The care of children is undergoing rapid transition, as the care of sick children is increasingly moving to an outpatient world. Our residency has created a strong learning environment by teaming with the Pediatrics Residency Program to provide training in inpatient and outpatient services at Strong Memorial and Rochester General Hospitals, our office community practice, and community-based sites.
Special Care Nursery
During the R-1 year, residents spend one month at Rochester General Hospital at a level II special care nursery. The SCN allows residents to learn the essentials of care for premature infants, newborns who required neonatal resuscitation, sepsis, congenital conditions, hyperbilirubinemia and other problems. The R-1 works with an experienced pediatric R-3 resident.
Pediatric Emergency Department
Residents spend one month in both their R1 and R2 years in the Rochester General Hospital Pediatric Emergency Department. The pediatric ED is staffed by Family Medicine, Pediatrics, and Med-Peds residents as well as nurse practitioners, and has attending presence 24 hours a day. This very busy ED provides experience in a wide range of acute pediatric problems including orthopedics. The pediatrics attendings in the ED are highly rated by our residents for their teaching, and the rotation is highly rated for the large number of opportunities for procedures.
Golisano Children's Hospital Pediatrics
During the R-2 year there is a traditional inpatient rotation at URMC's Golisano Children’s Hospital. Residents are supervised by pediatric R-3s and gain experience in the work-up and diagnosis of childhood illnesses requiring inpatient treatment. Overnight coverage is provided by Pediatric residents. All of the residents on the pediatric service attend daily morning report and noontime teaching conferences.
R-3 year has a pediatric rotation concentrating on acute pediatric issues seen in the office setting. This four-week rotation is based in the high-volume outpatient pediatric clinic at Strong Memorial Hospital. This rotation provides a same day and walk-in clinic for children who use this practice as their primary care home. Precepting is provided by Pediatric faculty. A wide variety of pediatric issues are seen in this setting. Residents also take pediatric practice call.
This R-2 rotation is an ambulatory block with 3 weeks of experiences in various outpatient specialty clinics including pediatric cardiology, gastroenterology, allergy, and adolescent medicine. Time is also spent in a specialty clinic for evaluating and managing children with developmental disabilities. A fourth week of the rotation is spent at Highland Hospital, rounding on the high-volume of normal newborns to further enhance newborn physical examination skills.