We provide a broad-based exposure to general pediatrics, critical care and subspecialty pediatrics. Based on specified competency goals in each of the curricular areas, we have constructed a schedule of rotations that optimizes the balance between inpatient and outpatient sites of care. Through each of the clinical components of the training program, we emphasize the development of excellence and responsibility in patient care, critical thinking and questioning, technical expertise and clinical judgment.
Our curriculum is in a state of continuous quality improvement. Curriculum change occurs with active involvement of housestaff and faculty. Overseeing this process are the Program Director, the Associate Program Directors, the chief residents, and the Curriculum Committee. This committee is made up of housestaff and attendings dedicated to optimizing education on each rotation. The active participation and collaboration of faculty and housestaff creates a comfortable educational environment that truly distinguishes our training program.
For a breakdown of rotations in each year, please see the schedules
section.
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Individualized Education
With ample Elective and Subspecialty Selective time in every year of training, we encourage residents to explore all fields of pediatrics. With careful planning, residents are also able to participate in International Electives or Research Electives. Frequently chosen Electives include Anesthesia, Otolaryngology, Dermatology, Lactation, Parenting, Radiology, Pediatric Surgery, Advanced Adolescent Medicine, Ophthalmology, Sports Medicine, and Orthopedics. Subspecialty Selectives have an outpatient focus and integrate clinical experiences at LPCH and affiliated sites. The selectives offered are Cardiology, Endocrinology, Gastroenterology, Genetics, Infectious Diseases, Neurology, Nephrology, Pulmonology, Allergy/Immunology, and Rheumatology.
Each year, all residents are given a four-week elective period free of call. Additionally, the intern and junior schedules include several separate four-week selective blocks with call. Senior schedules have three four-week selective blocks with call in addition to the call free elective.
In addition, the residents have the opportunity for more specialized educational opportunities. The StAT rotation is a specialized month long rotation at LPCH designed to provide pediatric advocacy residents with a foundation in child advocacy and health disparities. The StAT rotation includes the below StAT foundation tutorials, advocacy and career development sessions, and protected time to work on individual advocacy projects. A StAT rotation highlight is the trip to Sacramento to learn about legislative advocacy through the American Academy of Pediatrics.
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Teaching Conferences
The core didactic
portion of our program includes Morning Report, Grand
Rounds, Noon Conference, Chairman’s Rounds, Journal Club, and selected
specialty-based conferences. Morning Report emphasizes differential diagnosis
and management using recent case studies from our hospital and clinics.
Noon Conferences include core curriculum in General Pediatrics
and Specialty Pediatrics in a Boards Review format. The
remaining Noon Conferences incorporate a variety of topics including
Ethics, Health Care Systems, Medical Informatics, Critical Care, and
Managed Care. The Teaching Senior Resident (a separate rotation for all
seniors) is actively involved in resident and medical student education
and is responsible for conducting teaching sessions for residents and
medical students during the rotation. Time at SCVMC includes resident
presentation of Journal Clubs during the Junior and Senior years. Formal
and informal teaching is also provided by our full-time faculty, voluntary
clinical faculty, fellows, house staff and other health care professionals.
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The Department of Pediatrics faculty is an extraordinarily talented group of clinicians, teachers, research scientists, and child advocates. Their world-class clinical and research programs in children’s health provide our pediatric residents with exciting educational opportunities. In addition to our university faculty, we have a large and talented group of community-based faculty that provide teaching and mentoring in all of our affiliated sites.
Housestaff have access to the Lane Medical Library at Stanford University School of Medicine. Lane Library currently houses over 3,000 journal titles and approximately 315,000 volumes. The library’s website offers an outstanding compilation of online information resources, including eJournal, eBooks, databases, calculators, Image and PDA tools. Residents are able to access this site on campus and from off site locations. Throughout Packard and SCVMC, numerous computer stations allow easy access to the internet and online medical resources. In addition, Lucile Packard has recently unveiled COW's or computers on wheels which assist physicians and nurses to bring patient care directly to the bedside. Whether showing a parent the results of a CT scan or looking up laboratory values when rounding, staff applaud this new innovation. Lucile Packard Children's Hospital Knowledge Information System (LINKS) was also recently launched. The new electronic health record system will improve efficiency, access to patient information, and patient safety. In addition, Stanford SKOLAR, MD Consult and OVID are available for all residents via the Stanford University Network. Remote access from your home computer to the medical information system at LPCH or to the Stanford University Information Systems (including the internet) is also available and is free of charge.
The Housestaff Website has been an important addition to the training
program. Initially started to enable text paging of residents, the website
has evolved into a portal for housestaff to access weekly calendars,
on-call schedules, and a host of online resources and links.
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Career Advising and Mentoring
Faculty are actively involved in the career and professional development
of our residents. In addition to their important role in clinical training
and didactic instruction, Stanford faculty are paired with residents
to serve as academic advisors and career mentors. Meetings are planned
throughout the year to discuss progress and career planning. Residents
work with their advisors to establish learning objectives using an Individualized
Learning Plan. Advisors often become long-term friends and colleagues.
During the PL-2 year when many important decisions are made about fellowships
and career selection, advisors are key in facilitating these decisions.
Residents also meet with the program director, on an bi-annual
basis to discuss professional development, performance evaluations, and
personal matters. We are also instituting a Career Development Workshop Series. Topics such as applying for jobs and writing CV's will be covered, along with informal evening sessions with different sub-specialties for those interested in fellowships.
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