Clinical Curriculum

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  • Clinical Curriculum

    PGY-1

    • Inpatient wards (3 months)  - There are four ward teams for hospital admissions; each with general pediatrics and subspecialties divided between them. There is a supervisory resident as well as one to two interns on each team. Two teams make up “sister” teams that share one General Pediatrics attending. Call is every fourth day. During the week, call ends at 6 p.m. when patients are signed out to the night float team. On the weekends, call lasts until 10 p.m. for interns.
    • Night Float (1 month) - At least one intern and one supervisory resident make up the night float team working from 6 p.m. until 7a.m. during the week (Monday-Thursday night and every other Sunday night). They cover all the patients in the hospital overnight and admit all patients that come in overnight.  
    • Surgical Hospitalist (1 month)  - See surgical patients on a multidisciplinary service on this inpatient month with the hospitalists.
    • Emergency Department (2 months) - Residents generally work approximately 15 12-hour shifts during the pediatric ER rotation. There are also two ER conferences per month.  
    • Neonatal Intensive Care Unit (2 months) - As the only Level III NICU in the state and one of the largest NICUs in the country, we see a wide variety of pathology in our newborn center. Day work force will consist of three to four residents/interns on one team, and each team member will complete about four night shifts (5p.m.-7 a.m.) during the month.
    • Term Nursery (1 month) - There are about 3,000 babies born every year at UMMC. With more than 30 beds in our newborn nursery, you will know what a healthy newborn is after this month! You will also see babies that are in our intermediate nursery that is a step-down unit for the NICU. 
    • Electives (1 month) - Choose from the many subspecialties to rotate with during this month.
    • Advocacy/Community Pediatrics (1 month) - Spend time with local general pediatrics clinics as well as participating in advocacy opportunities around the state.

    PGY-2

    • Inpatient Wards (3 months) - Second-year residents assume a supervisory role on the ward teams. Call is every fourth day. During the week, call ends at 6 p.m. when patients are signed out to the night float team. On the weekends, call for upper level residents is overnight. Residents typically have two to three overnight weekend calls per month.   
    • Pediatric Intensive Care Unit (1 month)  - Take care of the sickest of the sick. Learn new procedures and critical care medicine in the state's only PICU. There is no call in the PICU as we now have a night float system! Residents will typically work six nights.
    • Neonatal Intensive Care Unit (1 month) - This is the same as the intern NICU month, but the babies don't feel quite as small this time around! As during your intern year, you will complete four night shifts during your month.
    • Emergency Department (2 months)  - Residents work 15 12-hour shifts during the month.  Upper-level residents typically carry the sickest patients in the ER including the trauma patients.
    • Hematology/Oncology (1 month) - During this month, you take care of inpatient hematology and oncology patients. Residents get exposure to some great procedures during this month!  
    • Child Development Center (1 month) - Learn the ins and outs of child development. Get comfortable treating patients with ADHD, autism, and various developmental delays in this outpatient clinic.
    • Electives (3 months) - You really get to learn things in-depth these months on your chosen subspecialty rotations.

    PGY-3

    • Inpatient Wards (1 month) - Call is every fourth day. During the week, call ends at 6 p.m. when patients are signed out to the night float team.  On the weekends, call for upper level residents is overnight. Residents typically have two to three overnight weekend calls per month. 
    • Night Float (1 month)  - At least one intern and one supervisory resident make up the night float team working from 6 p.m.-7 a.m. during the week (Monday-Thursday night and every other Sunday night). They cover all the patients in the hospital overnight and admit all patients that come in overnight.
    • Neonatal Intensive Care Unit (1 month) - This time around you will split your time between the NICU and the newborn nursery. While in the NICU, you will have more of a supervisory role and help the lower-level residents as needed. Then you get to go to the newborn nursery where you will attend deliveries.
    • Pediatric Intensive Care Unit (1 month) - Hypotension, salt-wasting, resuscitation … you can handle it! You will work about six nights in our night float system.
    • Emergency Department (2 months) - Continue to sharpen your diagnostic and emergency skills. Responsibilities are the same as during the PGY-2 year. Approximately 15 12-hour shifts.
    • Hematology/Oncology (1 month) - By now you can do lumbar punctures and bone marrow aspirations with your eyes closed!  
    • Surgical Hospitalist (1 month) - See surgical patients on a multidisciplinary service on this inpatient month with the hospitalists.
    • Electives (2 months)  - Finish up your subspecialty training.
    • Advocacy/Community Pediatrics (1 month) - Spend half your time in community pediatric offices and the other half participating in various advocacy opportunities across town.
    • Adolescent Medicine (1 month) - Learn the fine art of treating the teenage patient.