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Pediatric Residency: Curriculum

Our pediatric curriculum emphasizes the development of skills and competencies needed by all residents, wherever their career path leads them.

We offer training specific to the resident’s career interests through a variety of individualized tracks.

Individualized tracks currently offered

• General Pediatrics - Ambulatory
• General Pediatrics - Hospitalist
• PICU
• NICU
• Fellowship/Subspecialty
• Standard
• Global Health

13 blocks per academic year, each block being 4 weeks

PGY-1 Schedule

• 3 blocks: Inpatient, Dell Children’s Medical Center
• 2 blocks: Inpatient, Night Shift
• 1 block: Neonatal Intensive Care
• 1 block: Pediatric Emergency Medicine
• 1 block: Ambulatory Clinic
• 1 block: Community Medicine
• 1 block: Newborn Nursery
• 1 block: Pulmonology
• 1 block: Surgery/Child Abuse
• 1 block: Professional Development

PGY-2 Schedule

• 1 block: Inpatient, Dell Children’s Medical Center
• 1 block: Inpatient, Intermediate Care/Triage Officer
• 1 block: Inpatient, Night Shift
• 1 block: Pediatric Critical Care
• 1 block: Pediatric Hem/Onc
• 1 block: Pediatric Emergency Medicine
• 1 block: Pediatric Night Shift, Anesthesia
• 1 block: Pediatric Cardiology
• 1 block: Resident Educator
• 1 block: Required Subspecialty/Night Shift
• 1 block: Adolescent Medicine
• 2 blocks: Professional Development

PGY-3 Schedule

• 1 block: Inpatient, Dell Children’s Medical Center
• 1 block: Inpatient, Intermediate Care/Triage Officer
• 1 block: Inpatient, Night Shift
• 1 block: Neonatal Intensive Care
• 1 block: Pediatric Critical Care
• 1 block: Pediatric Emergency Medicine
• 1 block: Pediatric Behavior Development
• 1 block: Professional Practice/Research
• 2 blocks: Required Subspecialty
• 3 blocks: Professional Development

Vacation: 3 weeks per year, typically scheduled during required subspecialty and Night Shift blocks

Subspecialty Selectives

During the three years of training, residents will spend a minimum of 7 blocks on pediatric subspecialty rotations. These rotations offer a variety of experiences in both the outpatient and inpatient setting.

4 Subspecialty Selective rotations must be chosen from among the following:

• Child Abuse
• Medical Genetics
• Pediatric Allergy/Immunology
• Pediatric Cardiology
• Pediatric Dermatology
• Pediatric Endocrinology
• Pediatric Gastroenterology
• Pediatric Hematology/Oncology
• Pediatric Infectious Diseases
• Pediatric Nephrology
• Pediatric Neurology
• Pediatric Pulmonology
• Pediatric Rheumatology

3 additional Subspecialty Selective rotations may be chosen from any listed above or below:

• Child and Adolescent Psychiatry
• Hospice and Palliative Care
• Neurodevelopmental disabilities
• Pediatric Anesthesiology
• Pediatric Dentistry
• Pediatric Ophthalmology
• Pediatric Orthopaedics Surgery
• Pediatric Otolaryngology
• Pediatric Rehabilitation Medicine
• Pediatric Radiology
• Pediatric Surgery
• Sleep Medicine
• Sports Medicine

Inpatient Rotations

Pediatric Inpatient Service

The primary goal of this rotation is to provide residents with the knowledge and skills necessary to assess, diagnose, treat and develop discharge planning for patients admitted to the hospital. The Pediatric Consultation and Referral Service (PCRS) is the attending hospitalist group primarily responsible for inpatient resident education and patient care. All inpatient rotations are completed at Dell Children’s Medical Center of Central Texas.

Pediatric Intensive Care

The Pediatric Intensive Care Unit (PICU) is a 24-bed unit. Residents, working with a team of pediatric intensivists, subspecialists, and nurse practitioners, participate in the care of all patients admitted to the PICU. Emphasis is placed on a multidisciplinary, collaborative approach to care for a diverse and challenging patient population. The PICU team is also involved in the care of children from the Regional Heart Program, providing residents with exposure to patients with a wide variety of congenital heart diseases. Dell Children's PICU is served by a medical transport team, including air transport, which covers a 46-county area.

Neonatal Intensive Care

The Neonatal Intensive Care Unit at Seton Medical Center Austin is a 45-bed facility that supports over 500 admissions per year and provides level 2 and Level 3 NICU services. In conjunction with neonatologists and subspecialists, first- and third-year residents provide care for preterm neonates and term infants requiring intensive care. Additional resident responsibilities include attending high risk deliveries and supervising junior residents and medical students.

The Neonatal Intensive Care Unit at Dell Children's Medical Center is a 28-bed facility that supports over 400 admissions per year and provides level 2 and Level 3 NICU services, serving as the main referral center for the surrounding region. In conjunction with neonatologists and subspecialists, second-year residents provide care for preterm neonates and infants with complex medical and/or surgical issues. Additional resident responsibilities include supervising medical students.

Newborn Nursery

The Newborn Nursery at Seton Medical Center Austin is the primary site for resident training in care of the normal newborn. The primary goal of this experience is to provide residents with a fundamental knowledge of newborn medicine. The responsibilities of the resident in the newborn nursery include performing complete newborn exams in the perinatal period and caring for newborns during their nursery stay. The intern also attends all the high-risk deliveries with a senior resident or faculty member. The 3600 total deliveries provide valuable delivery room and neonatal resuscitation experience.

Pediatric Emergency Medicine

Residents complete their EM rotations at The Topfer Emergency Center at Dell Children’s Medical Center of Central Texas. Resident responsibilities range from the evaluation and stabilization of critically ill children to management of common pediatric injuries and illness. With nearly 80,000 patient encounters per year, residents also have many opportunities during their EM months to perform procedures. On the rotation, residents attend weekly didactic sessions and simulation sessions.

Outpatient Rotations

The majority of the residents' outpatient experience involves work at one of Austin's main community clinics. Residents complete multiple rotations at East Austin Clinic, which serves a large section of the Medicaid and indigent population of central and east Austin. Senior residents have additional outpatient exposure during their required subspecialty months. Further community experiences are available during both the Adolescent and Development rotations, as well as the Community Medicine rotation, where residents explore many local community resources important to children's health.

Residents also work ½ to 1 day per week at their continuity clinic, either in a city clinic or a private office, or subspecialist office, depending on their level of training and interests.

Residents have the opportunity to work with private practice preceptors which helps develop a working relationship with that practitioner and a cohort of children and their families.