Curriculum Overview | Inpatient Rotations | Outpatient Rotations | Electives
Inpatient ward rotations are located at the Children's Hospital at University Medical Center and Covenant Women's & Children's Hospital. The intern on the ward provides primary care for all inpatients and coordinates
care with primary care attending's and consultants. The senior residents provide supervision
and teaching while overseeing the care of all patients admitted to the pediatric floor.
Attending rounds are held daily. An academic pediatric hospitalist service provides
most of the inpatient teaching. Additionally, a PharmD specialized in pediatrics,
rounds with the team daily during the week to assist with medication dosing and choices.
The University Medical Center pediatric ward is a 27-bed unit with all private patient
rooms. One centralized nursing station equipped with computer modules for rapid access
to patient results and information helps to maximize care. Directly adjacent to the
nurses' station is a physicians' conference room. This work area is equipped with
a radiology computer system as well as Internet access allowing physicians to have
easy access to files and data. This space is used for check-out rounds in the morning
and evening as well as work rounds and didactic sessions.
Our nursing staff does a superior job of providing patient care that emphasizes the
needs of children. They take the time to get to know the patient and the family, to
provide education, and to update the parents and patients with details concerning
their care throughout the hospital stay. Full-time child life specialists, physical
therapists, occupational therapists, speech therapists, and respiratory therapists
add to the thorough and comprehensive care.
Pediatric Intensive Care Unit (PICU)
A senior resident is assigned to the Pediatric Intensive Care Unit (PICU) every month
and is responsible for admitting and providing care for all PICU patients. The PICU
is a 15-bed facility. There is a centralized nursing station with telemetry and video
monitoring of each room. The training in the ICU is supplemented by consults in the
burn intensive care unit as well as consults on pediatric general surgery patients
who come to the PICU for post-op care or trauma management.
Neonatal Intensive Care Unit (NICU)
The Neonatal Intensive Care Unit (NICU) is housed adjacent to the Family Birthing
Center allowing for a prompt transport of a seriously ill infant after delivery. The
NICU is a 48-bed unit encompassing care of the most critically ill infants in the
Level III nursery and less critical patients requiring intermediate care in the Level
II and Special Care Nurseries.
A senior resident is assigned to the NICU every month and is responsible for attending
deliveries, admissions, discharges, and providing daily patient care for all NICU
patients. The resident also does prenatal consults when requested by the obstetric
team. When an intern is assigned to the NICU, they work with a senior resident. Call
during the NICU rotation is q4 for the intern, q Monday/ Thursday for the senior resident.
Interns take overnight call each Sunday night, arriving at 9PM and leaving by 1PM
on Monday. Interns are on call with experienced neonatal nurse practitioners. The
residents have an excellent opportunity to further develop procedural skills, including
intubations, umbilical lines, and chest tubes. Attending neonatologists supervise
the patient care and resident education while rotating in the NICU.
Each year for the senior residents, one block is devoted to Night Shift. The interns
are responsible for two blocks of night shift over the course of a year. The senior
resident assigned to night float is responsible for all admissions, patient management
in the PICU, and supervising the intern. The intern assists with admissions, covers
the inpatient ward and newborn nursery, and answers after-hours calls from parents
whose children are seen in the general pediatric clinic. There is faculty supervision
for all night shift and on-call residents.