Educational Opportunities

Curriculum

The Department of Pediatrics is committed to providing quality educational experiences at all sites including all our hospitals, outpatient clinics, and during conferences and individualized study programs. You will spend time at All Children's Hospital and Tampa General Hospital during all three years of training and have exposure to numerous faculty, fellows, daily conferences, and other daily educational experiences.

Inpatient Experiences

Wards and Rotations | Newborn Nursery | Neonatal Intensive Care Unit | Pediatric Intensive Care Unit | Additional Rotations

Wards and Rotations

 

ACH general ward team consists of students, interns and senior residents working together with the attending hospitalist. Interns are primarily responsible for up to 8 patients with the senior serving in a supervisory position. The subspecialty team currently consists of senior residents working directly with subspecialist in the management of patients with complex conditions. The TGH ward team is made up of senior residents working with a dedicated hospitalist attending who are directly responsible for the care of all patients admitted to the general pediatric service and subspecialty services. The residents direct and manage patient care, lead teaching rounds, collaborate with ancillary staff and provide education to medical students on the rotation. 

PL1: Interns spend 3 inpatient ward rotations on the general pediatric service at ACH. The inpatient service is staffed by 13 hospitalists who are available in-house 24/7. Family centered rounds are the norm for the inpatient service.

PL-2 and PL3: Residents have greater responsibility during these years. When covering the wards at TGH, they work directly with the medical students and are the only physicians in-house caring for the patients at night with attendings available by phone. Residents are responsible for running rounds and teaching students and interns. Residents also cover several specialty patients including those on the Heme/Onc, Pulmonary and Nephrology service. At ACH, there will generally be two teams, each with a day and night senior. Senior residents run rounds during the day and supervise interns and medical students both during the day and overnight. When on the specialty service, residents care for GI, Pulmonary and Nephrology patients. Residents receive daily teaching from the specialists during this rotation.

An additional role you have is to provide education to 3rd and 4th year medical students. We empower/encourage residents to teach medical students, to develop education and leadership skills, and to enhance medical student education through increased resident interaction.



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Newborn Nursery

The normal newborn experience at TGH consists of a one month rotation in the first year of training at the newborn nursery and post-partum units. The vast majority of the babies "room-in" with their mothers. Under the supervision of the general pediatric faculty and in conjunction with 4 certified nurse practitioners, interns provide care to healthy newborns as well as those in the transition nursery which has 3 monitored beds and up to 8 nursery beds. The transition nursery provides care for infants requiring closer monitoring and increased care such as double phototherapy, iv medications but not requiring NICU care. Residents also spend time in the delivery room where they attend deliveries of infants unlikely to need NICU care but requiring a physician's attendance.

Two interns along with 4 medical students (students rotate weekly) are assigned to the rotation each month. They have access to multiple resources including comprehensive Newborn Nursery Guidelines and utilize EPIC as the EMR. Overnight coverage is provided by senior residents on NICU and Wards. The nursery interns provide weekend day coverage in the newborn nursery and the NICU. During the rotation, residents learn about a variety of common issues such as normal newborn care, breastfeeding, hyperbilirubinemia, presentation of neonatal infections, anemia, and many more. Residents participate in procedures such as lumbar punctures, circumcisions and blood draws during this rotation, as well as spend time with lactation consultations.

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Neonatal Intensive Care Unit (NICU)

Residents rotate through TGH's level III NICU during all three years of training. The TGH experience includes delivery room coverage and provides exposure to a large number of healthy term as well as premature neonates with medical problems. Residents are also exposed to neonates on ECMO. Interns receive increasing number of patients and responsibility during the month. During their first year, residents do not take overnight call or shifts in the NICU. Attendings provide teaching during daily bedside rounds in addition to organized didactics. Fellows and/or faculty are always available for resident supervision. Second and third years provide overnight coverage at TGH NICU.

Senior residents can take one elective month at the ACH NICU. As a 17-county referral center, the 97-bed ACH NICU allows the resident exposure to critically ill neonates including those with complex congenital heart disease. With 72,000 square feet, it provides private rooms for all infants and their families. Second year residents work closely with faculty and nurse practitioners in this unit and take overnight call with a fellow and attending in house.

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Pediatric Intensive Care Unit (PICU)

The ACH and TGH Pediatric Intensive Care Units (PICUs) are multi-displinary, muti-professional, level III units where critically ill children are treated. Residents have two blocks of PICU during their second year of residency. These rotations occur at either hospital with the goal to expose each resident to both sites. During their rotations, the residents are primarily responsible for the direct care of their patients. All resident duties are supervised by a board-certified critical care attending physician who conducts daily bedside rounds and provides on-going teaching. The TGH PICU has 9 beds and the ACH unit has 28 medical beds. In addition, ACH has a 22 bed Cardiovascular Intensive Care Unit (CVICU). Residents interested in Cardiology or Critical Care medicine can choose an elective in this unit. Second and third year residents will take overnight call in these units during their night float rotations.

 

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Additional Rotations

You will spend 1 month is the Emergency Department at ACH during your first and second year of your training. During your  third year, you will have your ER experience at TGH to gain exposure to burns and trauma. You will also have 1 elective month, 1 advocacy month, 2 ambulatory months, and 1 month of Development during your first year. The elective month given during your first year is to assist in career choice. The schedule below shows a typical rotation schedule for each year of training. Osteopathic residents will have a slightly different schedule incorporating a month of pediatric surgery and outpatient medicine into their first year.

2014-15 Rotation Schedule

PL1

PL2

PL3

Wards
3 blocks

Wards
2 blocks

Wards
3 blocks

NICU
2 blocks

Subspecialty
1 block

Multi-Ward/ subspecialty/ newborn/ER/Ambulatory
1 block

Advocacy
1 block

PICU
2 blocks

Ambulatory
2 blocks

Ambulatory Clinic
2 blocks

Ambulatory/Elective/Night Float
2 blocks

Emergency Medicine
1 block

Emergency Medicine
1 block

Emergency Medicine/Night Float 
1 block

Electives
5-6 blocks

Newborn nursery
1 block

Adolescent Medicine
1 block

 

Elective
1 block

Development or Advocacy
(or as PL1)
1 block

 

Development
1 block

Electives
2-3 blocks

 

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