For more than fifty years, the Department of Pediatrics has maintained a residency training program in general pediatrics that provides residents with a strong foundation in primary care pediatrics, acute care medicine, and subspecialties.
Our collegial environment allows a "hands on" approach with a high faculty to resident ratio. Due to the large catchment area served by the Department, residents directly care for patients with a vast array of medical problems, from common primary care issues to the most unique subspecialty conditions. Residents are actively involved in varied learning experiences such as resident run journal clubs, research and pathophysiology conferences, case-based ambulatory care and subspecialty conferences, daily rounds with faculty, weekly grand rounds, and regular discourse with visiting professors.
Our all-encompassing curriculum has successfully prepared residents for careers in primary care and for fellowship training. We achieve this through direct patient care, interactive conferences, and resident presentations. Our residents receive didactic education in two formats: face-to-face and online. Our residents have protected time every Thursday morning for conferences. In addition, residents rotating in the outpatient clinic, the adolescent clinic, and the newborn nursery have interactive sessions three times a week. Our innovative online curriculum covers every pediatric subspecialty and allows the residents to work through material at his or her pace.
We have organized our career-focused training into four distinct pathways for our trainees. The primary care pathway is intended for residents seeking a career in general pediatrics, either in an academic or private practice setting. The international/underserved pathway is for trainees who have an interest in working with underserved populations, either stateside or internationally. The hospital medicine pathway benefits residents who are looking to work as hospitalists or intensivists (pediatric or neonatal intensive care). The fourth pathway, the subspecialty pathway, is for trainees looking to enter fellowship training at the end of residency.
The Right Case Mix
Approximately one half of all hospital admissions represent common problems frequently encountered by primary care pediatricians. The remainder of admissions represent patients referred from a large geographic area with a range of therapeutic and diagnostic subspecialty challenges.
Opportunities for Research
For residents considering academic medicine, or who have a particular interest in a sub-specialty, the opportunity to do research during their residency can be attractive. The faculty in pediatrics is very supportive in helping residents with case reports, small clinical research studies, and even bench research. With the elective months, it is very feasible to structure time to do research in a specific area.
Opportunities for International Health
In 2008, The State of New York resettled 3,628 refugees making it the 4th largest percentage receiving state in the union. 20% of this population was resettled in Onondaga County alone. The U.S. Refugee Admissions Program (USRAP) has begun to increase the number of new arrivals dramatically and in 2009, Onondaga County resettled an unprecedented 1,364 new arrivals, representing a 90% increase over the previous year. The Pediatric International Health Clinic is a large pediatric refugee clinic that serves patients from Africa, South East Asia and the Middle East. Aside from the Pediatric International Health Clinic, several faculty members have developed collaborative international health partnerships with facilities in Central America (El Salvador) and Africa (Liberia). Opportunities for international rotations are being formalized through the development of the HEARTT (Health Education & Relief Through Teaching) program. This multi-center, collaborative effort is focused on educational efforts in Liberia, Africa.