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Curriculum & Rotations
First Year of Residency (PGY-1)
The emphasis during the PGY-1 year is on general pediatrics. Through close interaction with senior residents and attendings, a 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 a resident teaching seminar to further enhance their teaching skills.
Inpatient Experience
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Pediatric Emergency Medicine Experience
At the Shands Jacksonville Pediatric Emergency Department, with more than 22,000 pediatric patient visits annually, PGY-1 residents are exposed to rapid diagnosis and evaluation, suturing, resuscitation and the region's only Level I trauma center.
Ambulatory Experience
Through the busy ambulatory clinics and continuity care clinics, the PGY-1 and PGY-2 residents develop a sense of personal responsibility for not only the patient, but also their families. In addition, pediatric residents benefit from the combined experience of faculty members from both UFCOM-J and the Duval County Health Department. This type of strong collaboration is one of the few available in the nation.
Residents have a choice of continuity clinics that include the Duval County Health Department clinics, UFCOM-J satellite clinics, a Navy-based clinic, and private offices.
Newborn Experience
In the newborn nursery and NICU rotations, residents have extensive exposure to a variety of neonatal conditions and receive formal training in both newborn management and resuscitation of critically ill infants.
Community Experience
The community rotation will introduce residents to community pediatrics through the Community Pediatrics Training Initiative. Residents will become more proficient at locating and using various community resources and each will have the opportunity to learn more about how to select a population of children for their community advocacy initiative. Faculty and community mentors will be 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 will begin to explore cultural competence, advocacy and population-based medicine.
Call during PGY-1 is every fourth or fifth night with the exception of no-call months.
Second Year of Residency (PGY-2)
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, Shands Jacksonville and Wolfson Children's Hospital and other regional referral centers.
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Inpatient Experience
PGY-2 residents are given increasing supervisory experience by running an inpatient 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.
Newborn Experience
During the newborn rotation, the PGY-2 resident assumes increasing responsibility not only for patient care but for supervision of PGY-1 residents. 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.
PICU Experience
In the PICU, the resident gains experience in life-support monitoring, respiratory therapy, parenteral nutrition, trauma, and providing comprehensive care to the critically ill patient. The residents have an opportunity to care for a wide variety of pediatric problems. This experience also offers the opportunity to learn and perfect life-saving procedures under supervision.
Pediatric Emergency Medicine Experience
During 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 attendings, emergency medicine residents and pediatric emergency medicine fellows.
Developmental Pediatric Experience
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.
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 on the Mobile Care Unit, at an HIV/AIDS clinic, and a private preparatory school clinic, a specialty headache clinic for adolescents, and an adolescent inpatient mental health unit.
Continuity Care Experience
During the continuity care experience, residents, with the support of faculty and community mentors, will continue to work on their advocacy initiatives.
Residents have a month of night float in their 2nd and 3rd years. Night Float shift is from 7:00 p.m. to 7:00 a.m. Sunday through Thursday.
Third Year of Residency (PGY-3)
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Third-year residents prepare and present a clinical case presentation for Grand Rounds. 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.
Special Populations
Special Populations is a rotation where the resident is exposed to a variety of children with diverse needs. Residents rotate through the Kids ‘n Care which is a clinic for foster care children. They also spend time in the Jax Hats Clinic which is designed for teens with chronic diseases as they transition to adult care. Finally, residents work with the PedsCare program that provides palliative care to infants and children with terminal conditions.
Elective Rotations
An extensive variety of elective rotations at a free-standing subspecialty clinic allows the 
senior resident to develop an educational curriculum that meets his or her future interests and goals. In addition, local, regional and national experiences are available that residents can get involved with through the Community Advocacy Initiative.
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. Residents participate in mock codes and other simulated learning experiences.
Conferences
Shands Jacksonville and Wolfson Children's Hospital are equipped with teleconferencing facilities. Telemedicine is offered on both campuses providing residents with greater access to the educational conferences listed below.
- Noon lectures are offered daily
- Grand rounds are offered weekly
- Journal club meets monthly
- Board review meets weekly