Role of Pediatrics in the Med-Peds Residency

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Role of Pediatrics in the Med-Peds Residency

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

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