Clinical Experience

Inpatient Pediatrics

The inpatient team consists of a pair of senior residents and a pair of junior residents. All specialty patients except for hematology-oncology patients are admitted to the general pediatrics service.

This general pediatric service is led by an academic general pediatrician. The hematology-oncology patients are admitted to the pediatrics heme-onc service under a pediatric hematologist-oncologist. No patients are admitted to the hospital under a pediatric faculty-only service. Pediatric residents take part in the care of patients admitted from birth to age 21 who are admitted to pediatrics and most patients admitted to pediatric surgical services as well.

 The pediatric inpatient service practices family centered rounds. Rounding is done at the bedside with the patient and family at the center. All members of the care team - including physicians, medical students, nurses, pharmacists, and social worker - are present in the room for these rounds. Both patient care and teaching are done with the patient. Family Centered Rounds allow for improved communication both within the care team and with the families and have been shown to increase family satisfaction.  In addition to Family Centered Rounds, there are two daily briefs, one early in the morning and the other in the evening, conducted on the inpatient unit at which time, all caregivers for the patients meet to discuss patients.  This helps keep communication on the pediatric unit open and effective.

[LG1] KU Pediatric Intensive Care Unit

The PICU team participates in the care of critically ill and injured children not only in the PICU but also in the Burn ICU, Surgical ICU and Neuro ICU and The PICU senior also assists with pediatric procedures and sedations done in the Pediatric Procedure Room is also located in the PICU when patient care responsibilities permit.

Children's Mercy Pediatric Intensive Care Unit

Third year residents complete their second required PICU month in the PICU at Children's Mercy. This PICU rotation provides additional exposure to pediatric surgical cases including cardiothoracic surgery patients. .

Pediatric Surgery

The pediatric surgery service at KU covers the gamut of general pediatric surgical cases. The pediatric surgery rotation is a required specialty rotation for all pediatric residents. During this rotation, the pediatric resident learn to recognize and diagnose common surgical problems, evaluate post-operative outcomes, determine when to refer a patient to a pediatric surgeon, and will be given the opportunity to see the pathology directly in the operating room.

Neonatal Intensive Care Unit

The NICU service consists of one senior supervising resident and one to two junior residents under the supervision of neonatologists. Our neonatal nurse practitioners serve a diverse role, including teaching and supervision of residents and they 24/7 patient care coverage.

Full Term Nursery

The FTN service consists of one senior resident and one to two junior residents, one of whom may be a Family Medicine resident. General pediatricians serve as the attending physicians. Our pediatric nurse practitioner serves the nursery in a diverse role including teaching, supervision and patient care.

Emergency Services

Our Emergency Department is staffed by both Emergency Medicine trained faculty as well as Internal Medicine, Family Medicine and Med-Peds trained faculty. Although the ED serves pediatric and adult patients, every effort will be made at the time of triage to have pediatric patients seen by the pediatric resident. The ED is a particularly busy place for gynecology cases, lacerations, and simple injuries requiring casting and splinting that is similar in adults and children providing opportunities to perform a variety of procedures. Residents may also be assigned a procedures shift for additional experience in performing procedures such as IV starts, venipuncture, arterial sticks, and bladder catheterizations.

Same Day Sick Clinic (also known as Acute Care or Urgent Care)

This clinic serves children who are sick or who have minor injuries. There is usually as senior resident and one to two junior residents assigned to the clinic one of whom may be a Family Medicine resident. This clinic is staffed by general pediatricians.

Center for Child Health and Development

The CCHD is a training, service and research facility represented by the disciplines of developmental pediatrics, audiology, speech pathology, psychology, special education, physical therapy and occupational therapy, nursing, social work, nutrition and neurology. The CCHD sees over 3,000 children a year for multi-disciplinary evaluation of neurodevelopmental disorders or children with special health care needs.

Continuity Clinics

The continuity clinic experience is designed to provide each resident the experience of providing longitudinal, continuous and comprehensive pediatric care over the duration of their three-year training period. Continuity clinic permits the opportunity of delivering both acute and chronic care as well as well child supervision and anticipatory guidance. Each resident's panel of patients will be accrued from a variety of sources, which may include hospital discharges, newborns discharged from the nurseries, patients seen in the ED or Same Day Sick , and patients who had previously been followed by a resident completing training. Each half-day session is staffed by a general pediatrician preceptor. Clinics are located at the main KU Medical Center Campus as well as our suburban clinic and an urban core clinic.

Call and Junior and Senior Night Service Rotations

Inpatient Calls: Five nights a week, overnight call is covered by a night senior and night junior pair. The weekends are covered by the Inpatient and PICU teams as well as float seniors and juniors.  Every effort has been made to reduce the number of handoff that result from calls. Residents on the inpatient will average one call per week and residents on outpatient rotations will average two to three calls per month.

 NICU Calls: Only residents scheduled in the NICU take call in the NICU averaging one call per week.

Home Call, Back Up Call, and Professionalism Call: Senior residents and junior residents in their fourth quarter of training take Mommy Call from 4:30 to10 p.m. Monday through Friday and from 8 a.m. to 10 p.m. on weekends. These calls are spread amongst all residents available for call in a given month and are not so frequent as to preclude adequate rest or personal time. The resident assigned to Home Call also serves as the back-up resident for cases when coverage is needed for resident illness or busy volumes.

Professionalism call is assigned to residents with lapses in professionalism such as incomplete educational assignments or clinical lapses such tardiness to a scheduled clinic. Calls are typically taken from residents who go out of their way to help colleagues or the program.


 

Last modified: Dec 06, 2013
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