At the Children's Hospital of Michigan, we have a thorough pediatric training curriculum to prepare residents for a career in pediatrics. Each year, the specific rotations help residents grow and diversify their pediatric knowledge.
First Year: The focus of intern year is gaining comfort and learning skills in general pediatrics. Rotations include inpatient and outpatient general pediatrics, emergency medicine, newborn medicine, developmental and behavioral pediatrics, and community medicine
Second Year: Second year provides rotation in multiple subspecialties (Infectious Disease, Hematology/Oncology, Cardiology, Nephrology, NICU, PICU, and Adolescent Medicine) to increase breadth of knowledge, while still providing experience in general inpatient and outpatient pediatrics and emergency medicine.
Third Year: The focus of third year is to incorporate all aspects of pediatrics and hone skills. Residents perform supervisory roles on general inpatient teams, outpatient clinic, NICU, and PICU.
Throughout all three years, residents have opportunities to choose elective rotations in any subspecialty to explore particular career interests. To emphasize the importance of primary care, residents spend a half day per week in general outpatient clinic. Graduating residents feel prepared to begin careers in general pediatrics or pursue fellowship training in any pediatric subspecialty.
The Pediatric Residency Program at the Children’s Hospital of Michigan sports a very robust educational program. Our educational activities include daily noon conferences and weekly grand rounds. Below is a list of our regularly scheduled educational activities:
Faculty Lecture Series: We have divided the pediatric curriculum (as outlined by the American Board of Pediatrics) into 16 major topics. Each block, we focus on one topic. For instance, Block 4 may be the Pediatric Neurology block. Approximately 10 faculty lectures are given in each block on the topic. With the curriculum cycling every 18 months, residents go through it twice during their three years of training.
Noon Report: At least twice per block, we hold interactive case discussions, which are led by our residents with faculty in attendance. Interesting cases and challenging diagnoses make these sessions both interactive and stimulating.
ACRES (Acute Care Resident Educational Series): Approximately once per block, our third year residents present a high-quality lecture on an important pediatric topic. These lectures are thoroughly reviewed by a critical care medicine faculty member, and have a focus on the underlying pathophysiology as well as management.
Simulation: Our simulation in-situ program uses high fidelity simulators and incorporates mock codes once per block into the resident Education Calendar. It is run by our director of simulation and associate program director, chief residents and PICU staff with the goal of preparing residents for various acute situations they may encounter. Residents from all three years of training are selected to be on the team with a senior resident leading the code. There are also monthly in-situ multi-disciplinary simulations in the ER, PICU and acute care floors.
Morbidity and Mortality Conference: We hold regular morbidity and mortality sessions to review the management of prior cases and look for ways to improve. This session is presented by a chief or senior resident. Faculty members, fellows, residents and medical students are all in attendance, leading to valuable discussions.
Journal Club: Approximately once per block, our second year residents present and critique studies on important pediatric topics of their choice. They receive guidance on their article selection and presentation from a critical care faculty member. The focus during these sessions is on study methodology and evidence-based medicine.
Radiology Series: Our Radiology faculty present didactic sessions and case presentations once per week, usually on Fridays. This series is longitudinal and builds on previous sessions, providing residents with the skills they need to independently review their patients’ images.
Board Review Lecture Series: For an average of three lectures per block, our senior residents present board review lectures in line with the theme of the block. These lectures include PREP questions with audience-response.
Annual Board Review: Towards the end of their final year of residency training, third year residents participate in a week-long pediatric board review course tailored to the American Board of Pediatrics content specifications. During this week, the participating senior residents are excused from all clinical duties to focus solely on board preparation. Lectures are given by faculty members, who are experts in their particular field, and the course is designed by the Vice Chair of Pediatric Education.
In addition to the above, our residents receive rotation-specific education, including twice-weekly morning reports and daily teaching rounds. Residents are taught to be teachers as well as learners and promote their own education throughout their three years of training.