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Medicine/Pediatrics Residency Program



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Program Structure Title

Dowling and Cennimo


Our Education...
Med-Peds residents rotate through the departments of Medicine and Pediatrics in three-month blocks. The exception to this rule occurs at the end of the PGY-2 year when the residents transition into the PGY-3 year by spending a total of 6 months in either medicine or pediatrics to ensure that the resident has the opportunity to experience the seasonal variety of pediatric illnesses.

Hospitals Where We Rotate


While the cornerstone of our program is the Med-Peds Practice, residents take full advantage of the learning opportunities in the individual departments of Internal Medicine and Pediatrics. While rotating through the inpatient wards and ambulatory clinics, our residents are viewed as "equals" with our pediatric and medicine resident colleagues.

The inpatient services of both departments are run on a team concept. Each team consists of one attending, one senior resident, 2 or 3 interns, and 2-4 medical students from New Jersey Medical School. Information exchange is constant as education happens at all levels.

 

Internal Medicine - The Department of Internal Medicine has made many recent provisions to ensure that education is the major focus. At University Hospital, by far the "busiest" of the three training facilities, the admissions are capped at ten per team per call. During general ward months, there is no overnight call at UH, HUMC, or the EOVA. Nighttime coverage is provided by a night float team. This ensures that patient care is continuous and resident learning is guaranteed. Unit calls continue to be overnight every fourth night at all three hospitals. During elective months, residents work alongside highly trained sub-specialists during business hours, Monday through Friday. These residents are call-free with the exception of 1-3 overnight coverage calls and/or provide backup to the comprehensive sick-call system on prescheduled days.

 

Pediatrics - The Department of Pediatrics has a night float system throughout all wards, nurseries, and ICU in order to facilitate resident learning and continuity of care. Residents on the day team take call every third or fourth day. Turnover to the night float team typically occurs at 8:00 pm. Both neonatal and pediatrics ICUs use a similar night float system. Residents on elective take calls as part of this system. However, Med/Peds residents are entitled to 2 ½ months of call free time in pediatrics over their four years during electives. The schedules are made to allow for one "Golden Weekend" per month in which residents are call free from Friday through Sunday.


Curriculum

PGY1

Internal Medicine

Pediatrics

Inpatient - 3 months
Ambulatory Care - 1 month
Critical Care - 1 month
Elective - 2 weeks
Vacation - 2 weeks

Inpatient (infant/child/adolescent) � 3 months Normal newborn nursery - 1 month
Developmental pediatrics - 1 month
Emergency Department - 2 weeks
Vacation - 2 weeks

PGY2

Internal Medicine

Pediatrics

Inpatient supervisor - 2 months
Emergency Department - 1 month
Critical Care - 1 month
Elective - 1 ½ months
Vacation - 2 weeks

Emergency Department - 1 ½ months
Intermediate Nursery - 1 month
NICU - 1 month
PICU - 1 month
Ambulatory subspecialty - 1 month
Vacation - 2 weeks

PGY3

Internal Medicine

Pediatrics

Inpatient supervisor - 2 months
Night Float - 1 month
Critical Care - 1 month
Ambulatory Care - 1 month
Elective - 2 weeks
Vacation - 2 weeks

Inpatient Supervisor - 1 month
General Ambulatory - 1 month
NICU - 1 month
Office Practice - 1 month
Elective - 1 ½ months
Vacation - 2 weeks

PGY4

Internal Medicine

Pediatrics

Inpatient supervisor - 1 month
Geriatrics - 1 month
Medical Consults - 1 month
Elective - 2 ½ months
Vacation - 2 weeks

Inpatient supervisor - 2 months
ED supervisor - 1 month
Community Based Adolescent Medicine - 1 month
Elective - 1 ½ months
Vacation - 2 weeks

Our Conferences

Schedule

 7 to 8 am:

Work rounds - residents report to their assigned floors to
see their patients, get sign out from night float and nursing and set in motion that day's plans for care

 8 to 9 am:

Morning Report - Case presentations by the post call team or by subspecialty elective residents . Journal clubs are held biweekly and cover up-to-date medical advances

 9 to 11 am:

Attending Rounds - Teaching rounds with an assigned
attending

 12 to 1 pm:

Noon Conference - In both Medicine and Pediatrics, the
lecture series for each month is dedicated to a specific subspecialty. MKSAP and PREP questions on that topic are used as adjuncts to the lecture series.

 1 to 4 pm:

Work time

 4 pm:

Sign-out - to oncall team   .

8:00 pm: on call team sign out to night float team.



Who We Are
  |  Our Teachers   |  Our Clinic   |  How We Work   |  How We Relax  |  Join Us!


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