Pediatric Residency Program
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Curriculum

PL-1 Year

photoDuring the first year, emphasis is placed on family-centered patient care and management. Interns are directly responsible for coordinating the care provided to all children on the General Pediatrics Unit and the Neonatal Intensive Care Unit.

 

  1. General Pediatric Inpatient Service - four months
  2. Neonatal Intensive Care Unit - two months
  3. Newborn Nursery - one month
  4. Emergency Room (general/pediatric) - one month (12 hour shifts, 5-6 shifts per week)
  5. Primary care (university-based pediatric practice) - one month
  6. Elective services - two months
  7. Acute Care Medicine/Outpatient Pediatric Surgery - one month
  8. Continuity Clinics:
    1. Primary Care - one-half day each week (evening office hours once per week, no overnight or evening call)
    2. Chronic Illness (Pediatric Hematology-Oncology) - one half day each week.
  9. On Call
    1. Every 4th night on Inpatient Service (#'s 1,2,3 above)
    2. ER 5-6 shifts per week

 

PL-2 Year

  1. General Pediatric Inpatient Service (Supervising Resident) The resident is also responsible for pediatric consults in the ER - two months
  2. Neonatal Intensive Care Unit (Supervising Resident) the resident consults in the Newborn Nursery and Labor & Delivery - two months
  3. Night Supervising Resident on either the Pediatric Ward/PICU/ER or NICU/Newborn Nursery/Labor & Delivery. Monday through Friday - two months
  4. Pediatric Intensive Care Unit - one month
  5. Primary Care at the university-based pediatric practice/ or a community pediatrics practice (additional months at urban or rural sites are available as electives) - one month
  6. Developmental/Behavioral pediatrics - one month
  7. Electives - three months (to include Required Subspecialties)
  8. Continuity Clinics:
    1. Primary Care - one-half day each week
    2. Chronic Illness (Pediatric Hematology-Oncology) - one half day each week
  9. On Call
    1. Night Float - 2 months
    2. Rotating weekend call (average 2 weekend calls per month)

 

photo

 

PL- 3 Year

  1. Teaching Resident on the General Pediatric Inpatient Service- 2 month
  2. Pediatric Intensive Care Unit - one month
  3. Primary Care at the university-based or private pediatric practice - one month
  4. Community-based Adolescent Medicine - one month
  5. Night Supervising Resident on either the Pediatric Ward/PICU/ER or NICU/Newborn Nursery/Labor & Delivery. Monday through Friday - two months
  6. Primary care in a rural Vermont location (sponsored by the Vermont AHEC Program) - one month
  7. Electives- 4 months
  8. Continuity Clinics:
    1. Primary Care - one half-day each week
    2. Chronic Illness (Pediatric Hematology-Oncology) - one half day each week
  9. On Call
    1. Night Float - 2 months
    2. Rotating weekend call (average 2 weekend calls per month)

 

PL-4 (Chief Resident) Year

The Chief Resident's year is focused on:

  1. Teaching and curriculum development for residents and medical students
  2. Administration and supervision of residents on clinical services
  3. Clinical and research opportunities tailored to the needs and interests of the individual Chief Resident
  4. Coverage of the clinical services when required
  5. Functioning as a junior faculty member, including an inpatient ward attending month

 

Additional Curriculum

Rural Pediatrics
One month in the PL-3 year in the rural primary care practice of one of several UVM Pediatric Department faculty members. Supported by the UVM Area Health Education Center (AHEC) Program.

FIRST (Families Involved in Resident and Student Teaching) Program
A longitudinal experience over the three years (in association with Parent-to-Parent of Vermont) during which the resident is matched with a family which includes a member with significant special needs. The resident will learn about family and community involvement, legislation, insurance issues, school concerns, and transitioning to adulthood.

Spectrum
A free clinic for homeless and at-risk adolescent clients, located at a downtown teen services center, organized by and staffed in part by UVM Pediatric Residents.

Residents as Teachers
Residents' skills are developed over the three years in a variety of inpatient and outpatient settings ranging from teaching medical students, to running an elementary school health education program. There is a bimonthly resident award for teaching excellence.

Medical Ethics
The principles of ethics are taught in case-based conferences, grand rounds and didactic sessions. There is a hospital clinical ethicist.

Medical Informatics and Telemedicine
Electronic and hard copy libraries are readily available throughout the clinical areas. An active telemedicine program is in place, linking UVM/FAHC with many referring hospitals. The UVM College of Medicine Library is also close by and available

Evidence-Based Medicine
EBM Principles are in use on ward and outpatient services as well as in case-based conferences. Large multi-centered outcomes research projects based in our department allow residents to explore the development of the data as well as possible changes in practice based on those data.

Advocacy
Skills are taught through didactic sessions and "hands on" experience at the local, state, and federal levels. Each resident is a member of the American Academy of Pediatrics Resident Section, sponsored by the Department of Pediatrics and the Vermont Chapter of the AAP.

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