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 childcare, nutrition, normal development, and anticipatory guidance. By the second year of residency, most residents have their own patient base that they see.
Each resident has clinic 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. With only rare exceptions, that half-day is the same each week to promote continuity. 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. Our two continuity care clinics account for more than 30,000 patient visits each year provided to a largely underserved population with 65% percent of patients being Medicaid, CHIP, or uninsured. During their three years, residents establish their own practices that encompass a broad patient base. Residents also have the opportunity to add an additional half-day of continuity clinic in a different site to broaden their general pediatric experience even more.
Currently, residents have their continuity clinics at one of two locations:
- UF Health Pediatrics – Gerold L. Schiebler Children’s Medical Services
- UF Health Pediatrics – Magnolia Parke
Pediatric After Hours & Acute Clinic
Pediatrics After Hours
Pediatrics After Hours (PAH) is an acute care clinic stemming from a unique university and community partnership. This clinic provides after-hours care to children in the Gainesville community as almost all of the local, private, and university-based practice participate. The PAH clinic operates on nights and weekends and is staffed by both the Department of Pediatrics and affiliated faculty from the community who teach and supervise the residents. The clinic serves as an excellent avenue for learning general acute pediatric care from a multitude of experienced community pediatricians. Additionally, this is an exceptional networking opportunity for residents who plan to practice outpatient pediatrics in our local community as their future career. Each resident also takes phone calls from parents of continuity patients as well as private patients during their time on the Pediatric After Hours portion acquiring critical telephone triage skills. The phone calls are supervised by the faculty on call for PAH. Pediatric After Hours is located at the Gerold L. Schiebler CMS Center.
To learn more about PAH, “Pediatrics After-Hours: A Twenty-Year Academic-Community Partnership for Acute Care Delivery” published in The Journal of Pediatrics.
The Acute Clinic is the daytime counterpart to Pediatrics After Hours. It supplies acute care to sick children from our continuity clinic panels. It is supervised by faculty from the Division of General Pediatrics. Second and third-year residents staff both clinics.
Our state-of-the-art pediatric emergency department has 13 private treatment rooms, five observation bays with pediatric-specific equipment and technology, two resuscitation rooms, and one conscious-sedation room. It also has two waiting rooms designed to isolate children with communicable diseases. Residents do 8-12 hour shifts while rotating there and are supervised by experienced ED attendings, the majority of whom are board-certified in pediatric emergency medicine. 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 conditions that contribute to learning disabilities and developmental delays, and learn the basic skills involved in the medical evaluation of the developmentally delayed child. This is accomplished under the direction of both a child psychiatrist and a full-time pediatric developmental faculty member. Time is spent in a variety of clinics, including a multidisciplinary clinic for special needs children, a neuro-developmental clinic, an ADHD clinic, a child psychiatry clinic, OT, PT, and speech therapy.
The Adolescent Medicine Rotation is a rich experience that helps improve residents’ comfort with the care of 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, and normal and abnormal growth and development.
Most of the time is spent in the Adolescent and Young Adult Clinic. Residents also spend time at the Sports Medicine Clinic, with Child and Adolescent Psychiatry, and giving talks at a local school. The residents are videotaped with a patient and coached to help with communication techniques with adolescent-aged patients.
Advocacy and Community Pediatrics Rotation
The pediatric advocacy rotation comprises a three-year, experiential, longitudinal project, as well as 2 two-week blocks devoted solely to advocacy activities during the PL-1 and PL-2 years. Residents identify a faculty member to mentor them through their project and are encouraged to choose a project which addresses an issue they are passionate about. 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.
More information can be found in the Advocacy Binder on our website.