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Categorical Pediatric Residency Curriculum

Clinical

Even with over 70 years of experience training pediatricians, we continue to refine and perfect our clinical curriculum. This is especially important in a world where the policies of residency governing bodies change so frequently. Because of this continued pursuit of excellence, our graduates are more than prepared for general practice or fellowship.

Intern Year

First year residents spend seven blocks on in-patient services (with only three of these being a "call" month), five blocks in an ambulatory setting, and two blocks in elective time. In accordance to recent changes in the ACGME duty hour restrictions and resident request, interns have 28 hour maximum in-house calls during their call months, which occur on every 6th to 9th night. Our residents are offered the flexibility of choosing to do 2 inpatient Cardiology months during their intern year, or 2 inpatient Hematology-Oncology months 1 occurring in the first year, and 1 occurring in the second year. Residents at the end of this year are asked to identify their individualized curriculum tracks.

Second Year

Second year residents have seven blocks as in-patient (three being call months) and three ambulatory blocks. The pediatric intensive care unit is introduced this year. Two call months are within the PICU with 28 hour calls occurring on an average frequency of every fourth night and again as a general pediatrics ward upper level 2-3 times a month on the weekends. Night experience changes, and is divided into two week stretches for a total of four weeks with half spent on the general pediatric wards and the other half spent on the hematology/oncology and cardiology night team.
 

Third Year

The final year of residency is a time to focus your interests with the individualized curriculum. Three blocks are reserved for electives, 1 block on in-patient wards, and three dedicated to an ambulatory setting. Call this year is again at a maximum of 28 hours and the frequency ranges from every fourth night to twice a month whether on PICU or inpatient general pediatrics wards.

Rotations

Schedule Of Rotations
Blocks are divided into 28-day rotations

 PGY-1 PGY-2 PGY-3
General Pediatrics Inpatient Wards
(3 block)
General Pediatrics Inpatient Wards
(1 block)
General Pediatrics Inpatient Wards
(1 block)
Emergency Medicine*
(1 block)
Hematology-Oncology Inpatient Wards
(0 or 1 block)
Pediatric ICU
(1 block)
Hematology-Oncology Inpatient Wards
(1 block)
Pediatric ICU
(2 blocks)
Level 2 Nursery
(1 blocks) 
Cardiology Inpatient Wards
(1 half-block) 
Neonatal ICU
(2 blocks)
General Pediatrics Wards Night Shift
(1 half-block)
Neonatal ICU
(1 block) 
General Pediatrics Wards Night Shift
( 1 half-block)
HemeOnc/Cardiology Wards Night Shift
(1 half-block)
Level 1 Nursery
(1 block)
HemeOnc/Cardiology Wards Night Shift
(1 half-block)
Emergency Medicine*
(2 blocks)
Developmental Pediatrics
(1 block)
Emergency Medicine*
(2 blocks)
Pediatric Surgery*
(1 block)
Ambulatory Pediatrics*
(1 block) 
Level 1 Nursery
(1 block)
Ambulatory Pediatrics
(1 block)
Elective*
(2-3 blocks)
Elective*
(2-3 blocks)
Elective*
(3 blocks, 2 half-blocks)
    Adolescent Medicine
(1 block)

                                                                                                                             

*Denotes vacation-eligible rotation 

Didactic

The MUSC Pediatrics Residency Program recognizes that didactic learning is an important adjunct to clinical education. Our didactic curriculum includes both daily lectures as well as online resources for self-directed learning. All lectures are considered protected time - support staff are encouraged to refrain from paging residents during this time unless absolutely necessary.

Morning Report occurs every Monday, Tuesday, and Thursday with attendants by medical students, residents, and faculty. This is a case-based, resident-driven conference with the primary educational goals of generating a differential diagnosis and management plan. It is an open forum such that all attendants are encouraged to participate, express their opinions, and share their knowledge.  At the conclusion, a brief summary slideshow is presented highlighting the important aspects of the particular disease.The program's educational website is used to archive each case presentation, the summary slideshow, references, and noteworthy commentary made by faculty, attendants, and guests for residents to review.  Morning Report is consistently rated as a favorite conference by students and residents.

Grand Rounds occurs every Friday in the Storm Eye Institute auditorium. Guest speakers are invited not only from the Medical University of South Carolina but also from institutions around the country.  A wide range of topics and research are represented.  All third year residents are required to participate in a grand rounds warm up (15 minute lecture).  All sessions are recorded and posted on the program’s educational website.

Academic Half Day: a weekly conference that occurs every Wednesday from 1:00-4:00 pm. This is a truly protected educational time without clinical interruption. The curriculum is multi-modal, multi-disciplinary interactive conference led by both residents and faculty. The conferences are based on an 18 month rotation curriculum following American Board of Pediatric content specification, in addition to quality improvement, EBM, ethics, code reviews and M&M conferences.

Our Pediatric Simulation Laboratory opened during the 2008-2009 academic year and has become an important integrated part of our resident education.  The state-of-the-art suite provides residents the opportunity to train and participate in mock codes and neonatal resuscitation using life-like simulation mannequins. Each mannequin provides real life experience with the ability to monitor vital signs, quality of chest compressions, and procedure practice. Residents also have the opportunity to teach medical students during their own course in the lab.

Individualized Curriculum

The ability to create electives such as research time, following respiratory therapy, transport team, etc. to meet your professional goals can be discussed with program leadership.

The Evidence-Based Medicine curriculum consists of a series of lectures during noon conference covering the basics of study designs, statistics and the use of relevant research in clinical practice.  Residents participate by presenting their own critical analyses of journal articles. Over the course of three years, all residents develop and complete a Quality Improvement project.  In addition, residents are encouraged to identify mentors and participate in other research projects.  Many of our residents present their work at important national meetings each year, including the Pediatric Academic Societies annual meeting.  A sample of last years posters by our residents is below:

  • Dias P, Slagle C, Marchel D, Das L, Twombley K. Nephrotoxic medication exposure and AKI in a Neonatal Intensive Care Unit. Poster session presented at: Pediatric Academic Society Annual Meeting, San Francisco, CA 2017
  • Fabrizio V, Armeson K, Hill E, Warneke S, Jaroscak J, Hudspeth M. “Trends in Cell Dose Requests for a NMDP Bone Marrow Collection Center”. Poster Presentation. ASBMT Tandem Meeting 2017. Orlando, FL. Feb 26, 2017.
  • Lucas L, Jayne K, Cojocaru C, Zhang X, Williams D, and Andrews A. The New Test on the Block: Factors Associated with Positivity in the Gastrointestinal Stool Panel. Pediatric Academic Society Annual Meeting, San Francisco, CA, May 2017.
  • Newman JW, Mack E. Increasing Event Reporting Among Residents and Fellows in Adult and Pediatric Intensive Care Units. Abstract presentation. Society of Critical Care Medicine Congress Research Snapshot Presentation. Honolulu, HI. January 2017
  • Saia M, Newman JW, Southgate MW, Mills DD. Giving Residents What They Want from Lectures: Improving Didactic Sessions. Poster. Pediatric Academic Societies Annual Meeting. San Francisco, CA. May 2017.
  • Slagle C, Dias P,  Marchel D,  Das L,  Twombley K. Incidence of AKI in a Neonatal Intensive Care Unit. Poster session presented at: Poster session presented at: Pediatric Academic Society Annual Meeting, San Francisco, CA 2017
  • Vidrine R, Khawaja M, Zhang X, Savani S, and Ross J. Battling the Blues: Postpartum Depression in the Neonatal ICU. Pediatric Academic Society Annual Meeting, San Francisco, CA, May 2017.
  • Yale S, Mathis J, Gustafson K, Ebeling M, Dawley E, Das L, Roberts J. Adolescent Vaccinations: Do Quality Improvement Efforts for HPV Also Increased Tdap and MCV? Poster Presentation. Pediatric Academic Society Meeting. San Francisco, CA. May 2017.
  • Zhang X, Calder BW, Kasi N, and Nadig SN. Internalization of partial external biliary diversions in progressive familial intrahepatic cholestasis: a viable option? World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition, Montreal, Canada, October 2016.
  • Zhang X, Carter-Kent CA, Palmadottir JG, Jump CS, Edmondson SC, Beall J, Sun S, Streck MR, and Quiros JA.  Eosinophilic esophagitis in pediatric Crohn’s disease, World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition, Montreal, Canada, October 2016.

On-Line Education

With Moodlerooms© we are able to post every educational conference on the original date for review at a later time. With the implications of the 2011 ACGME duty hour restrictions on conference attendance we are able to act preemptively by providing conference viewing electronically. This is in addition to contributions from each division that typically include rotation objectives, up-dated literature, and other professional tools.