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Curriculum

Didactic Conferences

  • UF Health Jacksonville and Wolfson Children's Hospital are equipped with teleconferencing facilities that are offered on both campuses, providing residents with greater access to the educational conferences listed below. Lectures are recorded and also available to residents via live streaming at any time and on their personal surface pros provided by the children's hospital at the start of residency.
  • Noon lectures are offered daily and cover the American Board of Pediatrics content specifications in an 18-month cycle so that residents will cover the entire curriculum twice during their three years of residency. Noon lectures encompass both specialty as well as general and preventive pediatrics topics. The latter is based on Bright Futures guidelines. In addition, we have an advocacy session scheduled every other month. This is facilitated by our advocacy resident champions under the guidance of the community and societal pediatrics division.
  • Morning report happens twice weekly (morning report is resident-led and attended by faculty)
  • Grand rounds are offered weekly, all PGY 3 residents present grand rounds as a required component of their scholarly activity
  • Evidenced-based medicine (EBM) or journal club occurs monthly and is mentored by faculty with both interns and residents participating, thus ensuring longitudinal EBM exposure
  • Board review sessions are also arranged throughout the year. These are taught by faculty and coordinated by a senior resident with dedicated faculty supervision.
  • Monthly morbidity and mortality conferences - Presented by residents and led by pediatric critical care faculty
  • Combined pediatric critical care – Emergency medicine conferences are also held periodically to discuss a case from initial presentation through management in the Intensive Care Unit
  • Other didactic opportunities include perinatology conferences for those working at UF Health Jacksonville. In addition, quarterly quality improvement (QI) and scholarship meetings are held to provide didactics and review basic concepts related to QI and scholarship, such as working through a PDSA cycle, navigating the IRB, how to write and present at conferences and reviewing and providing guidance for ongoing projects. These are all mentored by designated faculty members with expertise in these areas.
  • We also have a dedicated quarterly ethics noon conference lecture/discussion series taught by the children's hospital bioethicist. The curriculum is based on the AAP Section/Committee on Bioethics guidelines.

Experiential Learning Opportunities:

  • Patient safety, delivering bad news, neonatal resuscitation and emergency department procedural simulation trainings
  • Monthly case based simulation supervised by pediatric hospitalists
  • Mock code simulations supervised by critical care faculty

Leadership Development Program

We offer free leadership training opportunities to all UF residents and fellows. Residents have unlimited access to LinkedIn Learning, an online learning center with thousands of on-demand courses. There are many courses relevant to leadership, personal and professional development. There are no limitations to the number of courses a resident can do throughout his/her training. Courses can be done whenever it is convenient for residents, including on the admin rotation. Residents who would like a more structured leadership program may have access to our newest program, TalentTracks. Participants will be expected to complete an online learning activity each month, with an average of 1-2 hours commitment. This longitudinal program runs throughout the year and is perfect for the resident who is interested in a career in academic medicine.

Scholarship Initiatives Available Through Community Advocacy or Clinical Research

Residents participate in either a community advocacy or a clinical research project. Local, regional and national experiences are available to residents through both the community advocacy initiative and the research experience. Additionally, our trainees collaborate on their own, resident-led quality improvement projects with an emphasis on patient safety. These often provide them an opportunity for additional scholarship. The program provides support in terms of conference leave as well as educational stipends for residents to enable them to present their scholarly projects at local, regional and national meetings. Over the past 5 years, our residents have presented at meetings such as:

  • Southern Society for Pediatric Research (SSPR)
  • American Society for Sports Medicine
  • Vermont Oxford Network
  • AAP National Conference and Exhibition
  • Florida Chapter of the AAP
  • Duval County Medical Society
  • AAP Celebration of Pediatric Pulmonology
  • Pediatric Academic Societies
  • Academy of Breastfeeding Medicine
  • International Breastfeeding Conference
  • Pediatric and Adult Interventional Cardiac Symposium
  • Pediatric Hospital Medicine Conference

Center for Simulation Education and Safety Research (CSESaR)

Residents are exposed to common pediatric procedures through our state-of-the-art simulation lab. Residents perform procedures under the instruction and supervision of both pediatric and emergency medicine physicians and participate in simulated learning experiences.

First Year of Residency (PGY-1)

PGY-1 Rotations
RotationBlocksOvernight Call
Inpatient Wards3 None,
2 week night shift during one of the general pediatric in-patient blocks
Peds ED2Shift Work
Newborn Nursery22 weeks night and 2 weeks day shift
NICU1None
Endocrine
(in-patient/out-patient blended experience)
1None
Ambulatory Clinic1Weekend Pool
Community and Societal Pediatrics1Weekend Pool
Elective2Weekend Pool

The emphasis during the PGY-1 year is on learning the basic principles needed to take care of children. Through close interaction with senior residents and faculty, the PGY-1 resident develops a personal sense of responsibility for patient care while learning the tools required for a life-long commitment to learning and medical education. Each resident develops teaching skills by supervising medical and physician assistant students, thereby broadening his or her own educational experience.

All PGY-1 residents also attend an all-day required teaching seminar to further enhance their teaching skills.

Inpatient Experience

The inpatient experience is primarily at Wolfson Children’s Hospital (WCH). Here, residents take care of general pediatric patients from all socioeconomic groups, as well as a variety of pediatric and surgical subspecialty patients. All inpatient experiences are supervised by faculty. Senior residents have the opportunity to supervise their junior colleagues, thus gradually preparing them for the independent practice of medicine. Residents will participate on both the general pediatrics inpatient teams as well as the hematology/oncology inpatient team. During one of the two general pediatric in-patient months, interns will spend two weeks on night shift and two weeks on day shift.

Pediatric Emergency Medicine Experience

The pediatric emergency department (ED) at UF Health Jacksonville has more than 22,000 pediatric patient visits annually. Here, PGY-1 and PGY-2 residents are exposed to the rapid diagnosis and management of acutely ill patients across the pediatric spectrum. Residents also have the opportunity in both the PGY-2 & PGY-3 years to do an elective rotation in the ED at WCH, in addition to their required emergency room rotations at UF Health Jacksonville. Both facilities are approved as pediatric trauma centers by the state. Residents learn basic procedures such as incision and drainage of an abscess, simple laceration repair, venipuncture, suturing, splinting and management of simple fractures and also participate in the care of trauma patients, resuscitations and performing gynecologic examinations. Under the supervision of ED faculty, PGY-1 and PGY-2 residents are required to do a procedure based simulation during this rotation.

Newborn and NICU Experience

In the newborn nursery and NICU rotations (at UF Health), residents have extensive exposure to a variety of neonatal conditions and receive formal training in both newborn management and resuscitation of critically ill neonates. Residents will also participate in procedures such as circumcision, peripheral venous blood draws, neonatal intubation, umbilical central line placement and more.

Several initiatives have recently been introduced to enhance the educational experience of the residents during the NICU and nursery months. These include:

  • NRP mock code for all years on a preemie mannequin
  • Active interaction between NICU and nursery for QI projects
  • Interaction with OB and maternal fetal medicine for monthly perinatology conferences during these rotations

These experiences include residents at all levels of training.

Subspecialty Experience

OfficeDuring the first year, residents will rotate for one block with the endocrine team, working one-on-one with faculty and fellows. Their in-patient time on this blended rotation is spent rounding on inpatients on the service and seeing consults for two weeks. Residents then spend two weeks in the out-patient clinic, learning about a wide spectrum of endocrinology diseases and conditions. They are also encouraged to spend at least 1-2 half days with the diabetes educators learning specifically about insulin pumps so as to better educate their patients. They are given a dedicated reading list during that month to facilitate learning and discussion. PGY-1 residents get 2 weekends off during this block and work on Saturday only during the other two weekends.

Ambulatory Experience Including the Longitudinal Outpatient Experience

All residents have a longitudinal primary care outpatient experience in a setting that provides a medical home for a full spectrum of pediatric patients. PGY-2 residents can also choose to have another outpatient primary care ambulatory month in one of the UF clinics. In the PGY-3 year, residents can continue this same experience or may choose to divide their experience between a subspecialty clinic as well as their primary clinic site. The residents develop a sense of personal responsibility for not only the patient, but also their families. This includes a focus on wellness and prevention, coordination of care, longitudinal management of children with special health care needs and chronic conditions. In addition, pediatric residents benefit from the supervision provided by experienced UF College of Medicine – Jacksonville faculty. Residents have a choice of longitudinal (continuity) clinics that include Federally Qualified Health Centers (FQHCs), UF College of Medicine – Jacksonville satellite clinics and private offices.

Community Experience

The community and societal pediatrics (CSP) rotation introduces residents to the concepts of child rights, social justice and health equity through reading, faculty teaching sessions and visits to community sites and resources. Residents will learn ways to identify and advocate for resources in underserved populations. This rotation also gives residents the opportunity to gain perspective on the social and environmental determinants that impact the health of children in our community. They also learn about different health care disparities and working with underserved/underprivileged populations

Residents with a strong interest in community pediatrics and advocacy may elect to do a community advocacy initiative (CAI) project where they may select a population or health gap of interest and further explore, develop and implement an advocacy initiative in this area. Further, residents with a strong interest in this area may choose to be on the CSP track. Faculty and community mentors are matched with residents to provide guidance and support throughout the implementation of their advocacy initiatives. While working with children, families and community-based organizations, residents begin to explore cultural competence, advocacy and population-based medicine.

Community based experiences include but are not limited to: child protection team, children’s medical services cleft palate clinic and early steps.

Second Year of Residency (PGY-2)

PGY-2 Rotations
RotationBlocksOvernight Call
Inpatient Wards2.5None
Cardiology1Mon-Fri (24 Hour)
Gastroenterology1Mon-Fri (24 Hour)
Nephrology1
(3 weeks)
Mon-Fri (24 Hour)
Pulmonology1
(3 weeks)
Mon-Fri (24 Hour)
Peds ED1Shift Work
NICU1None
PICU1Shift Work
Behavior Development1Weekend Pool
Electives3Weekend Pool

During the PGY-2 year, a greater emphasis is placed on subspecialty pediatric care. In addition, residents are provided unique patient exposure through the subspecialty clinics at the Nemours Children's Clinic, UF Health Jacksonville, Wolfson Children's Hospital and other regional referral centers. Preparing residents for a career in subspecialty or general pediatrics starts early in the PL-2 or latter part of the PL-1 year.

Inpatient Experience

PGY-2 residents are given increasing supervisory experience by running both an inpatient general pediatrics team and hematology/oncology team at Wolfson Children's Hospital. The resident supervises first year pediatric residents, family medicine residents, medical students and physician assistant students in providing care for patients with a variety of common pediatric illnesses.

Subspecialty Experience

During the second year, residents will rotate for a full block (4 weeks) in two subspecialties: cardiology, gastroenterology and 3 weeks on nephrology and pulmonology. The resident will round with the team in the morning and then either admit new patients, help with consults or spend time in clinic depending on the service. The resident will take calls on their subspecialty patients during the day and each evening, will sign out their patients to the resident taking overnight call on all subspecialty patients. During these months, call will be taken by the subspecialty residents five nights per week, rotating every fourth night between each resident. The addition of the subspecialty rotations to our curriculum has vastly expanded dedicated learning in each of these core pediatric subspecialties.

Pediatric Emergency Medicine Experience

Pediatric Emergency Medicine Resident and PatientDuring the pediatric emergency medicine rotation, PGY-2 residents are given the unique opportunity to participate in patient care throughout the pediatric emergency department, as well as providing teaching interactions with junior residents and medical students. These activities are done in conjunction with pediatric emergency medicine faculty, emergency medicine residents and pediatric emergency medicine fellows.

NICU

During the NICU, the PGY-2 resident assumes increasing responsibility not only for patient care but for supervision of PGY-1 residents and medical students. In the NICU, residents have an opportunity to closely interact with neonatal nurse practitioners, physician assistants and attending physicians, thereby broadening their overview of other aspects of pediatric health care delivery by working as part of an inter-professional team.

PICU Experience

In the PICU, the resident joins a multidisciplinary health team and gets first-hand experience in the care of the critically ill child. The 20-bed family-centered unit at Wolfson Children’s Hospital cares for a complex array of patients with medical, post-surgical and traumatic issues and is equipped to provide cutting edge life support including HFOV, ECMO and continuous renal replacement therapies. Our residents are encouraged to take an ownership mentality in caring for the sickest of children. Situational awareness and teamwork are the undercurrents of our PICU culture. Here too, the residents work with pediatric emergency medicine fellows as well as with physician assistants as part of an interdisciplinary team.

Developmental Pediatric Experience

Second Year of Residency (PGY-2)The developmental pediatric rotation is a multifaceted experience, including exposure to community resources and developmental testing. Residents on this rotation will have extensive one-on-one interaction with developmental and neurodevelopmental faculty. They will participate in team meetings with families of children with complex developmental and behavioral conditions to coordinate care and assess ongoing needs. Didactic lectures on development are provided during this rotation in addition to those that are part of the regular didactic curriculum.

As part of this rotation, residents go to the Mt. Herman School for Exceptional Children, Terry Parker High School for Emotional and Behavioral Disorders, Pine Castle Adult Day Center, Florida School for the Deaf and the Blind, The Clarke School for Hearing and Speech, Early Steps (Northeast Florida Regional Early Intervention Program).

Residents also have to prepare and present a journal club during the rotation.

Third Year of Residency (PGY-3)

PGY-3 Rotations
RotationBlocksOvernight Call
Inpatient Wards2None
NICU1None
PICU1Shift Work
Wolfson Night Shift1Sun-Thurs Shifts
NICU/Nursery Night Shift1Sun-Thurs Shifts
Adolescent Peds1Weekend Pool
Outpatient Mental Health1Weekend Pool
Electives5Weekend Pool

During the PGY-3 year, there is continued emphasis on supervising junior residents and developing autonomy as residents prepare for either a fellowship or a career in general pediatrics. The PGY-3 resident oversees and assists junior residents and students on the inpatient units at Wolfson Children’s Hospital and in the intensive care units. He or she organizes and manages teams on the inpatient and outpatient services in conjunction with the faculty and is responsible for leading case discussions and patient care plans for the team.

Third-year residents prepare and present grand rounds which may be recent updates on a topic of general interest or a discussion focused around a clinical case. They work closely with a faculty mentor in preparation. This provides an opportunity for the residents to inform and educate residents and faculty in a professional setting.

Inpatient Experience

PGY-3 residents complete two inpatient blocks during the third year, each providing a unique experience for the resident. The first provides a supervisory experience by leading an inpatient general pediatrics team at Wolfson Children's Hospital, with direct supervision and teaching of PGY-1/2 pediatric residents, medical students and physician assistant students. The second block allows the PGY-3 resident to work one-on-one with an attending-only inpatient team, providing the resident a unique opportunity to manage every aspect of their patients’ care. This latter experience in the third year is specifically directed at fostering independence and autonomy during the final year of training including learning concepts such as inpatient billing.

NICU Experience

During the NICU rotation, the PGY-3 resident assumes complete responsibility for the NICU team, consisting of both PGY-1 and PGY-2 pediatric. The third year resident is able to help manage patient care as well as build procedural and resuscitation skills.

PICU Experience

In the PICU, the PGY-3 resident again takes on a supervisory role over PGY-2 pediatric and emergency medicine residents. This month provides another opportunity to perform common procedures such as intravenous line placement, bladder catheterization, intubation and lumbar puncture along with other procedures such as central line placement. The residents work closely with faculty and in addition to direct patient care, are involved in one-on-one didactics with the faculty.

Wolfson Night Shift

As a PGY-3 at night, residents share patient responsibilities with two additional junior residents, but function as the supervising resident for the inpatient service and admissions. The PGY-3 resident has hospitalist faculty on site until midnight. From midnight to 6 a.m. faculty are available by phone. This experience gives the residents much needed autonomy to practice medicine in a controlled environment with indirect supervision and allows them to develop the confidence and clinical reasoning skills they need to practice once they graduate. There is a PICU faculty member in house at all times and the PICU team is available for all rapid responses and to help care for any critically ill patients when that need arises. Hospitalist faculty are available for any questions over the phone and the PICU attending is available in house for any emergencies. All noon conferences are recorded and made available online for residents to be able to review either during their call or later when they are able to do so.

NICU/Nursery Night Shift

During the NICU night shift rotation, the PGY-3 provides supervision and support to PGY-1 residents on their newborn night shift rotation, particularly when attending deliveries. They will also manage the NICU patients at night, admitting new patients, performing procedures such as intubations and central line placement and tending to any acute concerns. During this block, they will spend the first two weeks covering the new born nursery shifts at night.

Adolescent Medicine Experience

During the adolescent medicine rotation, residents learn about medical and social issues of adolescents. Residents are exposed to a diverse population through experiences at a private preparatory school clinic, JaxHATs (adolescent transition clinic for children with special healthcare needs), public high school based clinic, adolescent gym clinic and an adolescent inpatient mental health unit. They also spend one half day learning adolescent gynecology and one half day at one of the adolescent clinics at a local high school.

Mental Health Rotation

Pediatric PatientThis required rotation began during the 2017-2018 academic year for PGY-3 residents. During this outpatient mental health block, residents learn outpatient screening, diagnosis and management of a variety of mental health conditions such as but not limited to ADHD, depression, anxiety, PTSD. This rotation is under the guidance of dedicated pediatric psychiatrists.

Research and Administrative Experience

The PGY-3 residents have the option to spend a month in an administrative role, with an emphasis on building teaching and research skills. They may also use this month to do another elective if they so decide. During this month, the administrative resident assists in running noon conferences as needed. PGY-1, PGY 2 and PGY 3 residents also present a peer-reviewed, EBM article using the PICO methodology. This block also provides time for the third-year resident to work on completion of his/her scholarly and quality improvement projects. In addition, we have a 1-2 week patient safety elective which the resident can either do separately or as part of their administrative month if they chose to take this elective option.

Other Rotations Unique to Our Program:

Care of the Medically Complex Child

Care of the medically complex child is an elective experience (except for residents on the advocacy tract for whom it is required), where the resident is exposed to a variety of children with diverse healthcare needs. Residents rotate through the Bower Lyman Center for Medically Complex Children, Brooks Rehabilitation Hospital and UF Health Pediatric Physical Medicine and Rehabilitation Clinic (PM&R clinic), which provide rehabilitative services, pain and spasticity management for children. They may also spend time in the WCH Behavioral Health Center Partial Hospitalization Program as well as with the JaxHats Program which provides care to youth with complex medical conditions transitioning into adult care. Finally, residents work with the PedsCare program that provides palliative care to infants and children with chronic or terminal conditions.

Medical Economics

This two week elective focuses on teaching residents about the business side of medicine. Residents learn about contract negotiation, medical malpractice, how to set up an office practice and personnel management among other things. Residents are required to develop a business and strategic management plan for their organization.

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