ACH general ward team consists of students, interns and senior residents working together with the attending hospitalist. Interns are primarily responsible for up to 7 patients with the senior serving in a supervisory position. The subspecialty team currently consists of senior residents and students 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. Some months there is a senior resident solely assigned to teaching.

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.

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.

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 located within the Neonatal Intensive Care Unit (NICU). The transition nursery provides care for infants requiring closer monitoring and increased care such as cardio-respiratory monitoring and observation for neonatal withdrawal symptoms. 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 3 medical students (on a weekly rotation) are assigned to the service each month. Some months there is also a senior nursery resident. 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 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 circumcisions and frenulectomies during this rotation, as well as spend time with lactation consultations.

Interns spend two months in the NICU and senior residents provide night coverage along with fellows and ARNPs. 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. Interns receive increasing number of patients and responsibility during the month. During their first year, interns do three overnight calls to augment their daytime experience. Attendings provide teaching during daily bedside rounds in addition to organized didactics. Fellows and/or faculty are always available for resident supervision.

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.

The ACH and TGH Pediatric Intensive Care Units (PICUs) are multi-disciplinary, multi-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.