General Pediatric House Staff Curriculum
The formal teaching program for the house staff consists of a series of daily noon conferences covering the entire spectrum of General Pediatric and Pediatric Sub-specialty topics as well as special series pertaining to advocacy and ethics. Each morning there is a case presentation conference ("morning report" with the chairman and program director as well as core faculty members) which focuses on interesting learning cases which have been encountered on our inpatient wards. These are followed by attending rounds on our inpatient unit. In addition, there is a weekly formal Grand Rounds, a monthly journal club presented by the residents and mentored by a faculty member, and a monthly morbidity/mortality conference. Separate daily conferences at the General Pediatrics practice cover a wide range of topics including a formal curriculum in physician-patient communication taught by a multidisciplinary team, advocacy, and primary care topics. There is a specific curriculum designed for our NICU, PICU, and Well Baby Nursery which is taught by faculty and fellows. Each of the pediatric sub-specialty services has its own rounds and conferences. Additionally, there is high fidelity simulation curriculum which consists of twice monthly mock codes on the inpatient unit. Lastly, every resident does a resident as teacher month where they teach part of the second year course and directly supervise and instruct third year clerkship and fourth year sub-internship students.
The “Individualized Curriculum”
Each categorical resident will have an individualized curriculum designed specifically for them to help meet their learning needs and career plans and will be developed early on in residency training with the guidance of a faculty mentor.
The focus of the individualized curriculum will be during the PGY-2 & PGY-3 years where specific educational units of time will be blocked off for residents to fill with electives and other activities that will help to establish and augment their career goals.
Residents will be given the opportunity to choose from “Tracks” with a selection of appropriate electives & other educational experiences to acquaint themselves within different fields of pediatrics.
Proposed tracks include:
- Subspecialty – Procedural
- Subspecialty – Non-procedural
- Primary Care
- General Academic Pediatrics
- Intensive Care (NICU & PICU)
- Global Health
The ultimate goal of the individualized curriculum is to allow residents to start realizing their career goals early in residency training by exposing them to track -specific electives, educational experiences, faculty mentors and research opportunities that will put them on a path for launching into their chosen career with ease and a well-rounded residency experience.
PGY-1 Curriculum & Responsibilities on the Floors
PGY-1 house officers act as primary physicians for our patients on the wards. They are responsible for taking histories, performing physical examinations, and carrying out diagnostic and therapeutic procedures. The PGY-1 resident is supervised by a PGY-2 or PGY-3 resident and the Attending physician directly responsible for each patient's care. There are also dedicated teaching attendings who participate in augmenting the educational experience for the PGY-1 on the wards. PGY-1’s are responsible for supervising and teaching the third-year medical students.
- In the NICU – The PGY-1 resident has direct responsibility for the care of a cadre of patients in the NICU under the supervision of the senior residents, neonatology fellows and full-time neonatologists. The PGY-1 resident will also attend deliveries under the supervision of a senior resident. With increasing experience, the PGY-1 resident will manage seriously ill newborns in the intensive care unit.
- In the Well Baby Nursery - A separate rotation in the well baby nursery will provide the PGY-1 with experience in caring for well newborns and also attending deliveries.
- In the Emergency Room – The PGY-1 will become expert in caring for acutely ill children under the supervision of senior residents, fellows and Pediatric Emergency Medicine trained attendings.
- Outpatient Experience – PGY-1’s spend a full day in the continuity clinic except when on the floor, NICU, and Well Baby rotations when they spend a half-day in clinic. In addition, PGY-1 residents spend a one month block of time rotating exclusively in the ambulatory setting and one month in adolescent medicine.
PGY-1’s also may rotate at two outside institutions for experiences that augment the education they receive at the Mount Sinai campus - Elmhurst Hospital Center, a city hospital in Queens, and Englewood Hospital Center, a community hospital in New Jersey.
PGY-2 & PGY-3 Curriculum and Responsibilities
The PGY-2 and PGY-3 resident curriculum focuses on establishing and augmenting the individualized curriculum to help the resident realize and build on their career goals. Residents have many elective opportunities and will work closely with a faculty mentor to develop an elective schedule and curriculum appropriate for their career goals.
The senior resident curriculum also focuses on supervisory and teaching roles. During both the PGY-2 and PGY-3 year, the resident will have one Floor Senior block and one NICU block where they will be in a supervisory position. Residents also have one month rotations in the PICU during both PGY-2 and PGY-3 years. The PGY-3 PICU rotation allows the resident to have a more supervisory position.
Residents spend a full day in their continuity clinic during the PGY-2 and PGY-3 years except when on the floor and ICU rotations. Residents have one block of time each year during their PGY-2 and PGY-3 years in an Ambulatory rotation. As a PGY-2, one block is dedicated to Developmental Pediatrics. During the PGY-3 year, each resident has a Teaching block where they focus specifically on medical student and house staff pediatric medical education.
Primary Care Training
Over the course of three years of training residents spend 20% of their total training time in their continuity practice. Residents spend a full day each week in their continuity practice during all months except Sinai and Elmhurst Floor and ICU rotations. In addition, residents spend a full month in the continuity practice in each year. Residents are exposed to a formal curriculum in community and primary care pediatrics as part of the core didactic series in the continuity practice as well as focused small group training sessions during the block rotations. Particular focus is given to community advocacy and school based health.