PL-1 residents
are responsible for approximately six to ten patients on any unit. Two
PL-1's are under direct supervision of a senior resident. Specialty
consultations are available at all times with specialty fellows and
full-time faculty.
PL-2
Training Year
During the PL-2 year, a major block of time is devoted to selective
and elective subspecialty rotations. The PL-2 resident will be training
specifically to develop a greater sense of confidence and depth of knowledge
in preparation for the supervisory and teaching responsibilities of
the PL-3 year. A significant amount of time is spent on electives, in
the intensive care units and the emergency department.
PL-3 Training Year
In the PL-3 year, residents play a major role in the supervision and
teaching of fellow house staff, medical students and ancillary personnel.
This includes management of the pediatric and adolescent unit, intensive
care units and nurseries. Ample time is provided for elective training
and research which assists residents with regard to future career choices
and future subspecialty training in areas of major interest. The electives
are under the supervision of the full time faculty, researchers and
fellows who participate directly in patient care, education and research
and serve as career role models for trainees.
Chief Residents
The Chief Residents are responsible for the supervision of the entire
house staff at the Children's Hospital. There are five (PL-4) Chief
Residents at the Children's Hospital. The Chief Residents are chosen
for their clinical excellence, organizational ability and leadership
qualities. Their diversified and complex responsibilities include resident
assignments, arranging conferences, bed allocation, liaison with the
faculty, the administration and the nursing staff. Their most important
role is that of clinical and didactic mentors for the medical students
and house staff. The Chief Residents have an opportunity to see all
the complex pathology and guide the residents in the investigation and
therapy of patients. This experience has served as an excellent foundation
and stepping stone for careers in either private practice or academic
medicine.
Research
Residents
are encouraged to participate in a research endeavor of their choice.
They are assigned a mentor and given the time for this pursuit. Many
residents choose a block of time early in their second year to initiate
their projects and then continue them throughout their senior years.
The Feinstein Institute for Medical Research is a unique, disease-oriented
biomedical research institution dedicated to advancing science located
on the North Shore campus. More than 100 physicians and scientists study
disease at all levels - from molecular biology to patient-oriented research
- and translate their scientific findings into practical use. The institute
has provided training, monetary support and personnel to help residents
with their research projects. Each year a number of residents present
their work at national meetings. The program directors are committed
to fostering a resident's academic pursuits.
DESCRIPTION OF RESIDENT ROTATIONS
Pediatric Ambulatory Experience
House
Staff members have the opportunity to spend one half day per week for
three years in the pediatric continuity experience. During this time,
residents gradually develop a pediatric "practice" for which
they serve as primary physicians, facilitating a longitudinal experience.
By following the same children over several years, residents learn the
natural history of disease, normal growth and development, common problems
of child raising, sibling and parental interaction and long-term management
of chronic diseases. The panel of patients includes well babies and
children, children with chronic illness (such as asthma, failure to
thrive, diabetes, etc.) and behavioral and school problems such as learning
disabilities. Residents learn to interact with ancillary health personnel
including nurse clinicians, social workers, psychologists, nutritionists
and the visiting nurse service. Residents act as primary pediatricians
responsible for the patient.
The "continuity
experience" may take place in the traditional General Pediatrics
Clinic of Schneider Children's Hospital or in a private practice setting
working in the offices of our voluntary faculty. Residents may elect
to create an individualized clinical experience by adding another second
half-day tailored to their long-term career goals. This additional ambulatory
experience can be either in a general pediatric setting or in a subspecialty
clinic. This provides the residents an opportunity to have a longitudinal
(two year experience) in the ambulatory setting of their choice.
The general
pediatric clinic of Schneider Children's Hospital at 410 Lakeville Road
offers a unique experience for the residents. The Housestaff offer patients
and parents an easily accessible general pediatric facility in close
proximity to the Children's Hospital. The resident works closely with
one of 12 full-time faculty, formulating a diagnostic and therapeutic
plan for each patient. Daily lectures, bedside teaching and inclusion
in Divisional research projects are the hallmarks of the learning experience.
The General Pediatric experience is greatly enhanced by special programs
which include: a lead poisoning treatment center, sports medicine and
weight management program, community outreach, child safety and accident
prevention program, a failure to thrive program, an RSV research center
and faculty with national reputations in the identification and prevention
of child abuse.
Community
Pediatrics
Senior Residents provide inpatient and outpatient care at South Nassau
Community Hospital. This rotation is either a one month block or an
"on call" experience. This experience provides residents with
insight into the practice of medicine in a community hospital.
Inpatient
Medicine Rotations
Care of children through age 12 (General Medicine) and over age 12 (Adolescent
Medicine) with both medical and surgical problems is provided on the
Medical Units. Tertiary care of children with hematologic and/or oncologic
disease is provided on the Hematology-Oncology Unit. Increasing resident
responsibility and supervision of junior residents and students occurs
according to resident capabilities. Supervision is provided by the faculty
and fellows in the division and by the Chief Residents.
Urgicenter/Emergency
Department
Care of children with urgent, emergent and life-threatening medical
and surgical problems is provided in our Urgent Care Center and Emergency
Department. The Children's Hospital is a designated Level I Trauma Receiving
Facility. All supervision is provided by Board Certified Pediatric Emergency
Medicine faculty.
Neonatal
Intensive Care Unit and Full Term Newborn Nursery
Tertiary care for preterm and term newborns with both medical and surgical
problems is provided in the Neonatal Intensive Care Unit. Both inborn
and transferred infants are cared for. Admission and discharge of healthy
term infants and instructions for the new family in the overall care
of their newborn is provided. Care is supervised by the Neonatal Intensive
Care faculty and fellows. Residents are certified in neonatal resuscitation
through the Neonatal Resuscitation Program of the American Academy of
Pediatrics and American Heart Association.
Behavioral and Developmental Pediatrics
Comprehensive diagnostic and therapeutic services for patients with
diverse Behavioral and Developmental problems are provided through both
outpatient and inpatient consultation. Extensive exposure to the psychosocial
and developmental aspects of the care of chronically ill and handicapped
children is emphasized. Behavioral and Developmental Pediatrics faculty
and fellows provide supervision.
Pediatric
Intensive Care Unit
Tertiary care for children with both medical and surgical problems is
provided in the Pediatric Intensive Care Unit. Specialized care, including
Complex Cardiothoracic Surgery, Extra-Corporeal Membrane Oxygenation
and other Lung Rescue techniques, is taught. Supervision of care is
provided by Critical Care Medicine faculty and fellows.
Outpatient
Adolescent Elective
Residents may choose to spend this month at the Outpatient Adolescent
Center at the Children's Hospital or at a clinic staffed by SCH faculty
in Franklin K. Lane High School in Brooklyn. Both experiences provide
the resident with an in-depth exposure to the problems unique to the
adolescent. Adolescent Medicine faculty and fellows provide supervision.
Electives
Resident may select electives of their choice under the supervision
of faculty in the respective subspecialty division.
Community
Service Elective
Residents spend this rotation providing Primary Care to underserved
patients through our Mobile Van System. Time is spent providing parent
and child education at homeless shelters, public service programs and
in the school.
SCHNEIDER
CHILDREN'S HOSPITAL
