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Rotations

Residents rotate through a variety of services during their residency. Here is the typical breakdown of rotations by year for a categorical pediatrics resident. Pediatric subspecialties are available for residents to do during elective rotation time. Most times Pediatric residents are the only resident on the service, meaning they get one to one teaching from the subspecialist.

Descriptions of Rotations and Call Schedule

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Primary Care/Ambulatory/Outpatient

The training in primary care takes place at the University Pediatric and Adolescent Center (UPAC). The residents participate in a continuity clinic experience one half day per week. In addition, there are four separate month-long block rotations at UPAC during the three years of residency. This combination of experience provides residents with a greater continuity for health maintenance, chronic diseases and acute illnesses. Additional rotations in Adolescent Medicine and Child Development round out their education in general pediatrics. Community practices are also available as sites for resident education, and nicely complement their training in the inner city, hospital-based UPAC.

Critical Care

The PICU is the setting for the training in Pediatric Critical Care Medicine. Residents provide direct, hands-on patient care for the sickest pediatric patients in Central New York. Patients have a wide-range of acute conditions. Residents also provide concurrent care for patients admitted primarily for surgical conditions.

Neonatal Care

In the newborn nursery and NICU rotations, residents have extensive exposure to a variety of neonatal conditions and receive formal training in both newborn management and resuscitation of critically ill infants. NICU residents have an opportunity to closely interact with neonatal nurse practitioners and physician assistants thereby broadening their overview of other aspects of pediatric health care provision.

Emergency Medicine

At Upstate's Pediatric Emergency Department, residents are the front line with more than 20,000 pediatric patients annually. Here residents are supervised by a board specially trained in Pediatric Emergency Medicine faculty while caring for the critically ill or injured children aged newborn to 18 years. As the region's only dedicated pediatric emergency department and Level-One Trauma Center, residents are exposed to rapid diagnosis and evaluation, suturing, resuscitation and all the excitements that come through the door in a fast-paced facility with state of the art technology.

Inpatient

Patient care and education on the general inpatient service are provided by an academic pediatric hospitalist service. Dedicated hospitalists provide oversight and direct care for the inpatients at Upstate Golisano Children's Hospital. They also provide consultative care to medical and surgical patients. A great deal of the education of residents and medical students is provided by these inpatient specialists.

Developmental Pediatrics

Training in developmental pediatrics includes our outstanding community resources in child development, as well as those at the Center for Neurodevelopmental Pediatrics. The Center is home to services for children with developmental and behavioral problems, as well as cerebral palsy and genetic disorders.

Hematology/Oncology

The Division of Hematology/Oncology cares for infants, children and adolescents with the full spectrum of hematologic and malignant disorders. The clinical activity of the section is based in the Waters Center for Children's Cancer and Blood Disorders (CCCBD). The Waters Center at Upstate Golisano Children's Hospital is the sole pediatric cancer speciality center in Central New York and serves a 21-county area in New York and Northern Pennsylvania. Each year, the center treats more than 700 local children diagnosed with leukemia, tumors, sickle cell anemia and other life threatening diseases.

The division also provides the primary source of patients for the 13-bed in-patient Pediatric Hematology/Oncology unit on 11G with its supporting staff. The division cares for approximately 50 newly diagnosed children with cancer annually and more than 70 children are actively on chemotherapy programs. The division also provides care to children with a wide variety of hematologic disorders on an ongoing basis as well as providing consultative services for regional primary care providers who need assistance caring for children with potential hematologic or oncologic diagnoses.

Subspecialties

The curriculum continues to provide comprehensive training in the pediatric subspecialties. Clinical instruction is available in virtually all the major pediatric medical and surgical subspecialties. Residents have elective time that allows them to create additional experiences in focused areas of the subspecialties. In the third year, residents are able to have a "call free" elective month.

Career-Focused Rotations

We have three distinct pathways intended to provide residents with the skills and knowledge they will use in their careers

  • Advocacy:  Residents can explore opportunities to engage in community pediatrics and participate in advocacy at local, regional, and national levels.
  • Global Health: Residents on this pathway have exposure to caring for global patients locally and abroad, and gain insight into the particular needs of this population.
  • Research: Residents seeking to develop skills in this area have access to a broad range of resources, and can pursue anything ranging from lab-based projects to clinical research and quality improvement.

The keystone of the career pathways is the Primary Care Skills rotation.  It is a career pathway rotation all interns complete. It is designed for interns to gain new knowledge and skills in the areas of advocacy, global health, and research. It combines in-person and virtual learning experiences. Interns choose their desired pathway near the end of the academic year.

International Health

The Pediatric International Health Clinic is a refugee clinic that serves primarily African Refugees from Sudan, Somalia and recently Liberia. These patients present with a unique spectrum of tropical diseases that are not otherwise encountered on a routine basis in a typical North American urban setting.

Child Abuse Referral and Evaluation (CARE) Program

Since 1989, the CARE Program has been providing comprehensive evaluation and treatment to children suspected of being abused or maltreated. The CARE team consists of specially trained and experienced physicians, nurse practitioners, nurses and social workers who work together to assess the social and medical evidence of abuse. The CARE team works closely with community agencies concerned with the welfare of children, including law enforcement, child protective services, Vera House and the McMahon/Ryan Child Advocacy Center. The CARE Program offers a three year child abuse fellowship training program.

Call Schedule

The only 24-hour calls are on weekends (Fri/Sat for interns, Sat/Sun for the rest). Interns have five weeks of night shift on inpatient hospitalist services (no more than two consecutive weeks unless one prefers to schedule four weeks in one stretch). PL-2s have five weeks of night shift (four inpatient hospitalist, one PICU), PL-3s have six weeks (four inpatient hospitalist, two PICU). Only senior level residents take backup calls (aka cover when someone is ill or unable to work). The call schedule is normally released quarterly. 

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