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Pediatric Residency Program - Our Pediatric Training


 

Our program is committed to individualizing training for each resident.  We are national leaders in providing individualized career focused longitudinal experiences.  These are mentored, individually crafted experiences during which a resident may focus on rural or urban primary care, hospitalist medicine, subspecialty focus (pre-fellowship) and global health.  This unique approach helps satisfy the new ACGME requirement in pediatrics for 6 months of career focused training.

We are committed to education and work-life balance.  Our schedule is compliant with all ACGME duty hour regulations and allows our residents to spend needed time with family and friends and to enjoy Colorado.


First Year
(Weekly Continuity Clinic)
Second Year
(Weekly Continuity Clinic)
Third Year
(Weekly Continuity Clinic)
Adolescent Medicine PICU (call) DH Supervisor (call)
Behavior & Development PICU (call) DH Emergency (call)
Elective Pulmonary IP (call) CHCO Ward Supervisor (Nights)
Community Peds Advocacy Clinic CHCO Ward Supervisor (Days)
NICU (UCH) CHCO Inpatient Ward (Nights) CHCO Emergency
NICU (DH or UCH) Heme-Onc IP (call) UCH or DH NICU Supervisor (call)
DH Emergency Well Baby Nursery - DH or UCH (call) Elective
DH Inpatient Ward CHCO Emergency Elective
Clinic Well Baby Nursery (call) Elective
CHCO Inpatient Ward Elective or Rural Elective
CHCO Inpatient Ward Elective Elective
CHCO Inpatient Ward Elective Elective

DH = Denver Health
CHCO = Children's Hospital Colorado
UCH = University of Colorado Hospital

The above are representative schedules - actual schedules may vary from this example

Teaching Conferences 

Several formal conferences are presented to optimize residents' educational experience. In addition, attendings, fellows, and senior residents offer teaching points at the bedside throughout morning rounds. Fellows contribute greatly to resident education, while still permitting residents primary responsibility for all patients. Fellows are involved on a daily basis in the PICU, NICU, Heme-Onc, and Pulmonary services.  Fellows from other specialties consult regularly on all the inpatient and outpatient services.  Didactic education also occurs on many rotations presenting specialty specific curriculum. 

Morning Report 

From 7:30-8:00 am each day, a second- or third-year resident presents a case to assembled students, residents, and faculty. The differential diagnosis, work-up, and management of the patient are then discussed by residents and faculty. Morning Report is a long-standing tradition in our program and engenders great enthusiasm and participation from the senior faculty.  

Noon Conference 

Each day from 12:00-1:00 pm, students and residents gather for a lecture on a core pediatric topic given by a member of the faculty. This conference also provides the forum for resident lectures which include:
  • Journal Club, presented by our interns
  • Intern Report, a case presentation
  • Supervisor Conference, a case-driven topical conference given by senior residents
  • Morbidity & Mortality, given by the chief resident

On Fridays, from September through May, noon conference is replaced by department-wide Grand Rounds.  During the summer, this time is utilized for a resident lead Spanish language class. 

Nighttime Curriculum  

We have an educational curriculum specifically designed for our residents working nights that consists of on-line modules covering nighttime topics such as pain management, respiratory distress, interpretation of chest radiographs, and others. There are also several interactive on-line resuscitation simulations unique to our program. In addition, our hospitalist attendings discuss by phone patient care decisions with the senior resident each night and also staff a new patient with the intern once a week.

 

Pediatrics/ Physical Medicine & Rehabilitation 

The American Board of Pediatrics and the American Board of Physical Medicine and Rehabilitation offer a joint program whereby physicians interested in specialty certification in Pediatrics and PM&R can qualify for admission to the certification examination of both Boards. The University of Colorado School of Medicine and Children's Hospital Colorado are proud to be one of only seven such programs in the United States. The Pediatric Rehabilitation Medicine program offers a broad, comprehensive range of clinical inpatient and ambulatory services for children and adolescents with congenital or acquired disabilities. Research interests include cerebral palsy, neuromuscular diseases, traumatic brain injury, myelodysplasia, amputations and gait and motion analysis. Usual completion time for the program is five years. Interested applicants should apply to each program separately; there is one combined slot per year. Please visit the PM&R Residency website for more information.  

Child Neurology 

The University of Colorado School of Medicine's Department of Pediatrics and Children's Hospital Colorado offer a three-year residency in child neurology after completion of two years of pediatric residency (or equivalent training).
Child neurology residents spend their third year working on the adult neurology service, followed by two years of pediatric neurology. These two years are evenly divided between clinical and basic science rotations, and are designed to give residents experience in the subspecialties of neuropathology, electroencephalography, neuromuscular disease, neurosurgery, genetics, metabolic disorders and child development. For more information, please visit the Child Neurology Residency website. 

Internal Medicine/Pediatric Training Program

The University of Colorado’s Combined Internal Medicine and Pediatrics program was developed with the plan to provide innovative educational opportunities ranging from rural or urban primary care, hospitalist training, or future subspecialty career paths.
With both Children’s Hospital Colorado and University of Colorado Hospital located adjacent to each other on the Anschutz Medical Campus, trainees will have ample opportunity to attend conferences at both institutions regardless of their specific hospital assignment. 
Our goal is to provide trainees with outstanding training in both internal medicine and pediatrics with the freedom in their last two years to mold their training to meet their long-term career goals. The internal medicine program has pioneered education in the hospitalist track, along with well-established primary care and rural experiences. The Department of Pediatrics has been at the national forefront in shaping career focused individualized training for residents with a focus in hospital medicine, primary care (rural or urban) and subspecialty care.

Longitudinal Block  

We offer residents the unique opportunity to participate in a longitudinal block experience during their third year. As opposed to traditional monthly electives, the longitudinal block is a fourth month period in which residents can customize their education to fit with their future career goals with tracts in primary care, subspecialties, global health or hospitalist medicine.  They allocate their time between primary care clinics, specialty clinics, research or beginning their job search. Residents meet with a mentor of their choice bimonthly during the longitudinal block. The longitudinal block is specifically directed towards each individual resident’s learning goals, helping to prepare our residents to move on to the next phase of their careers. 

American Board of Pediatrics Integrated Research Pathway 

Individuals may apply for this pathway during the first nine months of the PL-1 year. This pathway is open to individuals with the PhD degree or others who demonstrate equivalent prior research experience. The training in most instances will include 24 months of pediatric clinical rotations and up to 12 months of integrated research time. This pathway is designed to foster development of physician-scientists. 

American Board of Pediatrics Accelerated Research Pathway 

This program is designed to accommodate candidates committed to an academic career as a physician-scientist. This pathway includes two years of pediatric training followed by four years of subspecialty training. There is no requirement for prior research training.


For residents interested in subspecialty practice, our program offers the opportunity to spend a half day per week working in a specialty clinic or on a research project during elective months in the second and third years. Additionally, a longitudinal curriculum has been developed during the third year of training to focus training more specifically in an area of future subspecialty practice.  This longitudinal curriculum is optional during the third year.  Please see the section on Longitudinal Blocks under Combined Programs and Alternative Pathways.

Please visit our subspecialty websites for more information about each discipline's clinical training, research focus, and faculty.

 

Advocacy 

Child advocacy is a key component of the mission of Children’s Hospital Colorado. All residents complete a one-month rotation in child advocacy and community pediatrics. This rotation focuses on advocacy at three levels: patient, community and legislative (policy) advocacy. The curriculum is partially individualized, allowing residents to pursue advocacy activities that relate to personal and career interests. For residents who desire additional advocacy training, several other electives are available, including the resident LEADS (Leadership, Education, Advocacy, Development, Scholarship) elective, a Child Abuse/Neglect Prevention elective (through the nationally-known Kempe Center for the Prevention and Treatment of Child Abuse) and a Legislative Advocacy elective. 

Global Health 

Because we believe that international experiences are extremely valuable to residents’ clinical training, we offer one-month rotations in a variety of international sites. These rotations provide our residents with the opportunity to be immersed in another culture and to experience medical practice in an entirely different environment. The Colorado School of Public Health’s Center for Global Health (CGH) at the University of Colorado Anschutz Medical Campus coordinates health activities across the University of Colorado campuses as well as forming partnerships with other groups in Colorado dedicated to creating advances in global health. CGH is intricately connected to Children’s Hospital Colorado. CGH’s director, Dr. Stephen Berman, is a Professor of Pediatrics and a past President of the American Academy of Pediatrics. The Maternal and Child Health Division at CGH was recently designated by the World Health Organization as a Collaborating Center for Promoting Family and Child Health, one of only two programs in the Americas to receive this designation. CGH has also newly developed a Fellowship in Pediatric Global Health. CGH offers many opportunities for both medical students and residents to participate in research and clinical work. 

Research

Opportunities for Resident Research (ORR) is our program of clinical and laboratory investigation by residents. Each resident is expected to participate in a scholarly project during the three years of residency training. This can include a basic or clinical research project or any another educational endeavor (such as a quality improvement initiative, an educational manual or a special presentation to the residency) as approved by the Program Director. The program helps residents to identify a research mentor, who then assists the resident with project design. Residents are allowed to use a portion of their elective time, and/or use a half day per week during electives to work on their research. Most residents who pursue a research opportunity are able to submit a manuscript and/or present at a national meeting. The program funds resident travel for this purpose.  

Simulation 

The Simulation Program uses a full suite of state-of-the art, full-size, computer-driven human patient simulators to support individual and team training. These lifelike simulators closely mimic human physiology so that healthcare workers can gain experience with physical diagnosis, management of common disease states, avoidance and management of medical complications, and management or troubleshooting of monitors and instruments that are utilized in contemporary healthcare settings. We place special emphasis on teaching effective techniques for interdisciplinary team coordination and communication.   

Teaching 

Among the many roles and responsibilities that may be new to interns is the expectation to teach students, colleagues, and patients. Beyond providing excellent faculty role models, formal training in teaching is given to residents in the form of a half-day retreat, workshops  and through an available teaching elective.  

Medical Spanish 

Our program runs a weekly course in medical Spanish throughout the summer, taught by bilingual residents. The course is designed to help all residents develop basic language skills, become more culturally aware, and become skilled in using interpreter services. While one cannot become proficient in a new language in this time, residents learn how to negotiate language and cultural barriers. Many residents do find that they are proficient in basic medical Spanish by the end of the residency. 

Retreats 

Each class has a retreat each year, addressing such topics as cultural competency, teaching, practice management, and fellowship/job applications. In addition, the intern class has a retreat in Breckenridge every September, during which the new class is able to continue to bond, discuss their experiences so far, and enjoy the mountains. Finally, the PL-2 class has a retreat each year, just prior to becoming PL-3s, to prepare for their year of supervising, discuss questions and aspirations for the year with the new chiefs, and spend time together out of the hospital.