Nearly all Pediatric training takes place at Wesley Medical Center, the single busiest hospital in Kansas. The pediatric service includes a 43-bed general pediatric floor, and a 12-bed pediatric intensive care unit with plans to expand to a new 28-bed unit in the future. There is also pediatric sedation, pediatric ambulatory surgery, and the only pediatric emergency room in Kansas. The total number of admissions to the general pediatric floor for 2006 was 3181. In 2007 there were 1044 PICU admissions, with an average daily census of 7 patients. As for neonatal care, approximately 6,000-7,000 babies are born at the medical center each year, the most in a 7-state area excluding Texas. The Perinatal Center is a referral base for 23,000 deliveries across Kansas and surrounding states. Wesley has 46 labor rooms and 5 OR's, and regularly handles high- and low-risk deliveries. The Level 3 Neonatal Intensive Care Unit and Special Care Nursery encompass 62 beds dedicated to premature and critically ill infants. NICU physicians respond to more than 750 admissions annually. Internship in Pediatrics lasts nine months, after which senior resident duties begin.
Five months on the general pediatrics service are required, four of which are completed at intern level. Four months of critical care, and two months of normal newborn - one as supervisor - are also required. Interns are responsible for the day-to-day management of their patients, while seniors have a supervisory and educational role, and are responsible for every patient on the service. On Pediatrics, as on medicine, there are no subspecialty wards, so residents are regularly responsible for a very wide range of pathology and presentations. In contrast to Medicine, however, the PICU and NICU are closed units; residents on the general service resume care when their patients return. Call while on inpatient services usually averages every 4th to 5th night. Two two-week periods a year on night float are required for senior residents. In keeping with the realities of general practice, a greater percentage of Pediatrics training takes place in the ambulatory setting, both at the residency clinic, and through a variety of other outpatient experiences. Med/Peds residents have a half day clinic every other week (alternating weekly with Medicine) while on most inpatient services, and half day every week while on electives and other rotations.