|
Rotation/ # months
|
PL1 |
PL2 |
PL3 |
Floor |
4 |
0 |
2 |
Clinic |
2 |
1 |
1 |
Pediatric
ER |
1 |
2 |
1 |
NICU |
1 |
2 |
1 |
| PICU |
0 |
2 |
0 |
| Nursery |
1 |
1 |
0 |
| |
|
|
|
| Adolescent |
1 |
0 |
0 |
| Developmental |
0 |
1 |
0 |
| Child
Psych. |
0 |
0 |
1 |
| Electives |
1 |
2 |
5 |
| Vacation |
1 |
1 |
1 |
The Pediatric Floor Team is composed of a senior and two
interns. They admit patients, formulate management for patient care
and are also involved in various pediatric procedures. Daily progress
notes and discharge summary/dictation are expected of the resident
in charge of the patient. Rounds are conducted every day with Service
attending, as well as various specialists. On Thursdays, instead
of morning report, residents attend Radiology rounds with an attending.
On the same day, instead of regular service In-patient rounds, the
residents present one to two patients admitted to the floor and group
discussion is presided by a Child Psychologist attending. Residents
work with highly skilled pediatric nurses, in house Child Life Staff
and social workers. Our residents are also involved in teaching third
and fourth year medical students rotating in the department.
A senior resident and an intern are supervised by Out-patient attending in assessing
and managing a variety of ambulatory care patients. All residents have assigned
days for their Continuity Care Clinic where they follow a number of patients
for their regular well check-ups.
Two residents are assigned per month in the pediatric ER, supervised
by two specially trained pediatric ER attending. Residents are
in charge of assessing and formulating immediate management for
patients, as well as performing various procedures. Residents
also have an active role in working with various sub-specialists
to complete urgent care of patients.
Two residents rotate in the NICU per month. They work with six
in house neonatology attending, six nurse practitioners, highly
trained nurses and respiratory therapists. Residents admit critically
ill newborns and perform admission work up. Rounds are conducted
in the morning with the NICU team. Residents take part in critical
and multiple deliveries
A resident is assigned to the regular nursery each month. He/she
is on call for deliveries at the Perinatal Room. Daily rounds with
attending and progress notes are expected of the resident. In addition,
the resident is in charge of arranging transfer of babies who need
closer observation and further management to the neonatal intensive
care unit.
A resident is in charge of 6-bed intensive care unit. Rounds with
in-house PICU attendings are conducted at least once a day. The
resident also has one on one didactics with the PICU attending.
Special procedures like intubation, sedation, PICC line placement,
and thoracocentasis are also performed by the resident. Daily progress
notes and flow sheets are completed. PICU resident is also in charge
of arranging transfer of a patient to and from another hospital
and setting up a transport team.
Community experience extends throughout three years of training.
Here the resident is exposed to various community resources such
as the Division of Youth and Family Services (DYFS), School Based
Programs, Muscular Dystrophy Clinic, New Jersey Poison and Control
Division, foster homes, Women’s Shelter and different
local pediatric clinics and school based clinics.
In the Adolescent Clinic, the resident evaluates patients, formulates
respective management and presents the case to the attending. In
this rotation, the resident has the opportunity of doing local
school sports physical examinations and introduction to college
health.
This is a month long rotation with Dr. Reutter, a Developmental
Specialist. Cases such as Pervasive Developmental Disorders, Learning
Disability Disorders and Psychiatrics conditions are encountered.
Residents also have opportunity to attend autism clinic at Children’s
Specialized Center for kids with special needs.
In the Pollack Outpatient Clinic, the resident is exposed to various
pediatric psychiatric cases. Recent trends in management are also
taught to the resident. The pediatric resident is also in charge
of conducting admission physical examination of new admissions
to the Child Crisis Center, (Pediatric Psychiatry inpatient unit)
as well as managing medical issues of these patients.
Residents have 2 week block rotations of electives of their interest.
Most electives are within the hospital. However, a number are also
being conducted outside the hospital in different subspecialty
clinics and network of hospitals affiliated with the Saint Barnabas
Health Care System.
The newly opened Pediatric Emergency Room with vibrant under the
sea theme, fosters a child friendly atmosphere. We treat more than
15,000 children each year. We are staffed full time by a team of
board certified physicians, two of whom are pediatricians with
fellowship training in pediatric emergency medicine. The nurses
are specially trained and certified in pediatric advanced life
support. Here, we are putting big smiles back on little faces!
Pediatric Gastroenterology involves the care of children with disorders
of the esophagus, stomach, intestines, pancreas, and liver. Common
problems include constipation, acid reflux, allergic disorders,
abdominal pain, diarrhea, inflammatory bowel disease, and hepatitis.
The use of radiographic imaging and endoscopic visualization with
biopsy aid in diagnosis.
The Division of Pediatric Endocrinology and Diabetes is dedicated
to care for infants, children and adolescents. We present a team
approach to the care of patients with Endocrinopathies and Diabetes.
This team includes physicians, nurse practitioners, nurses, nutritionist,
exercise physiologist, and psychologist. Every aspect of the child
is addressed. Besides the usual patients with diabetes we have
established a Center of Excellence for Disorders of Insulin Metabolism.
This center is dedicated to provide care for patients with diagnoses
that include Diabetes Mellitus Type II, Obesity and Insulin resistance,
and Polycystic Ovarian Syndrome.
The Valerie Fund Children Center for Childhood Cancer and Hematological
Disorders caters to a wide variety of patients. The Center is a
member of Pediatric Oncologic Group (POG) and has the largest number
of patients with sickle cell anemia in the State of New Jersey.
A state funded comprehensive hemophilia center is also part of
the program.
Pediatric Infectious Disease
subspecialty involves the care of children with recurrent infections, fever of
unknown origin, Lyme disease, bone and joint infections, HIV/AIDS, and Kawasaki
disease and infection control issues etc.
Involves
care of infants with congenital cardiac anomalies,
screening of young athletes for the diagnosis
and treatment of heart problems, and for
expectant mothers whose fetus may have heart
problems.
23
bed state designated level III unit cares for premature
infants, high risk infants, infants with congenital
disorders, and acute life threatening infections
and diseases. This provides exposure to advance respiratory
management techniques for extremely premature babies.
involves care
of children with chronic lung disease, asthma, chronic cough, broncho-pulmonary
dysplasia and cystic fibrosis.
- Pediatric Critical Care
- Pediatric Psychiatry
- Pediatric Psychology
- Adolescent Medicine
- Developmental Pediatrics
- Pediatric Surgery
- Pediatric Neurology
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