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Training the Leaders in Pediatric Medicine






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Training the Leaders in Pediatric Medicine Training the Leaders in Pediatric Medicine Document Transcript

  • Mission To graduate leaders in primary care, subspecialty or general academic pediatrics who will make a difference in the lives of children and in their communities. Goals • To provide superb training in general pediatrics • To offer a balanced and comprehensive curriculum • To foster individual career development and choice • To graduate leaders in pediatrics CONTENTS Welcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 General Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Clinical Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Resident Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Professional Development . . . . . . . . . . . . . . . . . . . . . . . . .9 Experience Ann Arbor . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 How to Apply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 The University of Michigan Department of Pediatrics and Communicable Diseases www.med.umich.edu/pediatrics/edu/res.htm
  • Welcome AT THE UNIVERSITY OF MICHIGAN, OUR RESIDENTS BECOME COMPETENT, CONFIDENT PEDIATRICIANS W hy consider Michigan for your pediatric residency? Quite simply: Because we provide an exceptional opportunity, no matter what your career path — primary care pediatrics, academic pediatrics, subspecialty pediatrics or pediatric research. Our plan is for you to emerge from our program as a competent, confident pediatrician, ready to assume a leadership role on behalf of children. Pediatric training at the University of Michigan Health System is a progressive experience that offers you more independence, more teaching opportunities and more supervisory roles as you proceed through our program. Our residents have gone on to do great things in pediatric medicine. You can find our alumni all over the world — and right here in Michigan. But, whatever their path, one thing is certain. Time and time again, they talk about their experiences here, and how well Michigan prepared them for whatever their work is today. We invite you to explore our programs further by visiting us on the Web. All of our Internet resources are listed on page 12. But we would really like you to come for a visit! That is when you will get to see first-hand why we are one of the top-ranked pediatric programs in the country. Premier Workplaces calls Welcome! the University of Michigan Health System one of the nation’s 10 Premier Health Valerie P. Castle, M.D. Care Employers. (U-M Fellowship, Pediatric Hematology/Oncology ’90) Chair, Department of Pediatrics and Communicable Diseases Ravitz Foundation Professor of Pediatrics and Communicable Diseases Pediatric Residencies 1
  • General Pediatrics at the University of Michigan THE START TO A GREAT CAREER D uring your University of Michigan pediatric residency, you will receive superb training in inpatient care, ambulatory care, critical care and emergency pediatrics. You also will develop knowledge and skills in the critical evaluation of pediatrics literature, evidence-based medicine, medical ethics, and the sociocultural and legal aspects of pediatric medicine. We can guarantee one thing: Your time at Michigan will be a time you will cherish — with experiences and people you will never forget. “You’ll see pathology and all of the ‘bread and butter’ pediatrics you need, while being treated like a human Your First Year being by a department that During your first year of residency, you will be involved in really takes an interest in your direct patient care and will acquire theare essential for the technical skills and competencies that basic knowledge, life and career plans.” care of newborns, infants, children and adolescents. You will be the primary physician on all of the inpatient units Elizabeth Bird, M.D., Chief Resident ’05-06 and will mentor and work closely with our third-year medical students. Under the guidance of senior residents and faculty, you will The Crash Course gain excellent experience in patient management. Rotations include: As a new resident, your time at Michigan begins with our popular “Crash Course.” Held in July and August of your • General inpatient pediatric services incoming year, this program covers management of • Neonatal Intensive Care Unit (NICU) pediatric emergencies, core pediatric skills, and the fundamentals of inpatient and primary care. With this • Inpatient hematology-oncology comprehensive review under your belt, you will begin your • Normal newborn nursery pediatrics training with confidence. • Behavioral/developmental pediatrics All handouts are available online for reference throughout • Pediatric Emergency Department the year. • The first month of your Pediatric Community Health sequence 2 Pediatric Residencies
  • CHILD MAGAZINE TWICE NAMED C.S. MOTT CHILDREN’S HOSPITAL ONE OF THE BEST CHILDREN’S HOSPITALS IN THE NATION! Your Second Year As a result of the comprehensive training you received in your first year of residency, you will function with increasing autonomy and begin to take on a supervisory role. Under the guidance of fellows and attendings, you will act as a senior resident in the Neonatal Intensive Care Unit and on the inpatient hematology-oncology service, where you will manage teams of interns and students in the care “University of Michigan’s of ill patients. With backup from in-house third-year residents and attending hospitalists, you will admit patients pediatrics program is stellar. as a resident on the night team. I received excellent general You also will rotate through our Pediatric Intensive Care pediatrics training coupled Unit (PICU) and work more independently in our award-winning Pediatric Emergency Department. Your with very rigorous subspecialty ambulatory care experience will include a one-month rotation in adolescent medicine and the second month of training and exposure to both Pediatric Community Health. inpatient and outpatient As you continue to explore your career interests, you will medicine. And, I was able to select from a large number of subspecialty electives that combine inpatient consultation with the ambulatory craft a program that fit my management of pediatric problems. interests.” Tracy Richmond, M.D. (U-M Residency ’03) Division of Adolescent Medicine Children’s Hospital, Boston Pediatric Residencies 3
  • Your Third Year “What I like best about my You will function in a supervisory capacity and pursue an individually arranged schedule that complements your residency is the exposure to personal career goals. Your third year will have several many different specialties rotations on the general inpatient wards as the within pediatrics, the fun THE MICHIGAN supervising senior resident in charge of the service. You DIFFERENCE working environment, and will strengthen your intensive On all of our inpatient the good relationships with care training in the NICU services, Resident Assistants and PICU. obtain patient records, the attendings and staff. We schedule tests and Other assignments include procedures, and assist with get to work with the experts discharge planning — continuing autonomy and responsibility in the Pediatric maximizing the time you in their fields. And I feel that spend directly with Emergency Department, a patients and families. I’m getting experience in so month of exposure to pediatric surgery and acting as many diseases and specialties the most senior member of the night team. You will be regarded as a central part that when I see them in my of our instructional program — sharing responsibility for own practice, I’ll be ready to teaching rounds and providing consultation to junior residents and medical students. handle them.” You will have a great deal of flexibility in scheduling your Patrick R. Gordon, M.D., House Officer III remaining electives. A variety of individualized and off-site electives will help you round out your third-year experience and enable you to tailor your training to your career interests. These include opportunities to pursue child Four-Year Combined Internal advocacy, international experiences and to learn more about the business of primary care. Medicine-Pediatrics Program We offer one of the nation’s We encourage you to visit the University of Michigan first combined Internal Hospitals and meet our residents, faculty and staff. Medicine-Pediatrics THE MICHIGAN Programs. The combined DIFFERENCE program allows you the 97% of our residents opportunity to complete pass their Pediatrics Board certification requirements in examination — one of the highest pass rates in both areas within four years. the nation! More information can be found at the Web address on page 12. DURING YOUR RESIDENCY, WE WILL CERTIFY YOU IN NEONATAL RESUSCITATION, PEDIATRIC ADVANCED LIFE SUPPORT (PALS) AND ADVANCED CARDIAC LIFE SUPPORT (ACLS). AND, WE WILL SUPPORT YOU IN MAINTAINING YOUR CERTIFICATIONS THROUGHOUT YOUR TRAINING. 4 Pediatric Residencies
  • The Clinical Environment THE BEST DOCTORS AND THE BEST TRAINING ARE AT MICHIGAN State-of-the-Art Pediatric Care 294 UNIVERSITY OF MICHIGAN PHYSICIANS NAMED BEST DOCTORS IN AMERICA, 2005-2006 W e are one of only two academic medical centers in Michigan that trains specialists in pediatric emergency medicine. And our Level 1 Trauma Certification makes us the care destination for the most critically ill and injured Clinical children in Michigan. In 2005 alone, there were more than 20,220 emergency visits by infants and children under Simulation 18 to U-M Children’s Emergency Services. More than 5,380 Center of these cases were serious trauma cases. We also are a Our infant, child and national center for Pediatric Emergency Medicine Research. adult “human patient simulators” reproduce amazingly accurate physiological responses to disease states and medical interventions — providing you with an excellent, risk-free, hands-on education in critical care, trauma management and procedure skills. The simulators are programmable and can re-create a multitude of patient scenarios, while you learn valuable clinical and decision- making skills in areas such THE MICHIGAN as airway and ventilator DIFFERENCE management, and Our Pediatric Mock Code intubation. Program emphasizes the facets of team leadership that are Faculty and clinical critical for successful researchers also use the resuscitation. We also use the Clinical Simulation Center Program to evaluate any to conduct scientific and system changes (including personnel), resuscitation outcomes-related research. protocols and equipment before use in actual codes — ensuring optimal patient safety. Survival Flight Our air medical service, Survival Flight, has transported more than 20,000 critically ill newborns and children to the U-M via helicopter, airplane and specially equipped ambulance. Both Elmo and ECMO are on board. Pediatric Residencies 5
  • Standardized Patient C.S. MOTT CHILDREN’S HOSPITAL WAS ONE OF THE FIRST HOSPITALS IN THE NATION Instructor Program TO PROVIDE CHILD LIFE SERVICES AND TO We were one of the first medical schools in the country to HAVE A HOSPITAL SCHOOL. put into practice a formal Standardized Patient Instructor (SPI) program, and we now incorporate SPIs in residency TODAY THE HOSPITAL IS LEADING THE NATION training as well. We train our SPIs to accurately portray a BY PROVIDING PATIENTS WITH BEDSIDE specific patient role, assess the resident’s clinical skills and provide performance feedback. You will learn to obtain COMPUTERS. PATIENTS AND FAMILY CAN informed consent, break bad news, and cope with difficult ACCESS THE INTERNET, USE E-MAIL, WATCH or dangerous situations — skills critical to your future career. DVDS, PLAY GAMES AND USE EDUCATIONAL SOFTWARE TO KEEP UP WITH SCHOOL. Votes of Confidence for New Hospital Demand for our services is so high that we are building a PEDIATRIC STATISTICS new state-of-the-art hospital. The $523 million, 1.1 million 8,117 Discharges square foot children’s hospital and women’s hospital facility C.S. Mott Children’s Hospital will answer these demands, while anticipating advancements and Holden NICU in pediatric care for the 21st century. 384 Discharges — Child Psychiatry 257,900 Clinic Visits — Pediatric and Subspecialty 8,404 Total Operating Room Cases (3,699 Inpatient and 4,705 Outpatient) Rendering of new C.S. Mott Children’s and Women’s Hospital – expected completion 2011. 6 Pediatric Residencies
  • Resident Research at Michigan INTERESTED RESIDENTS HAVE UNLIMITED OPPORTUNITIES W hile we do not require our residents to participate in research, we will provide you with great opportunities to participate substantively in cutting-edge research if you are interested. We offer: • Individual research electives • Competitively awarded research grants • Nationally recognized faculty mentors THE MICHIGAN The Department encourages DIFFERENCE you to submit abstracts resulting from work At $775 million a year, the University of Michigan has conducted during your one of the largest annual residency, and will provide research expenditures of any financial support for travel university in the country. Our to present your work if your Medical School receives the largest portion of funding — “During my third year, I had abstract is accepted. $300 million each year. The University of Michigan Health a research month where We also support resident attendance at American System ranks 11th in the nation in National Institutes I conducted a meta-analysis Academy of Pediatrics conferences and other of Health funding. of a method to prevent professional organizations ventilator-acquired such as the Pediatric Academic Societies, the National Medical Society and the Student National Medical pneumonia. My work from Association. that month resulted in two first-author publications and NINETY-SEVEN U-M FACULTY CURRENTLY valuable connections. My CONDUCT PEDIATRIC RESEARCH WITH MORE THAN $84 MILLION IN GRANT FUNDING. mentors at Michigan were knowledgeable, experienced Research Pathways and very helpful.” If you already have a strong background in research and Cameron Dezfulian, M.D. (U-M Residency ’03) want to continue your career in pediatric research, special pathways are available to provide training options and Clinical Fellow, Critical Care Medicine Dept. flexibility. National Institutes of Health Pediatric Anesthesia and Critical Care Medicine Division Johns Hopkins Hospital, Baltimore Pediatric Residencies 7
  • The Child Health Evaluation “After having interviewed and Research (CHEAR) Unit at several institutions for CHEAR is the largest child health services research unit in fellowship, I now realize how the United States and is an official research arm of the American Board of Pediatrics. Since 1999, CHEAR has well respected U-M is in received more than $25 million in research grants, and CHEAR has the first and only NIH-funded pediatric health the academic world. From services research fellowship in the country. the availability of mentorship, to the opportunity to begin an academic career, U-M provides all the necessary tools to assist residents in following their career path.” Peter Aziz, M.D., House Officer III Future Pediatric Cardiology Fellow 8 Pediatric Residencies
  • Professional Development PREPARED FOR LIFE AFTER MICHIGAN On average, O ur training will not only prepare you to be a better resident — it will prepare you for the approximately most important time of all: your career after one-third of our residency. graduating residents enter Our comprehensive professional development THE MICHIGAN subspecialty DIFFERENCE training each year curriculum will span all years and an additional of your residency. And one of We offer a core curriculum in one-third choose the best things about our managed care, leadership, quality improvement, practice careers in primary program is its flexibility. We management, teaching skills care practice. In design our program to meet and attention to many issues recent years, your needs. that are not often a major many of our graduating residents have chosen positions focus in pediatric education. as pediatric hospitalists. Other residents have entered Here are a few highlights of the Michigan program: academic general pediatrics, become Robert Wood Johnson Clinical Scholars, joined the Public Health Service, become • Assisting you in considering, choosing and achieving involved in international health or returned to basic your individual career goals science research. The various directions our graduates have • Developing your teaching skills taken highlight our commitment to helping each resident identify the career path that is right for them. • Training you to be a competent, ethical leader • Teaching you about health care finance, managed care and quality improvement Residents as Teachers WHERE THEY ARE NOW Through the Residents as Teachers Program 2003-2005 GRADUATES* series, you will learn adult learning strategies, hands-on teaching tools and the skills necessary to provide effective feedback and evaluation. The program highlights straightforward, time-efficient methods to enhance learning interactions among medical students, residents and faculty. The Program is especially valuable as you take on greater supervisory and training roles. Life After Residency Our workshops prepare you for life after residency — and address the specific skills required to secure the right position for you. You will learn how to prepare a stellar curriculum vitae, interview with ease, understand and effectively manage financial *Represents locations for nearly 70 residents issues, and negotiate a contract you can live with. Pediatric Residencies 9
  • Experience Ann Arbor SMALL CITY WITH COSMOPOLITAN APPEAL S ome call Ann Arbor one of America’s best kept 14,000 GRADUATE AND PROFESSIONAL secrets. Others call it the Paris of the Midwest. While we might not go that far, we do like to acknowledge STUDENTS CALL ANN ARBOR HOME. that this city of 114,000 residents and 39,000 STUDENTS IN MEDICINE, LAW, BUSINESS, students has a great deal to offer — and many surprises. NURSING, SOCIAL WORK AND U-M’S OTHER We like the fact that it’s as easy to get tickets to see pianist Murray Perahia perform Bach’s English Suites in the GRADUATE AND PROFESSIONAL PROGRAMS marvelous Hill Auditorium as it is to stroll any of Ann FIND A LOT TO DO IN OUR CITY. Arbor’s 200 parks, take the kids to the Hands-On Museum, shop with your mother-in-law at Gap for Kids, or enjoy a venti double-caf latte at one of our 40 coffee bars. The beauty of Ann Arbor is that one minute you can be enjoying a chocolate-chip cookie-dough ice cream cone at the non-franchise Washtenaw Dairy, and the next, you could be sitting in the grand Michigan Theatre watching the Royal Shakespeare Company’s Julius Caesar. And traffic isn’t all that bad, either. There are about 200 restaurants of every ethnic variety, hundreds of bike paths and parks, an award- winning public school system, at least 20 major arts and music festivals and 100 places to worship. Well, you get the picture. Whether you’re single, married or partnered, with And if you’re single, you’ll love Ann Arbor. Every night, or without children, Ann you can enjoy live music at the Cavern Club, the Ark or the Arbor is a great place to live Blind Pig, or go to one of Detroit’s jazz, techno or urban and work. But don’t take music clubs. Join the Ann Arbor Ski Club, where you don’t our word for it. Visit us! even have to ski but get to enjoy the group’s many singles’ events. Sperling’s Best Places ranks Ann Arbor as one of the Top 10 Best Cities for Dating. 10 Pediatric Residencies
  • VIVE LA DIFFÉRENCE, ANN ARBOR! MONEY Magazine 2006 15th Best Place for Singles 25th Best Place to Live CNNMoney.com Best Places to Live 2005 BestJobsUSA.com ranks Ann Arbor #10 Ladies’ Home Journal #3 Best Cities for Women (Small Cities category) ReliaStar Financial Corp. 2002 #3 Best City to Earn and Save Money Zagat’s 2006 America’s Top Restaurants names Zingerman’s Delicatessen and the nearby Common Grill as two of the top restaurants in the country Area Companies/ Real Opportunities If your significant other works in education, biotechnology or a high-tech field, Ann Arbor just could be the place! And keep in mind the University of Michigan itself — we’re the area’s largest employer. Others include: • Borders Books Group • Domino’s Pizza Corporate Offices • Eastern Michigan University plus 10 other area colleges and universities • Google Corporation • Pfizer Pharmaceuticals Research and Development • St. Joseph Mercy Health System • Many large and small high-tech firms Pediatric Residencies 11
  • How To Apply TAKING YOUR RESIDENCY SEARCH TO THE NEXT LEVEL Visit Us Online • Learn about our program and department at www.med.umich.edu/pediatrics/edu/res.htm • Learn more about the Clinical Simulation Center at www.med.umich.edu/umcsc/ • There’s more about the Child Health Evaluation and Research Unit (CHEAR) at www.med.umich.edu/mott/research/chear.html • More about Survival Flight is available at www.med.umich.edu/survival_flight • Check out our combined Internal Medicine-Pediatrics Program and the opportunity to complete certification requirements in both areas within four years at www.med.umich.edu/intmed/med-peds/ • Visit Ann Arbor online at www.annarbor.org/ Better yet, visit in person! T his is the University of Michigan Pediatrics Residency: Great faculty and fellow residents; top-notch research; state-of-the-art facilities; more than 8,000 hospital admissions, 3,800 births, and TO BE CONSIDERED FOR A U-M 257,000 pediatric and subspecialty visits per year; and a PEDIATRIC RESIDENCY BY OUR SELECTION great mix of primary and tertiary cases. The only thing COMMITTEE, PLEASE MAKE SURE THAT YOU missing is you! MEET OUR ELIGIBILITY CRITERIA. Come and be a part of the Michigan Difference! Read our policy on Resident Eligibility and Selection During your interview, you will tour the University of at www.med.umich.edu/pediatrics/edu/apply.htm Michigan Health System and our Department of Pediatrics, and meet with several of our faculty and current residents. We do not schedule interviews during the December holiday break, and we complete our interviewing season in late January. 12 Pediatric Residencies
  • “What I like best about the Pediatric Residency Program is that it's an academic program with faculty and staff who are very knowledgeable in not only their fields of specialty, but also in general pediatrics. But more importantly, they are approachable and willing to work through cases and concepts with the residents, students and fellows. I also like the fact that all of my fellow residents are colleagues and friends.” Yaa Ohene-Fianko, M.D., House Officer III “Take an opportunity to visit the University of Michigan. Michigan is a place where you will see all patients and find supportive faculty who truly care about your future.” Kristen M. Snyder, M.D. (U-M Residency ’03) Clinical Fellow, Pediatric Hematology/Oncology Johns Hopkins Hospital, Baltimore Pediatric Oncology Branch National Cancer Institute Executive Officers of the University of Michigan Health System: Robert P. Kelch, Executive Vice President for Medical Affairs; James O. Woolliscroft, M.D., Interim Dean, U-M Medical School; Douglas Strong, Chief Executive Officer, U-M Hospitals and Health Centers; Zelda Geyer-Sylvia, Executive Director and CEO, M-CARE The Regents of the University of Michigan: David A. Brandon, Laurence B. Deitch, Olivia P. Maynard, Rebecca McGowan, Andrea Fischer Newman, Andrew C. Richner, S. Martin Taylor, Katherine E. White, Mary Sue Coleman (ex officio) The University of Michigan, as an equal opportunity/affirmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action, including Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973. The University of Michigan is committed to a policy of nondiscrimination and equal opportunity for all persons regardless of race, sex*, color, religion, creed, national origin or ancestry, age, marital status, sexual orientation, disability, or Vietnam-era veteran status in employment, educational programs and activities, and admissions. Inquiries or complaints may be addressed to the Senior Director for Institutional Equity and Title IX/Section 504 Coordinator, Office for Institutional Equity, 2072 Administrative Services Building, Ann Arbor, Michigan 48109-1432, 734-763-0235, TTY 734-647-1388. For other University of Michigan information call 734-764-1817. *Includes discrimination based on gender identity and gender expression. Copyright ©2006 The Regents of the University of Michigan, Ann Arbor, Michigan 48109 Produced by the Department of Public Relations and Marketing Communications 08-06/1800
  • University of Michigan Health System Department of Pediatrics and Communicable Diseases 734-764-1258 www.med.umich.edu/pediatrics/edu/res.htm