Educational Settings

Lucile Packard Children's Hospital at Stanford

Since its opening in 1991, Lucile Salter Packard 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 12,850 annual admissions. Its 264 beds, including 76 medical-surgical beds, 12 PICU, 12 CVICU and 40 NICU beds, are grouped in units to serve patients and families' special health care needs. These units include General Pediatrics and Pediatric Subspecialties, Hematology-Oncology, Pediatric Surgery and Transplantation, Neonatal Intensive Care, Intermediate Intensive Care (for Newborns), and Pediatric Critical 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. In 2001, the CVICU was added to the PICU and is the center of pre- and post-surgical care for children with congenital and acquired heart disease.

Our growth in clinical services has been dramatic in the outpatient clinics. The Ambulatory Care Center has over 100,000 annual clinic visits and provides primary and specialty care in a wide variety of medical, obstetrical and surgical clinics. Additionally, our Day Hospital provides an outpatient treatment center for children who do not require an overnight hospital stay for special infusions, transfusions, chemotherapy, or other procedures. Over the past few years, 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 included the creation of dedicated pediatric surgery suites, a pediatric Cancer Center, added labor and delivery suites, an expanded pediatric intensive care unit (PICU) in addition to the recently opened Heart Center. In early 2005, our outpatient clinics moved to new buildings at 730 Welch Road or to Castro Commons in Mountain View. The recently constructed 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 as of November 2007, we will join the growing number of children's hospitals that utilize physician computer order entry.

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

Stanford University Hospital is a 628-bed medical center located adjacent to LPCH. Shared facilities include its Emergency Department, Radiation Therapy, CT and MRI scans, and Operating Rooms. The Emergency Department (ED) has 24 patient beds including a 3 bed Trauma Unit and features Prompt Care, an area built to expedite the care of patients with mild illness and minor injuries. Of the 40,000 annual visits to our ED, approximately 28% of these are children, nearly all of which are seen by our pediatric residents. In December 2005, the hospital opened a new, recently constructed pediatric emergemcy department.  This new space includes seven treatment rooms, work areas for physicians and nurses, and a 275- square foot children's waiting room.  The seven rooms are designed for children, featuring bright décor, iMacs, and Pixar movies to help ease children's anxiety.
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Santa Clara Valley Medical Center

Santa Clara Valley Medical Center (SCVMC), founded in 1876, is the oldest and only public-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 background.

The SCVMC outpatient facility, the Valley Health Center- Bascom, is located across the street from the hospital and offers more than 60 primary care and specialty clinics. SCVMC is a key site in our training program and provides bread-and-butter general pediatrics as well as important subspecialty pediatric training experiences with a very talented and committed faculty. 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 brand new 327-bed general hospital and office complex that provides health care for approximately 450,000 members. The pediatric service in which we participate includes a Pediatric Ward and a 8-bed Intensive Care Unit. There are over 900 pediatric admissions and 120,000 pediatric clinic visits annually at Kaiser Santa Clara. 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 25 pediatricians with subspecialty interests in Pediatric Surgery, Neurology, Endocrinology, Genetics, Hematology/Oncology, Cardiology, Neonatology, Nephrology, Critical Care, Infectious Diseases, Gastroenterology, Pediatric Orthopedics, and Sports Medicine. The hospital is a 30-minute drive from LPCH and residents spend approximately one month during their second year on the ward.
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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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