Inpatients are currently cared for on the 4th floor at UF Health Shands Children’s Hospital. There are several ward teams who work on this floor. Two physician teams (Orange and Blue) are assigned to the care of inpatients and are made up of a combination of senior residents, interns and medical students. The Orange and Blue teams follow a combination of general pediatric patients and a variety of subspecialty patients that allow each team to focus and interact more closely with the represented patient population and attendings. Then there are four subspecialty teams: Cardiology, Gastroenterology, Hematology-Oncology, and Rheumatology. The cardiology and gastroenterology teams include interns, fellows and faculty, whereas the Hematology-Oncology and Rheumatology teams include 2nd year residents, fellows, and faculty. Time is spent dedicated to each subspecialty per month, experiencing all facets of the subspecialty (i.e., inpatient care, outpatient care, and procedures). General pediatric patients are divided between the Blue and Orange teams and cared for under the guidance of a general pediatric attending physician. An intern averages five to seven patients while on service. All teams follow a multidisciplinary team approach with residents working hand-in-hand with physician assistants, nurse practitioners, social workers, case managers, staff nurses, pharmacists and attendings in taking care of our patient population.
Over 3,800 infants are delivered annually at our institution. During the Newborn Nursery rotation at UF Health Shands Children’s Hospital, residents have the opportunity to care for newborns as well as educate parents in areas such as breastfeeding practices and preventative health care. A first-year resident is responsible for the newborn nursery and is supervised by a second-year resident and a General Pediatrics faculty member.
Neonatal Intensive Care Unit
The Neonatal Intensive Care Unit at UF Health was completely renovated and expanded in 2004 and is undergoing another renovation and expansion this year! It is a state-of-the-art facility comprised of a 30 bed full-service level III-IV unit and a 30 bed neonatal step-down unit. The step-down unit houses the healthy premature infants and other infants transferred from level III as their condition stabilizes. In these two units, residents are exposed to the full range of medical and surgical disorders of premature and term newborns as well as to the latest technological modalities including extracorporeal membrane oxygenation (ECMO). First and second-year residents are given responsibilities in primary patient care in the NICU. Neonatology faculty and fellows are also present twenty-four hours a day for teaching, supervision, and consultation.
Pediatric Intensive Care Unit
Patients with complex conditions are cared for in the Pediatric Intensive Care Unit (PICU) a 24-bed unit located at UF Health. The PICU provides residents with valuable experience in invasive cardiovascular monitoring, complex fluid management, ventilatory assistance, critical postoperative management, and all other areas of pediatric intensive care. The care team includes second and third-year pediatric residents. Pediatric critical care faculty and fellows are available to supervise and teach residents twenty-four hours a day. UF Health Shands Childrens’ Hospital also houses a 24-bed pediatric cardiac ICU, which residents may elect to rotate through to further their cardiology education.