Training the Leaders in Pediatric Medicine


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Training the Leaders in Pediatric Medicine

  2. 2. The University of Michigan Department of Pediatrics and Communicable Diseases 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
  3. 3. Pediatric Residencies 1 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. Welcome! Valerie P. Castle, M.D. (U-M Fellowship, Pediatric Hematology/Oncology ’90) Chair, Department of Pediatrics and Communicable Diseases Ravitz Foundation Professor of Pediatrics and Communicable Diseases Welcome AT THE UNIVERSITY OF MICHIGAN, OUR RESIDENTS BECOME COMPETENT, CONFIDENT PEDIATRICIANS Premier Workplaces calls the University of Michigan Health System one of the nation’s 10 Premier Health Care Employers.
  4. 4. 2 Pediatric Residencies 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. The Crash Course As a new resident, your time at Michigan begins with our popular “Crash Course.” Held in July and August of your incoming year, this program covers management of pediatric emergencies, core pediatric skills, and the fundamentals of inpatient and primary care. With this comprehensive review under your belt, you will begin your pediatrics training with confidence. All handouts are available online for reference throughout the year. General Pediatrics at the University of Michigan THE START TO A GREAT CAREER Your First Year During your first year of residency, you will be involved in direct patient care and will acquire the basic knowledge, technical skills and competencies that are essential for the care of newborns, infants, children and adolescents. You will be the primary physician on all of the inpatient units and will mentor and work closely with our third-year medical students. Under the guidance of senior residents and faculty, you will gain excellent experience in patient management. Rotations include: • General inpatient pediatric services • Neonatal Intensive Care Unit (NICU) • Inpatient hematology-oncology • Normal newborn nursery • Behavioral/developmental pediatrics • Pediatric Emergency Department • The first month of your Pediatric Community Health sequence “You’ll see pathology and all of the ‘bread and butter’ pediatrics you need, while being treated like a human being by a department that really takes an interest in your life and career plans.” Elizabeth Bird, M.D., Chief Resident ’05-06
  5. 5. Pediatric Residencies 3 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 of ill patients. With backup from in-house third-year residents and attending hospitalists, you will admit patients as a resident on the night team. You also will rotate through our Pediatric Intensive Care Unit (PICU) and work more independently in our award-winning Pediatric Emergency Department. Your ambulatory care experience will include a one-month rotation in adolescent medicine and the second month of Pediatric Community Health. As you continue to explore your career interests, you will select from a large number of subspecialty electives that combine inpatient consultation with the ambulatory management of pediatric problems. “University of Michigan’s pediatrics program is stellar. I received excellent general pediatrics training coupled with very rigorous subspecialty training and exposure to both inpatient and outpatient medicine. And, I was able to craft a program that fit my interests.” Tracy Richmond, M.D. (U-M Residency ’03) Division of Adolescent Medicine Children’s Hospital, Boston CHILD MAGAZINE TWICE NAMED C.S. MOTT CHILDREN’S HOSPITAL ONE OF THE BEST CHILDREN’S HOSPITALS IN THE NATION!
  6. 6. 4 Pediatric Residencies Your Third Year You will function in a supervisory capacity and pursue an individually arranged schedule that complements your personal career goals. Your third year will have several rotations on the general inpatient wards as the supervising senior resident in charge of the service. You will strengthen your intensive care training in the NICU and PICU. Other assignments include continuing autonomy and responsibility in the Pediatric Emergency Department, a month of exposure to pediatric surgery and acting as the most senior member of the night team. You will be regarded as a central part of our instructional program — sharing responsibility for teaching rounds and providing consultation to junior residents and medical students. You will have a great deal of flexibility in scheduling your 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 advocacy, international experiences and to learn more about the business of primary care. We encourage you to visit the University of Michigan Hospitals and meet our residents, faculty and staff. THE MICHIGAN DIFFERENCE On all of our inpatient services, Resident Assistants obtain patient records, schedule tests and procedures, and assist with discharge planning — maximizing the time you spend directly with patients and families. “What I like best about my residency is the exposure to many different specialties within pediatrics, the fun working environment, and the good relationships with the attendings and staff. We get to work with the experts in their fields. And I feel that I’m getting experience in so many diseases and specialties that when I see them in my own practice, I’ll be ready to handle them.” Patrick R. Gordon, M.D., House Officer III 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. Four-Year Combined Internal Medicine-Pediatrics Program We offer one of the nation’s first combined Internal Medicine-Pediatrics Programs. The combined program allows you the opportunity to complete certification requirements in both areas within four years. More information can be found at the Web address on page 12. THE MICHIGAN DIFFERENCE 97% of our residents pass their Pediatrics Board examination — one of the highest pass rates in the nation!
  7. 7. Pediatric Residencies 5 State-of-the-Art Pediatric Care 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 children in Michigan. In 2005 alone, there were more than 20,220 emergency visits by infants and children under 18 to U-M Children’s Emergency Services. More than 5,380 of these cases were serious trauma cases. We also are a national center for Pediatric Emergency Medicine Research. 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. Clinical Simulation Center Our infant, child and 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 as airway and ventilator management, and intubation. Faculty and clinical researchers also use the Clinical Simulation Center to conduct scientific and outcomes-related research. The Clinical Environment THE BEST DOCTORS AND THE BEST TRAINING ARE AT MICHIGAN THE MICHIGAN DIFFERENCE Our Pediatric Mock Code Program emphasizes the facets of team leadership that are critical for successful resuscitation. We also use the Program to evaluate any system changes (including personnel), resuscitation protocols and equipment before use in actual codes — ensuring optimal patient safety. 294 UNIVERSITY OF MICHIGAN PHYSICIANS NAMED BEST DOCTORS IN AMERICA, 2005-2006
  8. 8. Standardized Patient Instructor Program We were one of the first medical schools in the country to put into practice a formal Standardized Patient Instructor (SPI) program, and we now incorporate SPIs in residency training as well. We train our SPIs to accurately portray a specific patient role, assess the resident’s clinical skills and provide performance feedback. You will learn to obtain informed consent, break bad news, and cope with difficult or dangerous situations — skills critical to your future career. Votes of Confidence for New Hospital Demand for our services is so high that we are building a new state-of-the-art hospital. The $523 million, 1.1 million square foot children’s hospital and women’s hospital facility will answer these demands, while anticipating advancements in pediatric care for the 21st century. 6 Pediatric Residencies C.S. MOTT CHILDREN’S HOSPITAL WAS ONE OF THE FIRST HOSPITALS IN THE NATION TO PROVIDE CHILD LIFE SERVICES AND TO HAVE A HOSPITAL SCHOOL. TODAY THE HOSPITAL IS LEADING THE NATION BY PROVIDING PATIENTS WITH BEDSIDE COMPUTERS. PATIENTS AND FAMILY CAN ACCESS THE INTERNET, USE E-MAIL, WATCH DVDS, PLAY GAMES AND USE EDUCATIONAL SOFTWARE TO KEEP UP WITH SCHOOL. PEDIATRIC STATISTICS 8,117 Discharges C.S. Mott Children’s Hospital and Holden NICU 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.
  9. 9. “During my third year, I had a research month where I conducted a meta-analysis of a method to prevent ventilator-acquired pneumonia. My work from that month resulted in two first-author publications and valuable connections. My mentors at Michigan were knowledgeable, experienced and very helpful.” Cameron Dezfulian, M.D. (U-M Residency ’03) Clinical Fellow, Critical Care Medicine Dept. National Institutes of Health Pediatric Anesthesia and Critical Care Medicine Division Johns Hopkins Hospital, Baltimore Pediatric Residencies 7 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 Department encourages you to submit abstracts resulting from work conducted during your residency, and will provide financial support for travel to present your work if your abstract is accepted. We also support resident attendance at American Academy of Pediatrics conferences and other professional organizations such as the Pediatric Academic Societies, the National Medical Society and the Student National Medical Association. Research Pathways If you already have a strong background in research and want to continue your career in pediatric research, special pathways are available to provide training options and flexibility. Resident Research at Michigan INTERESTED RESIDENTS HAVE UNLIMITED OPPORTUNITIES THE MICHIGAN DIFFERENCE At $775 million a year, the University of Michigan has one of the largest annual research expenditures of any university in the country. Our Medical School receives the largest portion of funding — $300 million each year. The University of Michigan Health System ranks 11th in the nation in National Institutes of Health funding. NINETY-SEVEN U-M FACULTY CURRENTLY CONDUCT PEDIATRIC RESEARCH WITH MORE THAN $84 MILLION IN GRANT FUNDING.
  10. 10. 8 Pediatric Residencies “After having interviewed at several institutions for fellowship, I now realize how well respected U-M is in the academic world. From 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 The Child Health Evaluation and Research (CHEAR) Unit CHEAR is the largest child health services research unit in the United States and is an official research arm of the American Board of Pediatrics. Since 1999, CHEAR has received more than $25 million in research grants, and CHEAR has the first and only NIH-funded pediatric health services research fellowship in the country.
  11. 11. On average, approximately one-third of our graduating residents enter subspecialty training each year and an additional one-third choose careers in primary care practice. In recent years, many of our graduating residents have chosen positions as pediatric hospitalists. Other residents have entered academic general pediatrics, become Robert Wood Johnson Clinical Scholars, joined the Public Health Service, become involved in international health or returned to basic science research. The various directions our graduates have taken highlight our commitment to helping each resident identify the career path that is right for them. O ur training will not only prepare you to be a better resident — it will prepare you for the most important time of all: your career after residency. Our comprehensive professional development curriculum will span all years of your residency. And one of the best things about our program is its flexibility. We design our program to meet your needs. Here are a few highlights of the Michigan program: • Assisting you in considering, choosing and achieving your individual career goals • Developing your teaching skills • Training you to be a competent, ethical leader • Teaching you about health care finance, managed care and quality improvement Residents as Teachers Through the Residents as Teachers Program 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 issues, and negotiate a contract you can live with. Pediatric Residencies 9 Professional Development PREPARED FOR LIFE AFTER MICHIGAN THE MICHIGAN DIFFERENCE We offer a core curriculum in managed care, leadership, quality improvement, practice management, teaching skills and attention to many issues that are not often a major focus in pediatric education. WHERE THEY ARE NOW 2003-2005 GRADUATES* *Represents locations for nearly 70 residents
  12. 12. 10 Pediatric Residencies Experience Ann Arbor SMALL CITY WITH COSMOPOLITAN APPEAL S ome call Ann Arbor one of America’s best kept secrets. Others call it the Paris of the Midwest. While we might not go that far, we do like to acknowledge that this city of 114,000 residents and 39,000 students has a great deal to offer — and many surprises. We like the fact that it’s as easy to get tickets to see pianist Murray Perahia perform Bach’s English Suites in the marvelous Hill Auditorium as it is to stroll any of Ann 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. And if you’re single, you’ll love Ann Arbor. Every night, you can enjoy live music at the Cavern Club, the Ark or the Blind Pig, or go to one of Detroit’s jazz, techno or urban music clubs. Join the Ann Arbor Ski Club, where you don’t 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. 14,000 GRADUATE AND PROFESSIONAL STUDENTS CALL ANN ARBOR HOME. STUDENTS IN MEDICINE, LAW, BUSINESS, NURSING, SOCIAL WORK AND U-M’S OTHER GRADUATE AND PROFESSIONAL PROGRAMS FIND A LOT TO DO IN OUR CITY. 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 or without children, Ann Arbor is a great place to live and work. But don’t take our word for it. Visit us!
  13. 13. Pediatric Residencies 11 VIVE LA DIFFÉRENCE, ANN ARBOR! MONEY Magazine 2006 15th Best Place for Singles 25th Best Place to Live Best Places to Live 2005 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
  14. 14. 12 Pediatric Residencies 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 257,000 pediatric and subspecialty visits per year; and a great mix of primary and tertiary cases. The only thing missing is you! Come and be a part of the Michigan Difference! During your interview, you will tour the University of 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. Visit Us Online • Learn about our program and department at • Learn more about the Clinical Simulation Center at • There’s more about the Child Health Evaluation and Research Unit (CHEAR) at • More about Survival Flight is available at • Check out our combined Internal Medicine-Pediatrics Program and the opportunity to complete certification requirements in both areas within four years at • Visit Ann Arbor online at Better yet, visit in person! How To Apply TAKING YOUR RESIDENCY SEARCH TO THE NEXT LEVEL TO BE CONSIDERED FOR A U-M PEDIATRIC RESIDENCY BY OUR SELECTION COMMITTEE, PLEASE MAKE SURE THAT YOU MEET OUR ELIGIBILITY CRITERIA. Read our policy on Resident Eligibility and Selection at
  15. 15. 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 “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
  16. 16. University of Michigan Health System Department of Pediatrics and Communicable Diseases 734-764-1258