newborn Nursery – 1 block
  • Neonatal Intensive Care Unit - 2 blocks
  • QI/Community Medicine -1 block
  • Elective – 2 blocks
  • Q1 Research – 1/2 block

PL-2 training year

During the PL-2 year, a major block of time is devoted to selective and elective subspecialty rotations. The PL-2 resident will be training specifically to develop a greater sense of confidence and depth of knowledge in preparation for the supervisory and teaching responsibilities of the PL-3 year. A significant amount of time is spent on electives, in the intensive care units, hematology/oncology unit, and the emergency department.

Year 2

Second-year residents assume greater responsibility in supervising junior residents and students. They rotate through the following areas:

  • Inpatient Medicine – 2 blocks
  • Pediatric Intensive Care Unit – 1 block
  • Neonatal Intensive Care Unit – 1 block
  • Emergency Department – 2 blocks
  • Behavior and Development – 1 block
  • Hematology - Oncology – 1 block
  • Electives – 2 blocks
  • Individualized Curriculum – 1 block
  • Adolescent Medicine – 1 Block

PL-3 training year

In the PL-3 year, residents play a major role in the supervision and teaching of junior house staff, medical students and ancillary personnel. This includes management of the pediatric and adolescent unit, intensive care units and nurseries. Ample time is provided for elective training and research which assists residents with regard to future career choices and future subspecialty training in areas of major interest. The electives are under the supervision of the full time faculty, researchers and fellows who participate directly in patient care, education and research and serve as career role models for trainees.

Year 3

Third-year residents assume even greater supervisory responsibility in the following areas:

  • Inpatient Medicine – 3 blocks
  • Pediatric Intensive Care Unit - 1 block
  • Neonatal Intensive Care Unit – 1 block
  • Emergency Department – 1 block
  • Electives – 3 blocks
  • Individualized Curriculum – 4 blocks

Chief residents

The chief residents are responsible for the supervision of the entire house staff at the children's hospital. There are three (PL-4) chief residents at the children's hospital. The chief residents are chosen for their clinical excellence, organizational ability and leadership qualities. Their diversified and complex responsibilities include resident assignments, arranging conferences and a liaison with the faculty, the administration and the nursing staff. Their most important role is that of clinical and didactic mentors for the medical students and house staff. The chief residents have an opportunity to see all the complex pathology and guide the residents in the investigation and management of patients. This experience has served as an excellent foundation and stepping stone for careers in either private practice or academic medicine.