Residency Training Program In the Department of Pediatrics

Educational Settings



Lucile Packard Children's Hospital at Stanford

Since its opening in 1991, Lucile Salter Packard Children’s Hospital at Stanford (LPCH) has become an internationally-renown children’s hospital. LPCH is consistently honored by US News and World Report as one of the nation's best children's hospitals. It provides highly specialized pediatric care while continuing to serve as a community hospital for the children of Palo Alto, East Palo Alto, Menlo Park, Mountain View, Los Altos, Atherton, and Redwood City. LPCH is a busy children’s hospital with 13,800 annual admissions. Its 272 beds, including 87 medical-surgical beds, 24 PICU, 20 CVICU and 40 NICU beds, are grouped into units to serve patients and families' special health care needs. These units include General Pediatrics, Pediatric Subspecialties, Hematology-Oncology, Bone Marrow Transplantation, Pediatric Surgery and Transplantation, Neonatal Intensive Care, Intermediate Intensive Care (for Newborns), Pediatric Intensive Care and Cardiovascular Intensive Care.  In 1997, the obstetrical and neonatal services were merged and the Johnson Center was created to provide mothers and babies a comprehensive, family-centered approach to their care.   There are over 5,100 infants born at LPCH each year.

Our growth in clinical services has been dramatic in the outpatient clinics. The Ambulatory Care Center has over 134,000 annual clinic visits and provides primary and specialty care in a wide variety of medical, obstetrical and surgical clinics.  Additionally, our Short Stay Unit provides an outpatient treatment center for children needing special infusions, transfusions, or other procedures.  LPCH has also established six interdisciplinary clinical Centers of Excellence to shape nationally pre-eminent programs in areas essential to children’s health. These include the centers for Brain and Behavior, Cancer and Blood Diseases, the Children’s Heart Center, Mothers and Babies, Pulmonary Care and Cystic Fibrosis, and the Transplant Program.

Currently, LPCH is tackling a large hospital remodeling project which will increase patient capacity and enhance the overall experience at the hospital. The major Phase 1 projects have recently been completed, including the addition of more labor and delivery suites and the opening of new treatment areas.  With the construction of a separate 20-bed cardiovascular intensive care unit (CVICU) to care for pre- and post-operation cardiac patients, the pediatric intensive care unit was able to expand to 24 beds.  The Ford Family Surgery Center, a dedicated pediatric center with seven state-of-the-art operating suites opened in December 2008.  Additionally, the Bass Center, a pediatric cancer center, has recently opened which provides a separate day treatment area for oncology patients requiring chemotherapy or transfusions and a dedicated pharmacy for the oncology patients.  It is located next to the new 15-bed Hematology-Oncology Unit and 12-bed Stem Cell Transplant Unit. 

In early 2005, our outpatient clinics moved to new buildings at 730 Welch Road and Castro Commons in Mountain View. The Mary L. Johnson Ambulatory Care Center at 730 Welch Road gives patients and physicians dedicated clinic space just across from the main hospital. This has allowed clinicians to confer more easily and patients to be able to access their care faster and more efficiently. 730 Welch Road was designed as a hub of both medical care and information.  As part of this large expansion program, the hospital completely modernized its electronic medical record system and now we are at the forefront of clinical informatics research.

LPCH is poised to enter into an era of tremendous growth, particularly in surgical fields and pediatric subspecialties. The hospital and clinics are vital elements in contributing to the breadth and depth of the training experience for our pediatric residents through their cutting-edge treatments and world-class clinicians.

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Stanford University Hospital and Clinics

Stanford University Hospital is a 613-bed medical center located adjacent to LPCH. Shared facilities include its Emergency, Radiation Therapy, Pathology and Laboratory departments. The Emergency Department (ED) is a Level I trauma center and has 39 patient beds including a 3- bed Trauma Unit.  In December 2005, the hospital opened a new pediatric emergency department.  This space includes ten dedicated pediatric beds, work areas for physicians and nurses, and a 275- square foot children's waiting room.  The pediatric rooms are designed for children, featuring bright décor, iMacs, and Pixar movies to help ease children's anxiety. There are approximately 13,000 pediatric emergency room visits annually, nearly all of which are seen by our pediatric residents.

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Santa Clara Valley Medical Center

Santa Clara Valley Medical Center (SCVMC), founded in 1876, is the oldest and only publicly-operated hospital in Santa Clara County, as well as being the major provider of health care for San Jose. The hospital is located in San Jose, a 30-minute drive south from Stanford. Its affiliation with the Stanford University School of Medicine provides a key and integral part of our pediatrics residency training program. As a large public hospital with many specialized and regional services, SCMVC serves a high proportion of low-income patients from many different cultural backgrounds including patients of Hispanic, Cambodian and Vietnamese backgrounds.  The SCVMC outpatient facility, Valley Health Center- Bascom, is located across the street from the hospital and offers more than 60 primary care and specialty clinics.

The pediatrics department at SCVMC is made up of more than 80 board certified specialists in pediatrics and neonatology.  The labor and delivery service is the largest in Santa Clara County with over 6000 births each year.  Our residents rotate through the 40-bed Level III NICU.  In addition, the 30-bed pediatric unit and 12-bed PICU provides our residents with important exposure to bread-and-butter general pediatrics, pediatric subspecialties and a pediatric intensive care unit.  SCVMC also offers special pediatric services including a burn treatment center.  Residents spend roughly 25% of their training time at SCVMC.

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Kaiser Permanente Santa Clara

Kaiser Permanente Medical Center in Santa Clara consists of a new 327-bed general hospital and office complex that provides health care for approximately 289,000 members, approximately 20% of which are under 18 years old. The pediatric service in which we participate includes a 26-bed pediatric ward and an 8-bed Intensive Care Unit.  At Kaiser, our residents are exposed to the oldest and most efficient managed care system in the United States today. Faculty at Kaiser Santa Clara include pediatricians with subspecialty interests in Pediatric Surgery, Neurology, Pulmonary, Cardiology, Nephrology, Hematology/Oncology, Infectious Disease, Gastroenterology, Critical Care, and Rehabilitation Medicine.  The hospital is a 30-minute drive from LPCH and residents spend approximately one month during their intern year on the ward.

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El Camino Hospital

     
   
     

El Camino Hospital in Mountain View is a 395-bed hospital located about 8 miles from LPCH. The Packard Unit at El Camino Hospital is a 16-bed unit staffed by Packard Children’s Hospital physicians, nurses, and support staff.  It is a direct extension of the main hospital and provides a good opportunity for our residents to learn bread-and-butter pediatrics.  In addition, El Camino Hospital is the location for a 15-bed unit dedicated to the Comprehensive Eating Disorders Program.  This program is the only comprehensive program in Northern California that addresses the medical and psychiatric needs of children with these disorders.  Residents may rotate through PEC as an elective.

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Community Sites of Training

Packard residents participate in a wide range of community pediatric clinics throughout the Bay Area. Our program Continuity Clinic in the Community allows residents to tailor the setting of their continuity clinic to their personal interests and professional goals. Roughly half of our residents choose a continuity clinic away from LPCH. Continuity Clinic experiences include the underserved community clinic of East Palo Alto, Lucile Packard Clinics at 730 Welch Road, the outpatient clinics at both Santa Clara Valley Medical Center and Kaiser Permanente, and the private offices of many of our well-respected community physicians.  Subspecialty selectives and electives, as well as the Community Medicine rotation, also provide exposure to a diversity of community clinic settings. This wide exposure gives our program graduates the opportunity to explore the multiplicity of career paths available for general pediatricians.

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