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Pediatric Residency
Program The Children’s Hospital at The Cleveland Clinic Training for top-notch pediatric care The priority of The Cleveland Clinic Children’s Hospital is to provide our patients with the highest quality healthcare possible. It is our privilege, then, as well as our responsibility, to train the next generation of pediatricians to meet this standard. The Children’s Hospital provides the ideal mix of patients, academics, and broadly-trained teaching staff necessary for compelling, challenging, and rewarding pediatric residency training.
This training program—which accepts 13 residents per year—will provide the experience necessary to succeed in an ever changing and challenging healthcare system, and furnish the tools and skills required to excel in the delivery of world-class pediatric and adolescent care. A crucial component of any top-notch residency program is the commitment by staff physicians to proactively work one-on-one with residents throughout the duration of the training endeavor. For some programs, one-on-one teaching experiences can be the exception rather than the rule. At the Cleveland Clinic, one-on-one training experiences are at the core of the pediatric residency program, regardless of whether the experiences occur in the in-patient or outpatient settings. Our residency program also prides itself on providing training experiences that offer a balanced blend of challenging general and subspecialty pediatric cases. The Cleveland Clinic Children’s Hospital is a tertiary medical center with a broad experience in subspecialty care. The hospital therefore receives a high number of national and international referrals as well as serving the local community. Clinicians and residents here see the full scope of pediatric problems, with a good balance between those that are prevalent with those that are seen rarely at smaller medical centers. While the Children’s hospital maintains medium-sized inpatient wards, its outpatient clinics minister to large volumes of patients who need an array of subspecialty care. Thus outpatient training experiences provide exposure to the spectrum of pediatric problems and are the core for our elective rotations. The changed landscape of medical care, with its increased emphasis and reliance on outpatient care, has many implications for residency training. To ensure that our pediatric residents are prepared to thrive as modern physicians, each one has access to in-depth rotations in an array of outpatient settings. On most Children’s Hospital subspecialty rotations, residents work one-on-one with our pediatric specialists in the outpatient clinics so that throughout the experience they receive a well-balanced exposure in-patient and out-patient specialty care. This helps ensure that residents interested in primary care will have a better understanding of how to manage patients before and after referral, and that residents interested in subspecialty fellowships will get first-hand knowledge about specialty care. In addition to the features mentioned, The Children’s Hospital residency program also offers meaningful research and teaching opportunities, elective rotations in nearly 30 subspecialties, daily teaching/didactic conferences, and a house staff “association” that uses representatives elected from among residents to advocate on behalf of the residency program. The backdrop for all these opportunities is not only a city that collectively boasts some of the best healthcare resources in the world, but also a major metropolitan area that offers thriving scenes in sports, arts and culture, music and recreation and a reasonable cost of living. Modules/Rotations(1 clinical rotation=1 month; vacation=3 weeks) The first year of training focuses on the basics of pediatric clinical care and includes 4 rotations in the pediatric inpatient wards. First-year residency also includes valuable stints in the neonatal intensive care unit, normal newborn nursery and the inpatient cardiology service. 4 Pediatric wards Modules/Rotations(1 clinical rotation=1 month; vacation=3 weeks) In year two, residents are immersed in the pediatric subspecialties (e.g., critical care medicine, gastroenterology, hematology-oncology, nephrology) as well as gaining the experience necessary for supervisory roles they will assume as senior residents. The anesthesiology and PICU rotations provide in-depth experiences in procedural skills (e.g., intubation, (IV) vascular access, lumbar puncture, etc.) in a controlled environment, with direct supervision by pediatric attending physicians well-trained in these procedures. Residents also choose from several community-based acute illness rotations to gain exposure to outpatient general pediatrics in a variety of settings. Five rotations are reserved for electives in pediatric subspecialties. 1-2 Pediatric wards, Senior supervisor 1 NICU, Senior supervisor Modules/Rotations(1 clinical rotation=1 month; vacation=3 weeks) Year three is geared to solidify residents supervisory skills and ability to practice independently so that residents are confident and prepared to move on to general pediatric practice or subspecialty training. Residents are given increased supervisory and patient management responsibility on in-patient rotations. Several elective rotations are also offered to continue to broaden resident experiences and prepare residents for the future. 2-3 Pediatric wards, Senior supervisor Core group subspecialty rotations*: allergy-immunology cardiology, endocrinology, gastroenterology, hematology/oncology, infectious diseases, nephrology/urology, neurology and pulmonology. Additional rotations available: ambulatory general pediatrics, behavioral/developmental pediatrics, child psychiatry, dermatology, ENT, genetics, OB/GYN, ophthalmology, orthopaedics, pediatric rehabilitation, radiology, rheumatology, sports medicine, general surgery/anesthesia and urology. Adolescent medicine Monday Tuesday Wednesday Thursday Friday Core lecture series: subspecialty and general pediatric lectures, case management conferences, journal clubs, bioethics conferences and morbidity/mortality conferences. Practice and professional management. (One from the preceding selection occurs daily at noon.) A host of other conferences are available upon approval from the Pediatric Education Office. The new Cleveland Clinic Lerner College of Medicine of Case Western Reserve University will enroll its first class in 2004 and will prepare physicians and scientists dedicated to advancing biomedical research and practice. While we have had medical students from area schools regularly do core rotations with us for many years, the launch of the school broadens the pool of medical students who undertake clerkships and acting internships at The Cleveland Clinic. This increases the teaching and supervisory opportunities and experiences for residents. Morning Case Conference is run by the senior residents. Cases are selected by the residents and the discussion of them is led by the resident. This allows the resident to be the “expert” on the topic at hand and teach the other residents, thereby enhancing their own educational experience. Allergy/Immunology Housing Meals Insurance Uniforms Vacations Travel Book allowance
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