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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/CFEB
DH Inpatient Ward CHCO Emergency Elective/CFEB
Clinic Well Baby Nursery (call) Elective/CFEB
CHCO Inpatient Ward Elective or Rural Elective/CFEB
CHCO Inpatient Ward Elective Elective
CHCO Inpatient Ward Elective Elective

DH = Denver Health
CHCO = Children's Hospital Colorado
UCH = University of Colorado Hospital
CFEB = Career Focused Educational Block

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, morning report is held for all residents.  This interactive conference is either chief-led or led by a second- or third-year resident.  Residents present 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. Chief led morning report focuses on common pediatric issues with questions and discussion geared towards all levels of residents.  Morning Report is a long-standing tradition in our program and engenders great enthusiasm and participation from the senior faculty.  
 

Academic Half Day

New to the program curriculum this year is our Academic Half Day, an innovative and interactive curriculum that replaces our traditional lecture based noon conference curriculum.  Residents will attend Academic Half Day one Tuesday afternoon per month from 1:30-5:00pm in a protected learning environment free from patient care responsibilities.  The curriculum is designed specifically for interns and upper level (PL2 and PL3) residents.  This year Academic Half Day curriculum will include Cardiology, Endocrinology, Infectious Disease, Metabolics/Genetics, Neurology, Psychiatry/Child Abuse, Emergency Medicine and Rheumatology.
 

Longitudinal Small Group

Longitudinal Small Group is new to the 2014-2015 year.  We are very excited to offer this curriculum to our residents.  This will be protected time for each resident one half day a month.  This forum will be a confidential and safe environment for residents to discuss difficult topics in medicine that are not covered in traditional residency education.  Proposed topics for this year will include; communication and shared decision making, emotional wellbeing, discussion on ethical dilemmas and dealing with death and bad outcomes. 
 

Noon Conference 

On days when we don’t have an Academic Half Day, from 12:00-1:00 pm, students and residents gather for a lecture on a core pediatric topic , or come together for resident wellness  Lunch is provided each afternoon at 12pm.  This conference also provides the forum for resident lectures which include:
 
       Journal Club, presented by our interns
       Intern Report, a case presentation
       Evidence Based Clinical Effectiveness Conference presented by our interns
       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/Career Focused Educational 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. It focuses on self directed learning and individual career exploration.

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 encouraged to submit a manuscript and/or present at a national meeting. The program funds resident travel for this purpose. Each spring a Resident Research Day is held to display and recognize the scholarly work of residents.  

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. There are two courses that run simultaneously -- one is designed to help all residents develop basic language skills, become more culturally aware, and become skilled in using interpreter services; the other is for advanced speakers to work on improving their conversational Spanish. 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.