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The Pediatric Residency Training program comprises a three-year experience in the care of sick and healthy children with an emphasis on the management of general and subspecialty problems in an ambulatory setting. The program is designed to allow adequate supervision by the faculty throughout, but with increasing clinical responsibility as the years progress.
The internship year is designed to provide experience and education pertaining to all aspects of general care of the hospitalized and ambulatory pediatric patient. Rotations through the Greenberg Pediatric Pavilion allow comprehensive care of the diverse Komansky Center for Children's Health inpatient population, while ambulatory experience is gained through time spent at the outpatient clinics. Block rotations in the pediatric emergency room give interns a feel for the important bridge between inpatient and outpatient care. Rotations through general pediatric oncology service at Memorial Sloan-Kettering Cancer Center (MSKCC) provide an in depth education regarding the care of oncology patients. New York Hospital Queens provides interns with experiences in community hospital based pediatrics. Ambulatory rotations in pediatric cardiology and pediatric neurology provide sub-specialty experience while emphasizing those skills required by the general pediatrician. Rotations through the well baby nurseries and neonatal intensive care unit provide experience in neonatal resuscitation and in the care of newborns and their families.
The second year resident spends much of the year in an increasingly supervisory role on the inpatient service, in the emergency room, at New York Hospital Queens (NYHQ), and in the neonatal intensive care unit. Rotations through the pediatric critical care unit and the bone marrow transplant unit at MSKCC introduce the resident to the world of intensive care. Ambulatory based selectives in child development, gastroenterology, hematology/oncology, pulmonology and orthopedics/ rheumatology allow the resident a broader sub-specialty experience. As well a community/advocacy rotation at New York Hospital Queens gives residents exposure to the care of children outside the Hospital and clinics. Elective time may be spent on a clinical or academic pursuit in consultation with the pediatric program director.
The senior resident is allowed an increased level of responsibility and independence in teaching the other house officers and medical students. Elective time can be utilized by each resident to round out his or her education on an individual basis. One call-free elective block is provided for each senior resident to allow for experiences at outside institutions and remote locations. An ambulatory based rotation is spent in adolescent medicine and one entire rotation is devoted to teaching. The pediatric critical care unit is revisited and each third year resident serves a rotation as the pediatric consultant to the Hospital's William Randolph Hearst Burn Center. The general inpatient rotation is spent as an educator and supervisor, as is a well baby rotation where the third year works closely with the well baby intern. In addition, the rotation at New York Hospital Queens provides a singular experience in community-based inpatient pediatrics
All house officers spend one half day per week participating in the Resident Group Practice where they follow a cohort of patients longitudinally through all aspects of sick and well patient care. In addition, residents spend block time in each year at their continuity site. There are 3 sites for continuity clinic, the main site is adjacent to the Hospital in the Helmsley Medical Tower as well as satellite practices at NYHQ and the Long Island City Community Practice. Every effort is made to ensure that patients see their own resident doctor at each visit, in order to forge strong doctor-patient relationships. Residents in a group model see those same continuity patients for episodic illness and telephone triage. Residents often find their continuity clinic to be one of the most rewarding parts of their training.
The call schedule of the Pediatric Residency Program has been designed to comply with the New York State and ACGME restrictions on residents' working hours. The residency program supports the philosophy that cross coverage of inpatient units can be deleterious to patient care and resident education. For most inpatient services, nights are covered for one week at a time via night float system by two members of the team from that unit. Cross coverage is kept to a minimum with an emphasis on continuity of care. The call schedule for NYHQ and MSKCC is Q3-Q4. Thus, ambulatory selective and elective experiences can be carried out with no in house call during the week, and occasional weekend calls.
In addition to weekly Grand Rounds and Professors Rounds there is a daily morning report, and noon conference. Morning report is attended by all residents on the pediatric inpatient service and those residents on ambulatory rotations as well as faculty, the program director, and the department chairman. It includes discussion of interesting cases in the inpatient and outpatient fields. Noon conference is a daily one hour didactic teaching session given by attending physicians and is designed to provide a comprehensive pediatric curriculum for residents. There are resident-led lectures on general pediatrics topics given prior to each session of the Resident Group Practice Clinics. In addition, as part of a major medical center that includes MSKCC, Rockefeller University, and the Hospital for Special Surgery, there are numerous day and evening lecture opportunities covering a broad range of medical topics at which all residents are welcome.
The Department of Pediatrics has received national recognition for both its basic and clinical research programs aimed at improving the present and future care of infants and children. Residents are exposed to multidisciplinary clinical and basic science research through their involvement in the Clinical and Translational Science Center (CTSC). All of our residents spend time on the CTSC and are involved in the protocols for the patients. As members of the Department of Pediatrics at Weill Cornell Medical College, residents are eligible for a multitude of research awards via the CTSC.
Each resident is required to complete a senior research project by the end of the PL-3 year. Faculty mentors and a Resident Research Committee guide residents through this process. This consists of either clinical or laboratory research which is presented to the department and which each resident is encouraged to submit for publication. Every effort is made to accommodate and encourage residents who wish to pursue research projects in addition to their clinical responsibilities.
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The Graduate Staff Agreement of Appointment / Employment, Agreement
Attachments and current salary scale may now be viewed by any residency
program applicant by accessing the
NYPH extranet.