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Role of Pediatrics in the Med-Peds Residency
 

Role of Pediatrics in the Med-Peds Residency

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    Role of Pediatrics in the Med-Peds Residency Role of Pediatrics in the Med-Peds Residency Presentation Transcript

    • Pediatric Residency Children’s Hospital MetroHealth Medical Center Abdulla Gori, MD, FAAP, MRCP (UK) Program Director, Pediatrics
    • Greetings from my colleagues at MHMC
      • MetroHealth Med Ctr
      • Pediatrics Department
      • Residency Aspects
    • MetroHealth Medical Center
      • 731-bed teaching hospital
      • Comprehensive outpatient surgery center
      • Two long-term care/skilled nursing centers
      • 10 community health sites
    • MetroHealth Medical Center
      • 9,140 ambulatory surgeries
      • ~80,000 ED visits
      • Metro Life Flight logged 3,269 transports
      • Nearly 6000 staff
      • 399 physicians; 1,050 registered nurses
      • 350 physicians in training
    • Pediatrics Department
      • History
      • Established in 1922, joint department with University Hospital
      • Autonomous department in 1950
      • Autonomous Pediatric Residency training since 1986
    • Pediatrics Department
      • Patient Volume and Beds
      • Total hospital beds - 731
      • Active beds - 585
      • Total Pediatric beds - 147(25%)
        • In-patient unit - 44
        • Level III NICU - 45
        • Term Nursery and step down - 48
        • Level I PICU - 10
    • Pediatrics Department
      • The numbers
      • 3500-4000 deliveries per year
      • >3500 in-patient admissions per year
      • 835 PICU admissions per year
      • 700 NICU admissions per year
      • 57,000 Pediatric out-patient visits per year
    • Pediatrics Department Sub-specialties available on site
      • Neonatology
      • Pediatric Critical care
      • Adolescent Pediatrics
      • Comprehensive care
      • Pediatric Cardiology
      • Pediatric Pulmonology
      • Pediatric Gastroenterology
      • Pediatric Hematology
      • Pediatric Nephrology
      • Pediatric Neurology
      • Pediatric Infectious Diseases
      • Pediatric Endocrinology
      • Pediatric Psychiatry
      • Genetics/Metabolism
      • Pediatric Allergy and Immunology
      • Pediatric Rheumatology
      • Pediatric Radiology
      • Pediatric Dermatology
      • Pediatric Surgery
      • Pediatric Urology
      • Pediatric Orthopedics
      • Pediatric ENT
      • Pediatric Ophthalmology
      • Pediatric Dentistry
      • Pediatric Anesthesia
    • General Pediatrics Faculty In-house
      • Abdulla Gori, M.D.
      • Christopher Rizzo, M.D.
      • David Bar-Shain, M.D.
      • David Roberts, M.D.
      • Garey Noritz, MD
      • Irene Dietz, M.D.
      • James Quilty, M.D. *
      • Kim Simpson, MD
      • Mark Feingold, M.D.
      • Marina Lazbin, M.D.
      • Nada Haddad, M.D.
      • Nebiat Tafari, M.D.
      • *half time
      • Philip Fragassi, M.D.
      • Robert Needlman, M.D.
            • Susan K. Santos, M.D.
            • Suzanne Scharfstein, M.D.
            • Susan Post, MD
            • Susan Carlin, M.D.
            • Tara Williams, M.D.
            • Vipul Garg, M.D
    • Nurse Practitioners
            • Barbara Lightner, NP Endocrinology/ General Pediatrics
            • Debbie Fattlar, NP Research
            • Judy Whitwell, NP Research
            • Lynda Nossaman, NP Neurology
            • Mary Ford, NP Neurology
            • Melissa Fletcher, NP Adolescent Medicine
            • Nancy Diffenbacher, NP General Pediatrics/ CAMAC
            • Roberta Anderson, NP Lead Clinic/ Hematology
            • Shannon Sikorski, NP General Pediatrics/ Hematology
            • Patricia Liechti, NP Gastroenterology
            • PLUS NPs in nursery and NICU
      • “ We are proud of the strength of our University Affiliated Teaching Faculty of General Pediatricians in-house, with diverse interests”
      • complementing the group of sub-specialists
    • Other Units Related to Pediatrics
      • Pediatric Level I trauma center
        • only one in NE OH
      • State of the art Emergency Department
        • 55,000 square feet facility
      • Regional Burn Center
      • Perinatal Research Center
      • Center for Behavioral Health for Children and Adolescents
    • Other Units Related to Pediatrics
      • Division of Adolescent Health Care
        • Fellow
        • Social worker, Teen counselor, Nutritionist
      • Alpha team (Non Accidental Injuries)
      • NEW clinic for obesity
      • Metro Life Flight Program - 2nd largest in the country
    • Other Units Related to Pediatrics
      • Muscular Dystrophy Clinic for Northern Ohio
      • Lead poisoning clinic
      • Child Life Division with nine specialists
      • Healthy Hispanic Teens program
      • Community Advocacy Program
        • only such program in Ohio
        • brings on-site legal services to the patients
    • Research Funding
      • $7,000,000 funded research
      • We are a Children’s Hospital
      • “ Children’s Hospital at MetroHealth Medical Center”
    • Residency Aspects
    • Number of residents
      • Medium sized program
      • Eight Pediatric Residents per year of training (total 24)
      • Six Med Peds Residents per year of training (half in Peds at any given time)
      • Total 36 residents at any given time
    • Teaching Activities
      • Typical week
      • Ambulatory pediatrics lecture 8.00 to 8.30 am, Monday to Thursday
      • Morning report, 8.30 to 9.00 am Mon to Thu
      • Grand rounds 8.00 to 9.00 am on Fridays
      • Noon conf 12.00 to 1.00 PM Mon to Fri
      • Other topic discussions in every division
    • Teaching Activities
      • Distribution and content of topics is based on ABP recommendations
      • Time distribution is proportionate to the percentage representation in boards
      • Journal clubs
      • Monthly board review series
      • Annual free board review course - > 25 hours long
    • Teaching Activities
      • Evidence Based Medicine series
        • Residents are educated on EBM with tools to critic literature
        • Residents present their EBM task
      • Quality Improvement Projects
        • Personal Continuous Quality Improvement
        • System Improvement
    • Team Clinic
      • Same day every week
      • Same preceptor every week - “single preceptor concept”
      • Located at main campus
      • Wide diversity in medical and social issues
      • Residents own their patients
    • Comprehensive Care Division
      • Unique division
      • Cares for children with multiple health needs
      • Complex patients, syndromes etc
      • Meeting their needs at home including home ventilator management
      • Imparts confidence in handling these problems in the community
    • Other Attractions
      • Low number of fellows
      • Residents interact directly with attendings
      • Opportunity for procedures
      • Confidence in handling NICU/PICU issues in the community
      • Post call free taxi ride
      • No night float system
    • Other Attractions
      • Golden weekend
      • At least one day off weekly on an average
      • Teaching is a priority over service
      • Resident autonomy, but never alone
      • Friendly atmosphere
      • Federal holidays – total 12 holidays an year
      • Electronic medical records
      • Moonlighting
      • No night float
      • It is a residency aimed at preparing strong
      • pediatricians, ready for the community or
      • for sub-specialty training
    • Scholastic Achievements
      • Research projects
        • Eight every year
      • 15 national/international presentations
      • Publications
      • National recognition
        • 3 out of 10 presentations selected nationally for 2005 AMA and AAP conferences were from Metro Peds
    • Fun Activities
      • We believe in ensuring a quality life outside the hospital too
      • Annual Retreat in Spring
      • Graduation Ceremony in Summer
      • Fall feast
      • Super Bowl Party in winter
    • MHMC Peds Patient diversity Education Research
      • Thank You
      www.metrohealth.org/Clinical/Pediatrics Visit us at: