Pediatrics!

Primary Care Track
We are excited to provide this new educational opportunity to those residents with an interest in pursuing a career in primary care. Our primary care track uses increased time in the primary care setting and directed faculty mentorship with the promotion of group identity to promote longitudinal self-directed learning for the residents. We will encourage residents to self-select into the track at the beginning of intern year, although this process will also be fluid as we begin the program. Schedules are designed to meet all ACGME requirements, while also maximizing the number of scheduled continuity clinics, time in the community setting and exposure to high-yield primary care topics (e.g. child and adolescent psychiatry, dermatology, sports medicine.) Primary Care Track residents will be assigned an additional ½ day of clinic per week in that setting while on elective rotations. Residents in the track will be encouraged to choose required subspecialties that will help to maximize their exposure to topics most likely to be seen in the primary care setting.

Each resident in the primary care track will be assigned a mentor in the community in addition to their faculty mentor at the academic medical center. Along with traditional regularly scheduled resident-mentor meetings, residents and community faculty will be invited to attend periodic group meetings. These monthly Primary Care Track Reflection Meetings will be focused on resident-driven case based presentations with facilitation that allows for reflection on recent clinical experiences.

New Pediatric ED
The brand new Marcy R. Horvitz Pediatric Emergency Center just opened in July 2011. This bright and colorful facility provides our patients with a state-of-the-art emergency care environment physically separated from the Adult Emergency Department. From the beautiful, child-friendly waiting room to the large patient rooms that can accommodate multiple family members, the Pediatric ED is designed to maximize patient care efficiency while allowing for comfortable, family-centered surroundings. Lab, X-ray and CT are all located in the department and the Trauma Room can accommodate 2 patients simultaneously. The residents love the way the central team workspace helps them work collaboratively with the nurses so that their patients get the best possible care.

Pediatric Pain Service
January of 2011 marked the start of the comprehensive Pediatric Pain Management Program at University Hospitals Rainbow Babies & Children's Hospital, including the Rainbow Comfort Team: a consultative service for managing pain in children receiving care at the hospital. The program was developed by Dr. John Stork, pediatric anesthesiologist, and Dr. Anne Stormorken, pediatric critical care specialist, who serve as medical co-directors. In collaboration with managing physicians and with the assistance of the UH Rainbow Babies & Children's Hospital's pediatric anesthesiologists, the physician and nurse practitioner team will assess and manage pain in babies and children who have undergone surgery, sustained an injury or are experiencing pain as a result of their illness. Using a multidisciplinary approach, the team works collaboratively with the child’s doctors to make sure that he or she is made as comfortable as possible.

Self-Directed Independent Learning
The development of a night team learning curriculum has been crucial in advancing resident education in the new era of ACGME work hour restrictions. At UH Rainbow Babies & Children's Hospital, a model for night team independent learning and conferences has been implemented. This curriculum provides guidance to interns and residents on nights to further their own learning both through self-study and teaching. The model for independent learning was presented by UH Rainbow Babies & Children's Hospital's Chief Residents at this year’s Association of Pediatric Program Directors conference.

Simulation
Advancing resident knowledge and skills through simulation has become integral to graduate medical education, and UH Rainbow Babies & Children's Hospital is no exception to this. Beginning with an ER Skills simulation workshop in the PGY-1 year, residents are exposed early on to procedures that formerly had been practiced on patients, instead of on mannequins. A curriculum of “mock codes” and intensive care procedures is currently in development to advance resident experience in emergencies. The newborn simulation experience is directed by Dr. Monika Bhola, and is boosted by “Sim NewB” – a high fidelity neonatal simulator, used in conjunction with the NICU and Newborn Nursery.

OBRE (Outpatient Based Residency Experience)
This block experience for PL-2 residents provides a unique immersion experience in a community practice setting. Residents work with one of our outstanding providers in the Rainbow Care Network throughout this experience. The educational focus of this rotation includes topics such as ambulatory pediatric patient care provision, billing and coding, telephone triage, practice management and basics of health insurance. Residents work with our community partners and their office staff to gain these skills. Residents complete a self-directed reflection exercise that allows them to compare their experiences in the community with those in their own continuity clinic.

Medicine!

Clinical Skills Block
A recently developed rotation provides exposure to simulated procedures and code management in a controlled setting.

Seidman Cancer Center
Opened in spring 2011, Seidman Cancer Center is one of only 12 freestanding cancer hospitals in the nation designated by the National Cancer Institute (NCI) as a Comprehensive Cancer Center. Hospitals receive this recognition for maintaining high standards of excellence in patient care, education and clinical research. It allows us new opportunities to continue advancing health care for the community and for professionals all under one roof and is home to our inpatient hematology/oncology teams.