Curriculum

PGY-1

Clinical Experience Blocks
(4 weeks)
Inpatient 3.5
ED 1.5
NICU 2
Radiology 0.5
Well Baby Nursery 0.5
Pulmonology 1
General Peds Clinic 0.5
Subspecialty Clinics 1
Community 1
Development 0.5
Vacation 1

PGY-2

Clinical Experience Blocks
(4 weeks)
Inpatient 1.5-2
ED 2
NICU 1
PICU 1
Cardiology 1
Oncology 0.5
Adolescent Medicine 1
Psychology 0.5
Behavior 0.5
Elective 2.5-3
Vacation 1

PGY-3

Clinical Experience Blocks
(4 weeks)
Inpatient 1.5-2
ED 2
NICU 1
PICU 1
Neurology 1
Hematology 0.5
Radiology 0.5
Well Baby Nursery 0.5
Infectious Disease 1
Elective + Free 2.5-3
Vacation 1

The academic year is divided into 13 four-week cycles, including 4 weeks of vacation. For PGY-1s, night call runs on a night float system and is in effect while on inpatient, ER and cross coverage while on Outpatient/Well-Baby/Community months. For the PGY-2 and PGY-3 years, 24 hour call on inpatient rotations is no more frequent than every fourth night.

Outpatient Care

The Jacobi Ambulatory Care Pavilion houses the Children's Health Center, which provides comprehensive outpatient pediatric care. Services include a general academic pediatric practice, an adolescent clinic and a full complement of subspecialty clinics. There are also specialized clinics for children with asthma, HIV infected children and teenagers, neurodevelopmental assessment, behavioral management, and children with obesity.

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 work with an experienced, passionate core group of outpatient faculty. Attendings and residents work side-by-side, creating an intimate learning environment.

Continuity clinic

Subspecialty Clinics

During outpatient rotations 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 learn aspects of public health and patient education.

Residents have an opportunity to explore the impact of the social determinants of health and public health issues by spending time with community partners and service agencies in the local neighborhood.

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 minor to critical.

One of the many advantages of the large volume of patients; Residents will see a myriad of 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, hands-on workshops and simulation sessions to hone procedural skills.

emergency services

Pediatric Inpatient Services

The overarching goal of Jacobi’s pediatrics inpatient experience is to place the pediatric patient at the center of all educational experiences, to maximize not only clinical skills but a comprehensive understanding of the complex medical and psychosocial and environmental components that influence pediatric patient’s health.

inpatient services

Pediatric Floor - 6D

The general inpatient unit is a busy, high-turnover, resident-run service where interns and residents are the primary providers. Senior residents provide supervision and education to interns and students alike and gain experience in leadership, team building, and clinical decision-making under the guidance and supervision of a pediatrics attending hospitalist. The pediatrics inpatient experience also incorporates bedside teaching rounds with an emphasis on clinical skills, physical exam skills, and clinical reasoning.

Our inpatient education curriculum also incorporates dedicated resident education sessions in the form of pediatric SIM cases in coordination with the PICU, pediatric radiology sessions, and morning report three times a week. The morning report sessions promote resident involvement in their own education along with incorporating pediatric hospitalist and subspecialty input and review of relevant literature to pediatric inpatient topics.

outpatient department

Pediatric Intensive Care Unit (PICU)

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.

Neonatal Intensive Care Unit (NICU)

The level III NICU, also a busy multi-disciplinary service, is staffed by a team of nurse practitioners, physician assistants, residents and attending physicians. Residents will attend deliveries and manage a wide variety of neonates from critically-ill preterm infants to stable “feeder-growers” all under the close supervision of board certified neonatologists. Education in the NICU involves a combination of bedside teaching, formal lectures, participation in OB/peds case conferences and hands-on NRP review sessions.

Subspecialty Rotations/Electives

Since exposure to certain subspecialties is essential to pediatric practice, residents rotate through several required electives: Adolescent Medicine, Development, Cardiology, Infectious Diseases, Hematology/Oncology, Pulmonary 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. Research opportunities are available to any interested house officer.

The Jacobi Pediatrics Department shares a close relationship with the Children’s Hospital of Montefiore and Memorial Sloan Kettering Cancer Center. This allows our residents to enhance their subspecialty experience by rotating at these additional hospitals at their discretion.

Didactics Teaching

In addition to the bedside teaching received on all clinical rotations, residents' learning is supplemented with traditional didactic teaching in the form of daily noon conferences, weekly Grand Rounds and department-wide “Professor’s Rounds” case discussions.