Continuity Care Clinic
The Continuity Care Clinic is the cornerstone of our primary care educational experience. The program offers residents the opportunity to follow their own patients throughout their three years of residency training. Residents learn about well and sick child care, nutrition, normal development, and anticipatory guidance.
Each resident has one half-day per week when he or she is relieved of all other duties to care for his or her patients in the clinic. Supervision is provided at all times by one or two of the faculty of the division of General Pediatrics. Primary care is provided to a patient population that includes healthy children from the local community, follow-up of previously hospitalized patients, and children with complex medical problems. During their three years, each resident establishes his or her own practice that encompasses a broad patient base. Residents also have the opportunity to add an additional half day of continuity clinic in a different site to further broaden their general pediatric experience.
Currently, residents have their continuity clinics at one of three locations:
- Gerold L. Schiebler Children’s Medical Services
- Magnolia Parke
- Pediatric Primary Care at Tower Square
Pediatric After Hours
Pediatric After Hours (PAH) is an acute care clinic available to children from our Continuity Care Clinic and from local, private practices on nights and weekends. The clinic is staffed by affiliated faculty from the community who teach and supervise the residents. The clinic serves as an excellent avenue for learning general acute pediatric care and acquiring triage skills for handling patient call at night. Each resident takes phone calls from parents of continuity patients as well as private patients during their time on the Pediatric After Hours portion. The phone calls are supervised by the faculty on call for PAH. Pediatric After Hours is located next to the pediatric emergency department and has six exam rooms and its own waiting room.
The Acute Clinic is the daytime counterpart to Pediatric After Hours. It supplies acute care to sick children from our continuity clinic panels. It is supervised by faculty from the General Pediatric Division. Second and third year residents staff both clinics.
Our pediatric emergency department has 13 private treatment rooms, and five observation bays with pediatric-specific equipment and technology. It also has two waiting rooms designed to isolate children with communicable diseases. The pediatric emergency department sees close to 20,000 patient visits per year. Residents do 8-12 hour shifts while working there. An emergency room attending is present at all times, with the majority being board certified pediatric emergency medicine attendings. The chief residents and general pediatric or subspecialty faculty members are available for consultation. The emergency room has easy access to radiology facilities as well as having full ancillary support.
During this rotation residents learn basic concepts of normal child development and screening, gain knowledge of handicapping conditions, and learn the basic skills involved in the medical evaluation of the developmentally delayed child. This is accomplished under the direction of a full-time Pediatric Developmental faculty member. Time is spent in the newborn nursery with a Developmental Specialist, as well as in a variety of clinics including a multi-disciplinary clinic for special needs children, a neuro-developmental clinic, an ADHD clinic, OT, PT, and speech therapy.
The Adolescent Medicine Rotation is the one chance during residency to learn how to talk to adolescent patients. The rotation covers a variety of topics including acute minor illnesses, sports medicine, contraception, gynecology, counseling, chronic diseases, eating disorders, obesity, acne, sexually transmitted diseases, mental health, attention deficit disorder, normal and abnormal growth and development. It is an area well represented on the Board exams.
Most of the time is spent in the Adolescent and Young Adult Clinic seeing patients under the supervision of a Board Certified Adolescent Medicine specialist. Residents also spend time at the Eating Disorders Clinic, with Child and Adolescent Psychiatry, and giving talks at a local school. They are video- taped with a patient and critiqued to help with communication techniques with adolescent-aged patients. Residents are required to give a presentation on an Adolescent topic at the end of the rotation.
Advocacy and Community Pediatrics Rotation
The Pediatric Advocacy Rotation comprises a three-year, longitudinal project as well as more intensive two-week blocks devoted solely to advocacy activities during the PL-1 and PL-2 years. This curriculum builds upon and enhances the previously existing advocacy curriculum which consisted of a one month rotation only. Sample project products from the original curriculum are presented in the Residents in Action section.
The longitudinal project is based on community or legislative advocacy and is designed to give residents the skills necessary to develop, implement and evaluate an advocacy activity from beginning to end. Each resident develops a project around an advocacy topic of their choice and is partnered with a faculty mentor. Beginning with the 2009 intern class, we launched an inaugural longitudinal school-based program. SHIP (School Health Interdisciplinary Program) incorporates a multidisciplinary approach to providing health in the schools. Currently these teams are lead by members of Family Data Center. Residents are assigned to one of four elementary schools for the duration of residency but are most involved during their advocacy rotation.
For more information please visit the Pediatrics Advocacy website