The academic year is divided into 13 four-week cycles, including 4 weeks of vacation. For PGY-1's, night call runs on a night float system and is in effect while on inpatient, NICU, ER and cross coverage while on Outpatient/Well-Baby/Community months. For the PGY-2 and PGY-3 years, call is every fourth or fifth night.
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.
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.
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.
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 minor to 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 procedural skills.
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.
Since exposure to certain subspecialties is essential to pediatric practice, residents rotate through several required electives: Adolescent Medicine, Cardiology, Infectious Diseases, Hematology/ Oncology, and Neurology. Residents may choose other rotations to complement their own interests and needs. The department has a full complement 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.