A brief description of our rotations
South Providence Pediatrics
Our primary ambulatory training location is at the South Providence Medical Building located roughly six miles from the Women’s and Children’s Hospital. Residents see patients in an advanced integrated clinic with in-house laboratory, radiology, pharmacy, and social services. Our SPMB faculty are at the leading edge of integrating medical home interventions including post-partum depression screening, nutrition and activity education, MCHAT/ASQ screening tools, and multi-lingual health access videos. Residents complete 3 blocks of ambulatory clinic time in addition to a half-day of continuity clinic per week during their residency.
Well Baby Nursery
During residency orientation, interns complete NRP training. During the Well Baby Nursery rotation, residents participate in deliveries with an attending or a Neonatal Nurse Practitioner and learn to manage the first hours of a newborn’s life. Residents become very experienced in procedures such as circumcisions and resuscitations, well versed in routine newborn education, and recruit families for their continuity clinics. Residents complete this rotation during their first and third years.
Our inpatient teams are led by experienced pediatric hospitalist who consistently engage in quality improvement projects, clinical research projects, and administrative leadership roles. Teaching on the wards occurs on family centered rounds, during Noon Report, or during informal didactic sessions. Each ward team consist of a senior resident, 1-3 interns, and 1-2 medical students. Residents on the wards are responsible for managing general pediatric patients and a combination of specialty patients such as those with cancer, cystic fibrosis, or eating disorders. Four blocks are spent on the wards as an intern. Senior residents complete 2-3 blocks each year. Call is covered by a night float system for both interns and seniors.
Our NICU attendings are award-winning teachers that make this one of the most enjoyed, and busiest, rotations. Residents in the NICU have the opportunity to care for infants with complex medical and surgical conditions. They gain practical and procedural skills and confidence managing urgent conditions. Residents spend 1 block in the NICU during each year of training. Call is covered by a night float system which consists of both senior residents and Neonatal Nurse Practitioners. Our residents commonly choose to pursue NICU fellowship training.
Residents will learn to care for critically ill general pediatrics patients, complex post-operative patients and pediatric trauma patients under the supervision of our pediatric intensivist. Educational opportunities in the PICU consist of bed-side teaching, simulation experiences, mock codes. Residents spend 1 block in the PICU during each year of training. Call is covered by a senior resident night float system.
In the emergency room, residents are the first physician contact for a variety of pediatric emergencies and are supervised by Pediatric Emergency Medicine specialists. Residents spend one block each year in the high paced emergency room at Women’s and Children’s Hospital. Residents are able to gain critical triage skills, procedural skills including splinting, casting, and suturing, and airway interventions.
Board-certified adolescent specialists precept the resident in a variety of clinical settings taking care of the young adult patient. Topics discussed and reviewed include eating disorders, ADHD, adolescent sexuality and risky behaviors. Although one block of adolescent medicine is required, residents have the option of a second clinic experience in adolescent medicine.
One block during residency is spent on a pediatric surgery rotation. Attendance at surgical clinics and performance of consults is the mainstay of this rotation, with a minimum amount of observed surgeries to be completed. Residents will have the opportunity to perform or assist on a variety of procedures from IV starts, intubations, G-tube changes, central line placements, port placements and large-scale incision and drainage. Although not training to be surgeons, pediatric residents gain valuable exposure to surgical topics which aid in their understanding of when to refer patients, how to prepare patients for surgery, and how to manage patients post-operatively.
Working alongside psychologists, neurologists and developmental specialists, residents learn how to evaluate and manage children with special needs. Interns spend one block working in the Developmental Clinic at the Thompson Center located next to Women’s and Children’s Hospital.
Community Block (CARE)
During the first and third year, residents spend one block learning about resources available to pediatric patients in the Columbia area or the location where the resident plans to practice. Examples include spending time at the local health department, the state legislature, local day cares, Head Start, Habitat for Humanity and riding along with a DARE officer in the Columbia Police Department. This option is also available as an international medicine rotation at the discretion of the program directors.
The night float experience allows residents to experience autonomy and to hone skills in initial patient diagnosis and management. The night float resident also gains triage skills by taking transfer calls from referring physicians in the community. The supervising attendings maintain close communication with the night float team and are available to see patients overnight as needed.
Upper-level residents have the opportunity to select a specialized track to focus their training. They may choose a second continuity clinic based on their career interests for one half-day per week. Options for this additional experience include all subspecialty clinics, a local private pediatrician's office, or advocacy work.
This is an optional elective for upper-level residents with additional interest in research. Residents work with faculty members on both small and large projects including clinical and basic-science research activities as well as quality improvement projects. Several recent projects have produced abstracts that have been presented at local (MU School of Medicine), regional (Society of Midwest Pediatric Research), and national meetings (AAP, Pediatric Academic Societies) as well as journal publications. This is an outstanding elective for those residents interested in pursuing fellowship training who need additional time to complete scholarly projects.