Curriculum & Rotations
First Year Residency (PGY-1)
The emphasis during the PGY-1 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 physicians assistant students, thereby broadening his or her own educational experience.
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At the Shands Jacksonville Pediatric Emergency Department, with more than 24,000 pediatric patient visits annually, our PGY-1 residents are exposed to rapid diagnosis and evaluation, suturing, resuscitation and the region's only Level I trauma center
Through the busy ambulatory clinics and continuity care clinics, the PGY-1 and PGY-2 residents again 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 UF and the Duval County Health Department. This type of strong collaboration is one of the few available in the nation.
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.
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 action 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 Residency (PGY-2)
During PGY-2, 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 all regional referral centers.
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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 and physician assistants thereby broadening their overview of other aspects of pediatric health care provision.
In the PICU, the resident gains experience in life-support monitoring, respiratory therapy, parenteral nutrition, trauma, etc. The residents have an opportunity to care for a wide variety of pediatric problems.
During the emergency medicine rotation, PGY-2 residents are given the unique opportunity to oversee patient care for the entire pediatric emergency room, as well as providing teaching opportunities for junior residents and medical students. These activities are done in conjunction with pediatric emergency medicine attendings and fellows.
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.
During the continuity care experience, residents, with the support of faculty and community mentors, will continue to work on their advocacy initiatives.
Call during PGY-2 is every fourth night for three months and every 6-7 night while on elective.
Third Year Residency (PGY-3)
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An extensive variety of elective rotations at a free-standing subspecialty clinic allow the
senior resident to develop an educational curriculum that meets his or her future interests and goals. In addition, there are a variety of local regional and national experiences that residents can get involved with through the Dyson Initiative.
During the note writing rotation senior residents come in on three weekend days during the NICU rotation to help write notes on patients who have been admitted into the hospital. Senior residents on this rotation usually spend 3-4 hours writing notes and then they go home.
Call during the third-year is every fourth or fifth night, for three months every sixth or seventh night, for three elective months and five months of no-call during the remaining elective rotations.
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 Continuing Medical Education. The program's conference schedules are viewable on-line.
- Noon lectures are offered daily
- Grand rounds are offered bi-weekly
- Journal club meets monthly
- Board review meets monthly
