The First Year: The Basics
The internship year is designed to provide experience and education pertaining to all aspects of general care of the hospitalized and ambulatory pediatric patient. Rotations through the Greenberg Pediatric Pavilion allow comprehensive care of the diverse Komansky Center for Children's Health inpatient population, while ambulatory experience is gained through time spent at the outpatient clinics.
Four-five blocks are spent in the general pediatrics inpatient unit, where interns are exposed to a wide cross-section of inpatient issues.
Two blocks are spent in the pediatric emergency room, giving interns a feel for the important bridge between inpatient and outpatient care, and providing valuable experience with simple pediatric procedures.
One-two rotations through the general pediatric oncology service at Memorial Sloan Kettering Cancer Center (MSKCC) provide an in-depth education regarding the care of oncology patients.
Two-three rotations at NewYork-Presbyterian/Queens (NYPQ) provide interns with experiences in community hospital-based pediatrics.
One rotation in the newborn nursery provides necessary experience in the care of well newborns and their families. Interns gain experience in the management of hyperbilirubinemia, hypoglycemia and other newborn conditions. Delivery room experience is gained during this rotation.
Ambulatory rotations in pediatric cardiology and pediatric neurology provide sub-specialty experience while emphasizing those skills required by the general pediatrician.
One block is devoted entirely to primary care, at one of our three outpatient continuity clinic sites.
The Second Year: Intensity & Leadership
The second-year resident spends much of their year in an increasingly independent and supervisory role in multiple settings.
- One block in Pediatric ED allows for further refinement of diagnostic and procedural skills learned during the previous year.
- One-two blocks of Neonatal ICU, allowing for further expansion of knowledge base in newborn medicine and experience with neonatal procedures
- One-two blocks of Pediatric ICU introduce the resident to the management of complex, critically ill children. Residents gain familiarity with the management of post-operative cardiology, oncology, neurosurgery and orthopedic patients, as well as many other common and uncommon conditions requiring acute monitored care.
- Junior residents at MSKCC have a senioring role on the oncology team".
- Two blocks at NewYork-Presbyterian/Queens, where residents gain experience in community pediatrics and advocacy. Residents develop clinical and supervisory skills including a senioring role during this rotation.
- One block of anesthesia selective allows residents to further gain experience in sedation, airway management and intubation in a controlled setting working closely with pediatric anesthesiologists.
- One block of primary care, at one of our three outpatient continuity clinic sites
- The Hospital for Special Surgery, where residents focus on musculoskeletal diseases, i.e. orthopedics, rheumatology and sports medicine in both the inpatient and outpatient settings
- Four blocks of Individualized learning - residents choose, in consultation with the program director, ambulatory-based selective and elective experiences to meet their learning needs and career choices (rotations include gastroenterology, hematology/oncology, endocrinology, sports medicine, genetics, autism, radiology, global health, research, ophthalmology, otolaryngology, dermatology and rheumatology)
The Third Year: Independence & Training
The senior resident is allowed an increased level of responsibility and independence in both patient care and in teaching the other house officers and medical students.
- One block on the NYP general inpatient unit, where the senior resident is given the opportunity to exercise his/her independence as an educator and supervisor
- One block of resident-as-teacher selective - emphasis is placed on precepting medical students in the outpatient clinic, working with students on the inpatient unit on written and oral case presentations, and students' evidence-based medicine presentations (the resident also focuses on teaching in larger groups, i.e. journal club, morning report)
- One block in the Pediatric ED, where senior residents demonstrate their decision-making skills and ability to act independently (teaching skills are further honed)
- One block in the Neonatal ICU - senior residents gain experience in management of the most premature infants, and continue to expand their knowledge base and experience with neonatal procedures
- One-two blocks in the PICU, where residents are encouraged to think and act with increasing independence (during this rotation, the focus is on preoperative and postoperative cardiac care)
- One block of adolescent medicine solidifies the PGY-3's proficiency in caring for the teenage patient.
- Three blocks of individualized learning - residents choose, in consultation with the program director, ambulatory-based or inpatient selective and elective experiences to meet their learning needs and career choices (rotations include infectious disease, renal, general pediatrics, sports medicine, research, genetics, autism, radiology, pediatric burn medicine, global health, ophthalmology, otolaryngology, dermatology and rheumatology)
- One block of primary care at one of our three outpatient continuity clinic sites.
- Two blocks consist of two-three weeks of night shifts as team leader of an NYPH inpatient unit, with a remainder of time in ambulatory clinics.