Thank you for helping me become a pediatrician
I now work in a town of 5,000 at the local hospital/clinic. It's rural, so the catch area is huge. The nearest pediatrician south is 150-plus miles south — in Colorado east and Nevada if heading west. As you might imagine, I practice full-spectrum pediatrics. On my second day on the job, the ER called me in the evening to assist several children in the rollover on the freeway. One trauma I admitted for surgery, but they all will make a full recovery. I attend C-sections and other high-risk deliveries, perform circumcisions, frenotomies, LPs, umbilical lines, I&D, suture lacs and intubate. The hospital will be getting surfactant so I can do I.C.E (intubate, curosurf, extubate) for the premies. (Ultimately, the premie would be shipped north to a NICU).
Although most my work is outpatient, I still do inpatient medicine with the nursery and general pediatrics. For our bronchiolitics and asthmatics, I've convinced them of the benefits of heated, high-humidity high-flow nasal cannula — which they somehow functioned without previously — so we will have the equipment and training needed before viral season. In my clinic, so many of my asthmatic patients didn't have a spacer or know how to use their inhaler and thus their asthma was poorly controlled so now we are getting them the materials and instruction they need. Yesterday morning we administered 31 immunizations (a personal record for me). This morning, I diagnosed a returned missionary from Ghana with acute schistosomiasis.
Anyway, the real reason I write is to say thank you to so many who were involved in teaching and training me. At the end of residency I was wondering, and, to be honest, intermittently concerned that I would come across a situation I couldn't handle — particularly because I'm the only pediatrician in the county. Although I'm sure that will eventually happen, so far everything has gone extraordinarily well — and that's because of how well my attending and fellow residents did in helping me become a pediatrician. Dr. George Koburov, Dr. Gabe Shifman, Dr. Keven Cutler taught me how to treat trauma patients. Dr. Julia Kesterson, Dr. Srivastava, and the hospitalists taught me inpatient medicine. Dr. Nabila Khaleel, Dr. Jason Hagely, NNPs, and others taught me how to resuscitate a baby, perform circumcision, umbilical lines and frenotomies. Tammy Rood and Dr. Francisco taught me the importance of asthma education to patients/parents. Dr. Dean Lasseter, Dr. Bernard Eskridge, Dr. Hagely, Dr. T. Selva and many others at South Providence taught me how to take care of my patients in the clinic. Dr. Tosh's training helps me take care of my adolescent patients — particularly with depression, anxiety, STDs, obesity and menstrual issues. Obviously there are many others I haven't listed. And if I didn't, it's not because they didn't have an impact on me. I am grateful for their part in my education.
And of course, Penny, Katie, and Ruth were there through it all with smiles as you helped us navigate residency.
I hope all is going well for everyone back in Mizzou! I wish everyone well.
Gordon Duval, DO
2017 MU Pediatrics Residency Graduate
Collaborative atmosphere helped me succeed
Residency at Mizzou definitely prepared me to practice independently. As a relatively small residency program, I felt empowered to make decisions and like the patient I managed truly were "my patients" — my responsibility to care for and manage. At the same time, the smaller program allowed me to get to know my attendings personally, and I knew I could always reach out to them with questions and concerns. We had substantial hands-on experience throughout the hospital, and we often worked side-by-side with attendings to learn and perform procedures.
Now, as a pediatric hospitalist, I constantly call upon my experiences during residency. The breadth and depth of the learning opportunities certainly prepared me for the next step after training. Moreover, working at Mizzou, I discovered the value of having a team to work alongside and learn from. I am so thankful for the interdisciplinary team at Mizzou — I learned SO much from the nurses, respiratory therapists, pharmacists, child life specialists, and countless others throughout my training. Now, practicing independently, I understand the value of those team members and have great professional relationships with them as we work together. Even more, the residents I trained with became dear friends and trusted colleagues. Not a day went by during residency without collaboration with my residency classmates and with attendings — and I know I can still call on the advice and experience of my friends and mentors. As I moved forward in my career, I sought out a group with the same dynamic, and I knew what I was looking for because I had experienced it at MU.
I am incredibly thankful for my time at Mizzou — it truly equipped me to be a strong physician and educator.
Audrey Bush, MD
2016 MU Pediatrics Residency Graduate