Pediatrics - Residency Training

Teaching Activities

Grand Rounds (Weekly) at MFCH and OLM
Faculty or invited guests present topics of interest to faculty, residents and community pediatricians.

Attending Ward Rounds (5 days per week)
Junior resident-focused rounds with emphasis on problem-based inpatient ward management, clinical reasoning and evidence-based practice

Morning Report (3 days per week) at MFCH
Residents present and discuss new and ongoing ward admissions and telephone calls from clinic patients with faculty, with emphasis on best-practice management and presentation skills

Daily Didactic Conferences (5 days per week) at MFCH and Montefiore North
Faculty and residents present a curriculum of topics in general and subspecialty Pediatrics. Conference time is protected for junior residents. The lecture series curriculum is based on the American Board of Pediatrics Content Specifications for Pediatric Board Certification.

Special monthly sessions include:

• Case Conferences
• Mock Codes
• Medication Safety Review
• Ward-based Morbidity and Mortality
• Ethics
• Housestaff Meeting
• Resident Journal Club
• Resident as Teacher Lecture
• Nelson’s Club

Clinic Conferences (Weekly)
With faculty guidance, residents present a structured curriculum of outpatient topics

Resident-as-Teacher Rotation
Four weeks as PL-2 devoted to practice-based learning and improving teaching skills

Resident Workshops (Annually)
Patient Safety • Leadership Workshop • Career Planning

In addition, many divisions have regular case conferences, journal clubs, physiology conferences, etc., which residents attend.

A TYPICAL DAY AT MFCH

ELECTIVES AVAILABLE TO FOURTH YEAR STUDENTS

We are happy to arrange an elective for interested students in any one of the following areas:

ADOLESCENT MEDICINE

CARDIOLOGY

A comprehensive Division of Pediatric Cardiology serves as the regional referral center for children with congenital or acquired cardiovascular problems. Eleven pediatric cardiologists and a pediatric cardiovascular surgeon provide a full range of diagnostic and treatment services, including fetal echocardiography, radiofrequency ablation of arrhythmias, and cardiac surgery.

CRITICAL CARE

EDOCRINOLOGY

GASTROENTEROLOGY

The Division of Pediatric Gastroenterology treats the full spectrum of gastrointestinal, hepatic and nutritional disorders. There is a regional center for the evaluation of carbohydrate malabsorption, and a pediatric endoscopy and motility center. The division pioneered the development of overnight, at-home testing for infants with gastroesophageal reflux. A liver transplant program has been in place since 1996.

HEMATOLOGY/ONCOLOGY

The Division of Hematology/Oncology is very active, exposing the residents to a large population of children with hematologic and oncologic disease. The Division has an active Children's Cancer Treatment Center which employs the day-hospital concept in the provision of chemotherapy to children. Patients come for treatment during the day, while being entertained by TV, VCR, and computer games. In addition to surgery, radiation and conventional chemotherapy, the Pediatric Bone Marrow Transplant Center, one of the few in the in the Northeast, provides treatment to children with difficult-to-treat forms of cancer.

MEDICAL GENETICS

There is an active Division of Genetics and Metabolism, providing residents with a significant exposure to children with metabolic and genetic diseases. Many of the children with abnormalities on neonatal metabolic screening in New York State are referred for diagnosis and treatment.

NEONATOLOGY

The Division of Neonatology supervises the busy Regional Neonatal Intensive Care Unit. The 42 bed unit has the highest intensity case mix of any tertiary neonatal center in New York State. The division has been the recipient of research support from the NIH for clinical trials in the use of surfactant in the treatment of prematurely born infants and the use of glucocorticoids in the prevention of bronchopulmonary dysplasia. There are active programs in the use of high frequency ventilation, oscillators, nitric oxide and ECMO. There is an active Neonatal Research Laboratory.

NEPHROLOGY

The Division of Pediatric Nephrology provides comprehensive diagnostic and treatment services for children with chronic and acute kidney failure. The Dialysis Program is capable of performing a dialysis procedure on a child of any size. For children with end stage renal disease, the program performs kidney transplants on children each year as part of the most active kidney transplant center in New York State. Faculty is involved in clinical trials aimed at testing medications to combat growth retardation in children with renal failure.

PULMONOLOGY

The Division of Pediatric Pulmonology offers vital services involving an Infant Apnea Center, the Cystic Fibrosis Research Foundation and Center, and a sleep testing center using polysomnography for testing children with respiratory sleep disorders. Five pediatric pulmonologists are involved in a comprehensive clinical and research program, which includes participation in national protocols for asthma and cystic fibrosis.

RHEUMATOLOGY

If interested, please contact the Education Office, (914) 493-6668, for further details.