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Education & Training

Pediatric Residency Program:  Curriculum

The three-year residency curriculum is designed to develop competent and confident pediatricians. During the training period, resident responsibilities are increased to promote professional growth. Residents are supervised by a faculty committed to teaching, clinical care, and research.
 
Each of the recognized pediatric sub-specialty services is available at Duke Children's Hospital & Health Center. The department encompasses the Divisions of Allergy-Immunology, Cardiology, Critical Care, Education, Endocrinology, Gastroenterology, General Pediatrics, Infectious Diseases, Hematology-Oncology, Metabolism-Genetics, Nephrology, Neurology, Perinatal Medicine, Pulmonary, and Rheumatology.
 
Philanthropic support from the Robert Wood Johnson, WT Grant, and Mellon Foundations has enabled the department to add programs on behavior and developmental issues, sports medicine, and medical history to the general pediatric curriculum. The Division of Pediatric Surgery within the Department of Surgery offers a full complement of surgical faculty and services to pediatric patients. The Department of Radiology supports a dedicated Pediatric Imaging Center staffed by trained pediatric radiologists. Likewise, the Duke Emergency Department contains a separate Pediatric Emergency Center with dedicated staff.

Since the Durham area is a true “melting pot” of cultures, races, and ethnicities, a goal of the training program is to prepare trainees to participate in the global care of children.  Philanthropic support from The Burroughs Wellcome Fund, Dr. John P. McGovern, and The Lenox Baker Children’s Hospital Foundation, Inc. allows the program to offer experiences in select sites for trainees to explore healthcare in other countries.   As all physicians are teachers of their patients, families, and colleagues, the Duke Pediatric Training Program is committed to fostering excellence and leadership in teaching. Residents play important roles in this process, both as learners and as educators. Teaching activities sponsored by the department include daily rounds with faculty members, conferences, a formal teaching program, and weekly Grand Rounds.
 
Duke residents provide much of the teaching for medical students, with appropriate faculty backup. Second-year students, during their required eight-week clerkship in pediatrics, spend time with residents on the wards, in the nursery, in the Emergency Department, and in the outpatient clinics. Annually, the students honor a pediatric resident at each level of training for excellence in teaching.
 
Throughout their residency training, residents spend one half day a week in their Continuity Clinics, where they provide primary care for patients and families. The Continuity Clinics are patterned after a group practice model and are supervised by attending physicians within Duke Children's Primary Care. One of these faculty members is dedicated to the overall functioning of the Continuity Clinics with the help of appropriate support personnel. Residents are provided with listings of their patients with updated addresses and telephone numbers. To emphasize the importance of the resident as primary care provider, residents are provided with personalized business cards to distribute to their patients.  
The residency curriculum is evaluated continuously by a curriculum committee composed of faculty and chief residents. The Residency Council (a resident-run organization) also meets monthly to discuss any proposed changes. Changes are discussed and implemented based on committee recommendations.

As part of its commitment to excellence in training, the program realizes that no single approach can encompass how individuals learn and respond to the experiences they will encounter in a pediatric residency.  The program utilizes measures of learning styles to help each resident maximize his or her learning experience.  In addition, through the Department Office of Pediatric Education, an educational specialist is available for individualized assistance in approaches to adult learning. 
 
While residency training can be challenging, training program leaders are attentive to the multitude of issues that affect a resident's life. Residents meet regularly as a group with the chief residents to discuss matters affecting patient care and residency training. The Department of Pediatrics also sponsors many social functions throughout the year. These have included raft trips in the nearby mountains, resident retreats, and traditional softball games, picnics, gatherings and holiday parties. The program has a social worker who works with residents on communication and interpersonal skills and is available to residents and their families for individualized short-term counseling if needed.

 
PL-1
The PL-1 rotations currently include the full-term nursery, the intensive care nursery, inpatient services, ambulatory clinics, ER, Durham Regional Hospital, and two electives. The PL-1 has primary responsibility for the care of inpatient and outpatient infants and children. PL-1s work as part of a team that includes senior residents, faculty, and other personnel.

PL-2
The PL-2 year includes supervisory rotations in the intensive care nursery and on the wards. In addition to electives, PL-2s have rotations in adolescent medicine, behavior and development, a community outreach and advocacy experience, a community-based outpatient clinic, the emergency department, and the pediatric intensive care unit. During supervisory rotations, PL-2s oversee PL-1s and medical students.

PL-3
The PL-3 year currently includes a wide variety of required and elective experiences. PL-3s serve as the senior supervisory resident in the intensive care nursery, on the majority of inpatient services, and in the general pediatric ambulatory facility on Roxboro Road. PL-3s also have rotations in the emergency department and at Duke’s Lenox Baker Children’s Hospital where they learn the principles of rehabilitative medicine. The program also includes many elective rotations during the PL-3 year to add breadth and depth to each resident’s experience, while also allowing the resident to tailor his or her education to his or her personal and career goals.

Chief Residents
The chief residents are faculty members of the Office of Pediatric Education and work closely with the program director and the director of graduate pediatric education in planning and conducting the teaching and patient care activities of the department. Additional duties include overseeing the resident staff activities and arranging resident schedules and conferences.

 

Representative Pediatric Rotations: 2009-2010

PL-1
Rotation
Months
Call
Inpatient Wards
Full Term Nursery
NICU
DRH Lvl 2 Nursery
Acute Care Clinic
Emergency Medicine
Electives
4-5
1
1-1.5
0.5-1
1-2
0.25-0.5
2
Q4
None
Q3/5/6
None
None
Shift
J-call
 PL-2
Rotation
Months
Call
Inpatient Wards
PICU
NICU
Emergency Medicine
LCHC
Behavior & Development
Community Peds
Electives
2
2
1
1
1
1
1
3-4
Q4 or NF
Q4
Q4/Q6
Shift
None
None
None 
Jeopardy
PL-3
Rotation
Months
Call
Inpatient Wards
DRH Nursery Senior
Emergency Medicine
Acute Care Clinic
Adolescent
Electives
3
1
2
1
1
3-4
Q4 or NF
None
Shift
None
None
Jeopardy
 
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Contact Information
Office of Pediatric Education
Tracey Madrid
T0919 Children's Health Center
Box 2808 DUMC
Durham, NC 27710
919-668-4836
919-681-5825 fax
 
Pediatric Residency
Esther Thoman
Program Coordinator
919-681-5762
 
Med-Peds Residency
Jane Trinh, MD
Associate Program Director
919-681-3009 
 
Child Neurology Residency
Terry Hales
Training Program Coordinator
919-681-4658
terry.hales@duke.edu
 
Medical Genetics Residency
Joye Voshell
Administrative Coordinator
919-668-6192  
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