Curriculum | Rotations | Call, Conference & Didactic Schedule | Outpatient Pediatric Clinic
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.
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.
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.
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.
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.
- 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.
- 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.
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.
- 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.
Residents select a minimum of four one-month rotations from the following required pediatric subspecialties:
- Child Abuse
- Infectious Disease
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)
- Global Health
- Pediatric Surgery
Rotations at off-site locations are often granted with permission from the GME office and the program director.
Aug 09, 2017