Pediatric Residency Program Facts
Pediatric Inpatient Teams at Le Bonheur
All non-surgical admissions are assigned to an inpatient pediatric team. There are four, “floor-based” pediatric teams which are resident centered – each team cares for a mix of general pediatric and subspecialty patients. The residents manage all patients on the team with the guidance of attending physicians and fellows. Each team is composed of a faculty attending, 1-2 supervising residents, 3-4 interns, a junior intern (fourth year medical student) and several third year medical students. Each team admits their own patients during any 24-hour period. Approximately one-fourth of the patients are admitted to community pediatricians, one-fourth to faculty subspecialists, and the remaining one-half to LeBonheur pediatricians and hospitalists. All inpatient services have daily family centered bedside walk rounds with the supervising residents acting as rounding leaders.
Night Shift, Call Policies and Call Rooms
Third Year Residents: Categorical pediatric residents in their third year of training work one month of thirteen hour night shifts with all weekends off during their inpatient ward rotation. While in the NICU, they take in-house call every fourth night. While on elective rotations, they take an average of 1-2 “guest” night shifts on inpatient wards/month. They also experience “home call” during their outpatient rotations where they respond to “after hours” call center questions/requests from patients/their parents.
Second Year Residents: Categorical pediatric residents in their second year of training take in-house call every fourth night while on their NICU rotation. They work approximately one week of thirteen hour night shifts/month during their PICU and St. Jude Heme/Onc rotations. Additionally in the PICU, each second year resident takes two to three 24-hour weekend in-house calls per month.
Interns: During inpatient wards, Interns work one month of thirteen hour night shifts with all weekends off. They also work approximately four to five 13 hour night shifts in the NICU at the Med Newborn Center during their one month NICU rotation. There is no other night shift or call scheduled during the intern year.
There are call rooms conveniently located at each training locations. These rooms are private with private bathrooms. Each is equipped with a telephone and desk. Laptop computers are available for use in the call rooms. While at LeBonheur, housestaff has 24-hour access to the resident lounge – including two computer rooms, a common area with big screen TV and sofas, study rooms, workout room, and kitchen.
Residents spend their first two years of training at the ULPS general pediatric continuity clinic where they are scheduled one half day per week. They have the option to work in a private community clinic during their third year or remain at the ULPS general pediatric clinic. This clinic is supervised by physicians who are actively involved in general pediatrics. Residents are expected to evaluate and treat newborn through adolescent age patients. A typical day in clinic will consist of several well child exams, hospital follow up evaluations, and the management of acutely ill patients. Over the course of three years, most residents develop close working relationships with their patients and families.
During their three years in continuity clinic, the residents will review a general pediatric curriculum. The residents are expected to review an article before clinic and come prepared for a discussion of this material with their clinic preceptor. This curriculum reviews fundamental topics in general pediatrics and encourages self-directed learning as well as going over “board type” review questions/topics. It challenges residents to practice evidence-based medicine in a general pediatric environment.
There are three pediatric Chief Residents and two Medicine-Pediatric Chief residents. The pediatric Chief Residents have each completed at least three years of residency training in pediatrics. The Chief Residents are selected each year for his or her recognized excellence in patient management, teaching expertise, leadership abilities and administrative skills. The Chief Residents serve as mentors to the housestaff and resident liaisons for all administrative discussions about the residency program. The Chief Residents are responsible for organizing/implementing morning reports, daily educational conferences, and patient review conferences with the medical students. The Chief Residents serve as attending physicians on inpatient wards during two months of the academic year.
Student Teaching by Residents
At the University of Tennessee Health Science Center, medical student education is an integral part of the pediatrics program. While assigned to inpatient services, interns serve as mentors to third and fourth year medical students. While the intern plays an important role, ultimately the attending physician and the senior resident are responsible for the supervision and coordination of the patient care activities of the students.
Morning Report: While on inpatient wards, every weekday after patient handoff, each team conducts a case based morning report to discuss a recent patient/admission. The night shift interns/residents, day shift interns/residents, and attending physicians all participate in morning report.
Grand Rounds: Every Wednesday morning, hospital wide grand rounds are held – speakers include current faculty, fellows and visiting faculty.
Noon Conference: Held for one hour each weekday for all residents – specifically targeted to resident education and board preparation. Each month is “system-based” and scheduled in conjunction with the internal medicine conferences. Included in these conferences are: pediatric board review (led by the chief residents), journal club, team-based learning, radiology rounds, morbidity & mortality, and professor’s rounds.
Subspecialty Teaching: In addition to seven elective months during which residents may work with any subspecialty service, residents also work closely with many subspecialists while on inpatient /critical care services.
- Each resident is provided a copy of MedStudy Pediatric Board Review to use during their three years of training. This curriculum is used as a supplement for pediatric board review conferences held at least once per month.
- Each resident is also given access to board PREP questions (Pedialink) through the AAP website and in hardcopy form. During their elective months, residents are required to complete a portion of these board review questions.
- All residents are given a copy of Harriet Lane and RedBook. They have online access to e-books, e-journals, up-to-date and many other electronic resources through the UTHSC library website.
- Residents are also provided “book money” each year to purchase additional resources they may need. Reimbursement for educational/research conference attendance is also available.
Research: Research is not required for our residents, but plenty of research opportunities are available for those interested. These opportunities include bench research, clinical research, and projects in quality improvement.
Numerous social activities are organized throughout the year. These include:
Chief Resident Welcome Party for new Interns
Program Director’s Welcome Party for new Interns
Committee on Resident Education Luncheon for new Interns
Fall Intern Retreat for Interns and their families
“Duck Dinner” and Ettledorf Alumni Reunion
Spring Graduation and Awards Banquet
“Residents as Teachers” for Second Year Residents
Housestaff Holiday Party – everyone is excused from duty for this party!
Monthly lunches/dinners with inpatient attendings
Quarterly lunches for each resident year with the Department Chair
LeBonheur Resident Appreciation Week
Monthly Resident Socials