|
Rotation/ # months
|
PL1 |
PL2 |
PL3 |
Floor |
4 |
0 |
2 |
Clinic |
2 |
1 |
1 |
Pediatric
ER |
1 |
2 |
1 |
NICU |
1 |
2 |
1 |
| PICU |
0 |
2 |
0 |
| Nursery |
1 |
1 |
0 |
| Community Medicine |
1 |
Or 1 |
0 |
| Adolescent |
1 |
0 |
0 |
| Developmental |
0 |
1 |
0 |
| Child
Psych. |
0 |
0 |
1 |
| Electives |
1 |
2 |
5 |
| Vacation |
1 |
1 |
1 |
The Pediatric Floor Team is composed of a senior and two interns. They admit patients, formulate management for patient care and are also involved in various pediatric procedures. Daily progress notes and discharge summary/dictation are expected of the resident in charge of the patient. Rounds are conducted every day with a service attending, as well as various specialists. Every Tuesday, instead of morning report, residents attend Radiology rounds with an attending. On the same day infectious disease rounds are done under the supervision of the department Chair. On Thursdays, instead of regular service In-patient rounds, the residents present one to two patients admitted to the floor and a group discussion is presided by a Child Psychologist attending. Adolescent rounds are done every Friday under the guidance of the Adolescent medicine faculty. Residents work with highly skilled pediatric nurses, in house child life staff and social workers. Our residents are also involved in teaching third and fourth year medical students rotating in the department.
Residents are supervised by a general pediatric faculty member in assessing and managing a variety of ambulatory care patients. The patients vary from newborn babies to adolescents for both acute and chronic problems. All residents have assigned days for their Continuity Care Clinic where they follow a number of patients for their regular well check-ups as well as chronic care.
Two residents are assigned per month in the pediatric ER, supervised by two specially trained pediatric ER attendings. Residents are in charge of assessing and formulating immediate management for patients, as well as performing various procedures. Residents also have an active role in working with various sub-specialists to complete urgent care of patients.
Two residents rotate in the NICU per month. They work with six in house neonatology attendings, six nurse practitioners, highly trained nurses and respiratory therapists. Residents admit critically ill newborns and perform admission work ups. Rounds are conducted in the morning with the NICU team. Residents take part in critical and multiple deliveries.
A resident is assigned to the regular nursery each month. He/she is on call for deliveries at the Perinatal Room and is supervised by a faculty member. Daily rounds with attending and progress notes are expected of the resident. In addition, the resident is in charge of arranging transfers of babies who need closer observation and further management to the neonatal intensive care unit. Residents are also responsible for arranging follow up care plans after discharge from the hospital.
A resident is in charge of a 6-bed intensive care unit. Rounds with in-house Critical Care Faculty are conducted at least once a day. The resident also has one on one didactics with the PICU attending. Special procedures like intubation, sedation, PICC line placement, and thoracocentasis are also performed by the resident. Daily progress notes and flow sheets are completed. The PICU resident is also in charge of arranging the transfer of a patient to and from another hospital and setting up a transport team.
Community experience extends throughout three years of training. Here the resident is exposed to various community resources such as the Division of Youth and Family Services (DYFS), School Based Programs, Muscular Dystrophy Clinic, Women’s Shelter and different local pediatric clinics and school based clinics. The resident visits local public health board meetings, and participates in Multidisciplinary team meetings in the county court house. Residents are also being encouraged to participate in child advocacy programs.
In the Adolescent Clinic, the resident evaluates teen patients, formulates respective management plans and presents the case to the adolescent faculty member. In this rotation, the resident has the opportunity of doing local school sports physical examinations and introduction to college health. This rotation is supervised by a board certified adolescent faculty member.
This is a month long rotation with Development and Behavior faculty. Cases such as Pervasive Developmental Disorders, Learning Disability Disorders and Psychiatric conditions are encountered. Residents also have the opportunity to attend an autism clinic at Children’s Specialized Hospital for children with special needs, as well as evaluations of patients with complex development and behavior issues.
In the Pollack Outpatient Clinic, the resident is exposed to various pediatric psychiatric cases. Recent trends in management are also taught to the resident. The pediatric resident is also in charge of conducting admission physical examinations of new admissions to the Children’s Crisis Intervention Services, (Pediatric Psychiatry inpatient unit) as well as managing medical issues of these patients.
Residents have 2 -4 week block rotations of electives of their interest. Most electives are within the hospital for example, Gastroenterology, Infectious disease, Endocrinology, Pulmonology, Neurology, Hematology/Oncology, Cardiology, Nephrology, etc. However, a number are also being conducted outside the hospital in different subspecialty clinics and a network of hospitals affiliated with Barnabas Health.
The Pediatric Emergency Room with a vibrant under the sea theme, fosters a child friendly atmosphere. We treat more than 15,000 children each year. We are staffed full time by a team of board certified physicians, two of whom are pediatricians with fellowship training in pediatric emergency medicine. The nurses are specially trained and certified in pediatric advanced life support. Here, we are putting big smiles back on little faces!
Pediatric Gastroenterology is staffed by two board certified gastroenterologist, involves the care of children with disorders of the esophagus, stomach, intestines, pancreas, and liver. Common problems include constipation, acid reflux, allergic disorders, abdominal pain, diarrhea, inflammatory bowel disease, and hepatitis. The use of radiographic imaging and endoscopic visualization with biopsy aid in diagnosis.
The Division of Pediatric Endocrinology and Diabetes is dedicated to care for infants, children and adolescents. We present a team approach to the care of patients with Endocrinopathies and Diabetes. This team includes physicians, nurse practitioners, nurses, nutritionist, exercise physiologist, and psychologist. Every aspect of the child is addressed. Besides the usual patients with diabetes we have established a Center of Excellence for Disorders of Insulin Metabolism. This center is dedicated to provide care for patients with diagnoses that include Diabetes Mellitus Type II, Obesity and Insulin resistance, and Polycystic Ovarian Syndrome.
The Valerie Fund Children’s Center for Childhood Cancer and Hematological Disorders caters to a wide variety of patients. The Center is a member of Pediatric Oncologic Group (POG) and has the largest number of patients with sickle cell anemia in the State of New Jersey. A state funded comprehensive hemophilia center is also part of the program.
The Pediatric Infectious Disease subspecialty involves the care of children with recurrent infections, fever of unknown origin, Lyme disease, bone and joint infections, HIV/AIDS, and Kawasaki disease and infection control issues etc.
Involves care of infants with congenital cardiac anomalies, screening of young athletes for the diagnosis and treatment of heart problems, and for expectant mothers whose fetus may have heart problems.
23 bed state designated level III unit cares for premature infants, high risk infants, infants with congenital disorders, and acute life threatening infections and diseases. This provides exposure to advance respiratory management techniques for extremely premature babies.
Involves the care of children with chronic lung disease, asthma, chronic cough, bronco-pulmonary dysplasia and cystic fibrosis. Residents get to see patients under the guidance of two pulmonologists, and also participate in the care of chronically ill patients with Cystic fibrosis.
The child psychologist provides insight into many psychosocial situations for inpatient and out patients. He also runs weekly inpatient psychosocial rounds and helps ease stressful situations for patients, parents and residents.
Involves care of children with all types of routine as well as surgical emergencies. Pediatric surgeon actively participates in the teaching of residents regarding all clinical aspect of the management of surgical patients.
Pediatric board certified neurologist supervises residents in taking care of patients with epilepsy, headache, head trauma, and CNS infections etc.
This elective gives the residents a chance to understand and learn the management of common and uncommon kidney diseases. They are also exposed to the management of dialysis in the pediatric population.
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