Yeshiva University Albert Einstein College of Medicine Family Advocacy Pediatric Emergency Medicine Jacobi Medical Center Resident & Student Area

	Residency Program
	Program Introduction Chairman's Welcome Director's Welcome Curriculum Program Facts Program Benefits Application Process Interview Day Schedule Jacobi Medical Center About the Bronx Curriculum The academic year is divided into 13 four-week cycles, including 4 weeks of vacation. For PGY-1’s, night call is every fourth. For the PGY-2 and PGY-3 years, call is every fourth or fifth. Continuity Clinic The primary care experience is a major component of the residency-training program. Residents spend an average of one day per week in the clinic and are paired with a mentor pediatrician for all three years of the residency. This continuity facilitates an individualized educational experience. Attendings and residents work side-by-side, creating an intimate learning environment. All faculty members have participated in a unique and innovative training program specifically designed to enhance their teaching skills. At the start of each afternoon clinic session, there is an attending-led, case-based learning conference, with a curriculum developed by the Department. Outpatient Department During outpatient modules residents rotate through the various subspecialty clinics and have increased time for continuity clinic; residents on outpatient rotations are exposed to a wide range of medical problems and are supervised by general pediatricians and subspecialists. Residents learn to manage a child’s immediate issues and to serve as an advocate for their patients. In addition to learning by direct patient contact, residents receive formal instruction through seminars and case-based conferences led by the attendings. Housestaff participate in the clinic’s telephone triage program, and learn aspects of public health and patient education. Through a rotation in the Special Needs Clinic residents gain experience with the outpatient management of complex medical illnesses whose care is often technology-dependant. They also participate in an innovative curriculum developed by the community pediatrics department. This allows residents to go on supervised home visits to their regular clinic patients, to explore public health issues in the local neighborhoods, and to participate in the Department’s numerous community projects. Emergency Services The Jacobi Medical Center’s Pediatric Emergency Department is one of the busiest in New York City and is designated a Level I Trauma Center. The diversity of patients and acuity of illness offer the resident a rich and varied experience. Under the continuous supervision of pediatric emergency medicine-trained physicians and fellows, residents learn to evaluate, stabilize, and manage children with problems ranging from the minor to the critical. As a consequence of the large volume of patients, residents will see unusual diseases as well as learn the many different ways in which common diseases can present. The emphasis is on learning from direct clinical experience, in concert with seminars and hands-on workshops to hone procedure skills. Inpatient Services The general inpatient unit is a busy, high-turnover, resident-run service where interns are the primary caregivers. Senior residents provide supervision and education and gain experience in leadership and decision-making. The PICU is a multi-disciplinary service staffed by board-certified pediatric intensivists, nurse practitioners, physician assistants, and house staff. Residents provide direct patient care and learn to manage critically ill patients under attending supervision. The level III NICU, also a busy multi-disciplinary service, is staffed by nurse practitioners, physician assistants, and residents. Residents attend deliveries, manage critically-ill neonates and staff the Well-Baby Nursery, all under the close supervision of board certified neonatologists. On all inpatient services, residents learn from direct patient contact, daily attending rounds, daily radiology rounds with pediatric radiologists, noon seminars with members of the faculty, and weekly rounds with the Chairman. There is continuous mentoring by the Chief Residents and Chief of Service, with individualized instruction and case review. Subspecialty Rotations/ Electives Since exposure to certain subspecialties is essential to pediatric practice, residents rotate through several required electives: Infectious Diseases, Neurology, Cardiology, Hematology/ Oncology and Adolescent Medicine. Residents may choose other rotations to compliment their own interests and needs. The department has a full compliment of specialty clinics at the ambulatory care pavilion. In all rotations, residents work under the close supervision of attending pediatric subspecialists. Jacobi Medical Center serves as a center for many research studies and research opportunities are available to any interested house officer. The Hematology/ Oncology rotation, the only rotation off-site, is at New York Presbyterian Hospital/ Columbia University with two weeks on the inpatient unit and two weeks on the outpatient unit; it is specifically designed to give the resident an exposure to quarternary care medicine. Yearly Schedule: PGY-1 Cycles Call Inpatient 4 Every 4th Night Outpatient Clinics 1 Every 4th Night 1 Telephone Call Community Pediatrics 1 Every 4th Night ED 2 Shift Work NICU 2 Every 4th Night Well Baby 1 Every 4th Night Vacation 1 No Call   PGY-2 Cycles Call Inpatient 2 Every 5th Night Adolescent Medicine 1 Every 5th Night Special Needs/ Outpatient Clinics 1 Every 5th Night Private practice 1 Every 5th Night Subspecialty Rotations/ Electives 2 Every 4th Night ED Shift 2 ED Shift Work Developmental 1 Telephone Call PICU 1 Every 4th Night NICU 1 Every 4th Night Vacation 1 No Call   PGY-3 Cycles Call Inpatient 2 Every 5th Night Radiology 1 Every 5th Night Subspecialty Rotations/ Electives 2 Every 5th Night Outpatient Clinics 1 Telephone Call 1 Every 4th Night ED Shift ED 2 ED Shift Work PICU 1 Every 4th Night NICU 1 Every 4th Night Free Elective 1 No Call Vacation 1 No Call Chief Residents Each year, two exceptional third year residents remain as Chief Residents for the following academic year. They are responsible for organizing the educational program and they participate actively in the teaching process. Committee of Interns and Residents All Jacobi Residents are members of the Committee of Interns and Residents (CIR), the nation’s largest housestaff union. CIR directly negotiates housestaff contracts and provides many services to the residents. Alumni Alumni from the program have pursued careers in general pediatrics, subspecialty care, and public health. The department strives to maintain a diversity of career interests and is particularly proud of the success of graduates in many different fields; approximately half of our residents choose to pursue postgraduate training (the national average). They have been accepted at the finest programs and have been well prepared for future careers in research, service, or child advocacy.
	Copyright © 2004 Lewis M. Fraad Department of Pediatrics. All rights reserved.
	Lewis M. Fraad Department of Pediatrics Albert Einstein College of Medicine at Yeshiva University 1400 Pelham Parkway South Bronx, New York 10461 www.JacobiPeds.org