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Ambulatory Experience

Ambulatory Experience

Resident 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.

Residents work closely with one of 10 full-time teaching 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.

Enhanced Primary Care Experience

Our program is committed to providing residents with the extensive and intensive training in primary care pediatrics that is the foundation for the effective care of all children and their families. Residents are taught to develop specific knowledge, skills and attitudes in order to understand and manage the primary care problems and needs of children and families. Our program provides enhanced experiences in primary care, and urban health care for children and their parents, including the underserved population.

Residents may elect in their second and third year of training to have a full day of continuity clinic. There are two options for this continuity clinic experiences.  First, residents may choose the hospital based clinic under the direct supervision of full-time CCMC full time faculty; or, they may choose to be placed in one of the carefully selected private practice sites in our Private Pediatricians Residents Education Program (PPREP), with one designated practicing pediatrician as their mentor for two years.

In addition residents may elect to spend a four week "block" rotation in a general pediatric ambulatory practice or in a pediatric "private practice" in order to experience the full work day responsibilities of the office pediatrician

Graduates have successfully obtained superior private practice and hospital-based positions in the geographic areas of their choice.

Pre-Fellowship Training

Fellowship programs are offered by 13 of the divisions in the Department of Pediatrics at the Children's Medical Center. Because of the size of the center, most of those programs have a large number of sub-specialty faculty, who provide a comprehensive range of expertise and the critical mass necessary to stimulate the decision-making skills of the residents.

Residents have the opportunity to elect a 4 week block rotations in the sub-specialties of their choice. During these rotations residents are instructed in a "core curriculum" designed by the faculty to provide them with the training in the most common issues confronted in each field. In addition, residents who plan to go on to fellowship training may choose a specific mentor in that field at any time during residency. They also have the opportunity to pair up with a sub-specialty pediatrician on an on-going research project, or one of their own choosing. Finally, pre-fellowship residents may choose to spend one-half day per week during 2nd and 3rd year in a subspecialty clinic, in order to expand their knowledge of the field, and to enhance their credentials for applying to a fellowship program.

Residents seeking subspecialty training have been very successful in securing positions in the sub-specialty program of their choice, either at the Steven and Alexandra Cohen Children's Medical Center or at renowned institutions both locally and nationally.
 

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