Rotations

Curriculum | Rotations | Call, Conference & Didactic Schedule | Outpatient Pediatric Clinic


Inpatient Service

Because of the hospital location, the referral area extends from the western border of Kansas, across part of Oklahoma, and includes the north-central area of the state. Residents experience a wide range of pathology with varying levels of acuity. Because of the program size, residents work directly with subspecialists and there are no fellows "competing" for patient care.

  • The team consists of a senior resident (PGY-2 and a PGY-3), 3-5 junior residents (PGY-1) and 1-2 medical students.
  • PGY-1 residents are expected to round on a maximum of 8 patients per day.
  • Residents provide care for the residency clinic, private pediatric and hospitalist service patients, as well as subspecialist patients and consults.
  • Family-centered rounds, which include faculty attending(s), residents, pediatric pharmacist, and case manager (social worker).
  • Clinical assistant available to aid residents in coordinating outpatient/inpatient care.

Sedations/Procedures

Along with taking part in a variety of procedures, residents on sedations are working alongside a pediatric intensivist and managing the sedation of patients. Residents also run a hospital-wide code scenario during this rotation.

  • Team consists of PICU attending, a resident and dedicated nurses.
  • Assist with administering medications for conscious/deep sedations.
  • Participate in procedures, including IV starts, bladder catheterization, lumbar punctures, as well as assist with bronchoscopies and EGDs, circumcision, and many other procedures.
  • Afternoons are spent with pediatric surgeons, PT/OT and audiology/speech therapy.

PICU

KUSM-W is one of the programs that allows first-year residents to rotate in the PICU. This experience provides residents the opportunity to increase their knowledge base even more by the end of their first year.

  • PICU team consists of PICU attending, 1-2 residents and medical students.
  • PICU is a 12-bed unit.
  • Ample experience with ventilators, procedures (central lines, intubations), and 2 CRRT (continuous renal replacement therapy) machines.
  • Patient load is diverse, including medical, trauma, surgical, and high acuity transfers from multiple outlying hospitals.

Night Shift / Acute Care Resident

  • This rotation is divided into 2 weeks of night shift and 2 weeks as the acute care resident in the pediatric clinic.
  • With support from pediatric intensivists and hospitalists, the night shift resident has experience in making autonomous decisions, in addition to supervising the junior resident.
  • The acute care resident is in the clinic Monday-Friday, primarily seeing sick visits.

Emergency Department

Residents work in the dedicated pediatric ED as a team with the child life specialists, a skilled nursing staff, and a pediatric emergency medicine attending.

  • Level 1 Trauma Center and has the only Pediatric ED in Kansas.
  • All shifts are covered during evenings and weekends and include no call responsibilities.
  • The Pediatric ED provides ample opportunities for the performance of procedures, including splinting, suturing, I&Ds, foreign body removals, LPs, intubations, bladder catheterization, and IV starts.
  • The rotation includes ambulance ridealongs.

Ambulatory

Many of the clinics, including the obesity clinic, offer multidisciplinary care for patients in one visit. For example, patients are scheduled with their physician, a healthy steps coordinator and the dietician in one visit.

  • Opportunity to gain a solid understanding of outpatient general pediatrics.
  • Experience in obesity clinic, telephone triage, hemoglobinopathy clinic, PKU, and failure-to-thrive clinic.

Community Medicine

  • Opportunity to visit agencies providing community services to our patients, including WIC and other agencies tailored to resident interests.
  • Experiences consist of an underserved pediatric clinic, PKU clinic, as well as child abuse, Hgb, orthopedic, scoliosis, cerebral palsy, cystic fibrosis, asthma, and spina bifida clinics. Additionally, participate in PT/OT/ST clinics, lactation consults, and communication sciences disorders.

Adolescent Medicine

  • Experiences in the KU Adolescent Clinic, juvenile detention facility, and orthopedic clinic.
  • Experience in STI testing, reporting, and counseling.
  • Genetics telemedicine and rheumatology clinics are also incorporated into this rotation.

Developmental and Behavioral Pediatrics

  • Exploring a wide range of services and diagnoses.
  • Working with the medical team at Heartspring, an inpatient and outpatient school/center for children worldwide with autism, mental retardation, and severe behavioral problems. Heartspring focuses on helping special needs children grow and learn to live more independently.
  • ADHD and cognitive behavioral therapies are extensively explored.
  • 1 faculty member board certified in Pediatrics, Neurodevelopmental Disabilities and Developmental-Behavioral Pediatrics and another faculty member board certified in Pediatrics and Developmental-Behavioral Pediatrics.

Newborn

More babies are delivered at Wesley Medical Center than at any other facility in a 13-state region. The high volume of deliveries at Wesley means that our residents graduate with lots of experience and a high level of competence in caring for newborns. 

  • Team consists of 1 attending, 1 dedicated nurse practitioner, and 1-3 residents.
  • Initial assessment of term to near-term infants.
  • Daily rounding of normal newborns and infants in the special care nursery.
  • Triaging common postnatal medical problems.
  • Ample opportunity for circumcisions.

NICU

  • Level III NICU.
  • 62 beds dedicated to premature and critically ill infants.
  • Referral base for 23,000 deliveries across Kansas and surrounding states.
  • One of over 360 centers included in the Vermont-Oxford DataBase.
  • More than 750 admissions annually.
  • Rounding on 6-8 patients one-on-one with a NICU attending.
  • NICU attending in-house 24 hours a day.

Electives

Residents select a minimum of four one-month rotations from the following required pediatric subspecialties:

  • Allergy/Immunology
  • Cardiology
  • Child Abuse
  • Endocrinology/Metabolism
  • Gastroenterology
  • Hematology/Oncology
  • Infectious Disease
  • Neurology

The remaining subspecialty experience may be selected from the remaining subspecialties in the above list and from the following list:

  • Child Psychiatry
  • Critical Care (PICU)
  • Dermatology
  • Genetics
  • Global Health
  • Ophthalmology
  • Orthopedics
  • Otolaryngology
  • Pediatric Surgery
  • Pharmacology
  • Radiology
  • Research
  • Rheumatology

Rotations at off-site locations are often granted with permission from the GME office and the program director.

Last modified: Aug 09, 2017
Contact Us

Department of Pediatrics
KU School of Medicine–Wichita
3243 E. Murdock, Suite 402
Wichita, KS 67208

Phone: 316-962-2250
Fax: 316-962-7679

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