Inpatient Medicine Rotations
Care of children through age 12 (General Pediatrics) and over age 12 (Adolescent Medicine) with both medical and surgical problems is provided on the Medical Units. These units include to medical – surgical units and an adolescent unit. 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 full time hospitalists, program directors and chief residents.
Neonatal Intensive Care Unit
Tertiary and “quaternary” care for preterm and term newborns with both medical and surgical problems, inborn and transferred, is provided in the Neonatal Intensive Care Units, each approx 50 beds, at Cohen Children’s Medical Center and North Shore University Hospital. The Katz Woman’s Hospitals at Long Island Jewish and North Shore University Hospitals together handle 12,000 births each year. A full team of attending neonatologists, fellows, nurse practitioners, and residents cover each NICU 24/7. There are several opportunities for performing procedures under supervision. Residents are invited to attend weekly Division lectures on neonatology, maternal-fetal medicine, and mortality and morbidity. Specific resident teaching sessions occur twice daily and didactic materials are provided as cases, lectures, and texts in lecture and electronic formats. Residents attend high-risk deliveries along with neonatology fellows and other team members. Family-centered rounds and medical care are of paramount importance. A complete range of subspecialty consultative services is easily available. The Division assists residents in their certification for neonatal resuscitation through the Neonatal Resuscitation Program of the American Academy of Pediatrics and American Heart Association through didactic materials and special simulation experiences.
Residents cover service newborns in the nurseries of Katz Woman’s Hospitals at Long Island Jewish and North Shore University Hospitals, which together handle 12,000 births each year. A full time General Pediatrics attending physician covers each nursery and rounds with residents daily. The attending physician supervises resident-family interactions and discusses cases and didactic material during each rotation. Under the supervision of the neonatology fellow, residents also have the opportunity to attend deliveries for cesarean sections and ‘low risk’ issues.
Pediatric Intensive Care Unit
Tertiary care for children with both medical and surgical problems is provided in the 25-bed Pediatric Intensive Care Unit. This state of the art unit was opened in April 2013. Each year, the PICU cares for more than 1700 patients, including those who come from more than 60 hospitals in the tri-state area via our dedicated Pediatric Transport Program. Specialized care, including complex cardiothoracic surgery, Extra-Corporeal Membrane Oxygenation (ECMO) and other lung rescue techniques, is taught. Cohen Children’s Medical Center is a designated Pediatric Trauma Center (one of only three in New York State), and many patients with traumatic injuries are cared for in the Pediatric ICU. Critical Care Medicine faculty and fellows provide supervision of care in the PICU 24 hours/day. Bedside teaching, a monthly lecture schedule, and medical simulation are the cornerstones of the resident educational experience in the PICU.
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 (one of two in the NYC metropolitan area). Currently over 40,000 patients are seen/year. Supervision is provided 24/7 by Board Certified Pediatric Emergency Medicine faculty. A new state of the emergency room opened in April 2013. It is one of the largest (37 beds) pediatric emergency rooms in the Northeast.
Behavioral and Developmental Pediatrics
Developmental and Behavioral Pediatrics is a required experience in all pediatric residency programs. The primary goal of the DBP rotation is to enhance the resident’s knowledge and skills needed to evaluate and care for children with developmental, learning, and behavioral problems in a primary care setting. The Division of Developmental and Behavioral Pediatrics delivers comprehensive diagnostic and therapeutic services for children who present with a wide spectrum of variation in development and behavior. Residents will partner with DBP faculty and fellows as they see patients for initial evaluations and follow-up visits. They will also participate in the developmental assessment of high-risk NICU graduates. Residents will also take several “field trips,” which may include a trip to an early intervention program, a special education preschool, and a chronic care hospital for children, and a school for the deaf. They will also participate in Project DOCC, which is an opportunity to learn about the special care needs of children who have chronic illnesses and that of their families, from the parent’s perspective. On the last day of the rotation, each resident will give a mini journal club type presentation.
Elements of the community medicine rotation include: teaching students in elementary schools, attending a court case to witness our “child protection” team provide testimony in cases of child abuse, spending time at a speech and hearing center, visiting a WIC center and teaching mothers at a foster care agency.
Training residents in global health is an important part of our training program. The curriculum includes a didactic component, local global health training and an international component. For those who wish to immerse themselves in the subject and consider global health to be a future career we offer a “Global Health Tract”
Please click here for more details about the North Shore-LIJ Global Health Training Program at Cohen Children's Medical Center.
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 Steven and Alexandra Cohen Children's Medical Center 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 Steven and Alexandra Cohen Children's Medical Center 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.