General Pediatric Rotations

• 8 East: general pediatrics with an emphasis on rheumatologic and infectious disease medicine
• 8 West: general pediatrics with an emphasis on gastrointestinal, endocrine and renal medicine
• 7 East: general pediatrics and pulmonary medicine
• 7 West: general pediatrics and cardiology medicine
• 12 East and West: general pediatrics with an emphasis on neurology, neurosurgery and neurorehabilitation
• Helpers: provided on the general pediatric wards during the busy winter months to help the post-call intern with relief from early morning admissions and to assist them in departing the hospital by the ACGME-regulated 30-hour time point.

Critical Care Rotations

• Neonatal ICU (NICU): diagnosis and management of critically ill and premature neonates
• Pediatric ICU (PICU): diagnosis and management of critically ill children (medicine, surgical, trauma)
• Cardiac ICU (CICU): diagnosis and management of critically ill children with heart disease as well as patients after complex congenital heart repair and heart and lung transplantation

Emergency Medicine Unit

Initial diagnosis and management of the entire spectrum of patients and disease states as well as surgical emergencies and traumas

Labor and Delivery

Care of neonates and premature infants at a Level 2 nursery and first responder care to the delivery of complicated, sick, multiple or premature infants

Development

A required one-month rotation. A multidisciplinary clinical program providing assessment and follow-up for children from newborn to adolescent with developmental, behavioral and/or learning problems.

Adolescent

A required one-month rotation. See teen patients for routine health maintenance visits and urgent care visits — precepted by adolescent medicine attending physicians in the Adolescent Center.

Child Advocacy/Pediatricians in Community

Cultivate a greater understanding for the lives of poor and medically complex children. Residents visit with community agencies that care for these children and families through full-day or half-day visits. Residents also may choose to design their elective months pursuing those advocacy issues that have touched their lives or their patients’ lives. Residents have engaged in legislation for literacy projects, wilderness experiences for inner-city youth, communication/interpreting for new immigrant populations, self-esteem programs aimed at reducing at-risk behaviors, and nontraditional physical therapies for children with special needs. Poverty and chronic medical conditions greatly impact children and families’ lives. We see advocacy as central to the development of committed pediatrician advocates who will serve children and families for a lifetime.

Sedation

New rotation to increase and document sedation abilities. Interns will be in the OR learning intubations with faculty anesthesiologists. Second-years will be in the Pediatric Ambulatory Wounds Care Clinic learning nitric and ketamine sedations. Third-years will be in the Ambulatory Procedure Center learning ketamine, pentobarbital and propofol sedations.

Child Protection Program

We are one of a few pediatric residency programs in the United States that provides a two-week child protection/child maltreatment experience for pediatric residents. Basic goals are to provide residents with information about child maltreatment in all its forms with awareness of child protection services available at St. Louis Children’s Hospital and how to access services offered by the Child Protection Program.

Continuity Clinic

Two weeks in resident’s continuity clinic in addition to a weekly half-day

Teaching Resident

Teach physical diagnostic skills to third-year medical students one-on-one with their patients. Also participate in various child advocacy programs.

Elective

One-month elective left open to the interest of the house officer. Many residents use this time to work in other cities and countries. Alternatively, the resident may choose to undertake a scholarly project with a faculty member at St. Louis Children’s Hospital.

Pediatric Surgery

Support the surgical services in the NICU, PICU and CICU as well as surgical inpatients in addition to surgical consults and trauma experience

General Pediatric Rotations

• 8 East: general pediatrics with an emphasis on rheumatologic and infectious disease medicine
• 8 West: general pediatrics with an emphasis on gastrointestinal, endocrine and renal medicine
• 7 East: general pediatrics and pulmonary medicine
• 7 West: general pediatrics and cardiology medicine
• 12 East and West: general pediatrics with an emphasis on neurology, neurosurgery and neurorehabilitation
• Helpers: provided on the general pediatric wards during the busy winter months to help the post-call intern with relief from early morning admissions and to assist them in departing the hospital by the ACGME-regulated 30-hour time point.

Critical Care Rotations

• Neonatal ICU (NICU): diagnosis and management of critically ill and premature neonates
• Pediatric ICU (PICU): diagnosis and management of critically ill children (medicine, surgical, trauma)
• Cardiac ICU (CICU): diagnosis and management of critically ill children with heart disease as well as patients after complex congenital heart repair and heart and lung transplantation

Emergency Medicine Unit

Initial diagnosis and management of the entire spectrum of patients and disease states as well as surgical emergencies and traumas

Labor and Delivery

Care of neonates and premature infants at a Level 2 nursery and first responder care to the delivery of complicated, sick, multiple or premature infants

Development

A required one-month rotation. A multidisciplinary clinical program providing assessment and follow-up for children from newborn to adolescent with developmental, behavioral and/or learning problems.

Adolescent

A required one-month rotation. See teen patients for routine health maintenance visits and urgent care visits — precepted by adolescent medicine attending physicians in the Adolescent Center.

Child Advocacy/Pediatricians in Community

Cultivate a greater understanding for the lives of poor and medically complex children. Residents visit with community agencies that care for these children and families through full-day or half-day visits. Residents also may choose to design their elective months pursuing those advocacy issues that have touched their lives or their patients’ lives. Residents have engaged in legislation for literacy projects, wilderness experiences for inner-city youth, communication/interpreting for new immigrant populations, self-esteem programs aimed at reducing at-risk behaviors, and nontraditional physical therapies for children with special needs. Poverty and chronic medical conditions greatly impact children and families’ lives. We see advocacy as central to the development of committed pediatrician advocates who will serve children and families for a lifetime.

Sedation

New rotation to increase and document sedation abilities. Interns will be in the OR learning intubations with faculty anesthesiologists. Second-years will be in the Pediatric Ambulatory Wounds Care Clinic learning nitric and ketamine sedations. Third-years will be in the Ambulatory Procedure Center learning ketamine, pentobarbital and propofol sedations.

Child Protection Program

We are one of a few pediatric residency programs in the United States that provides a two-week child protection/child maltreatment experience for pediatric residents. Basic goals are to provide residents with information about child maltreatment in all its forms with awareness of child protection services available at St. Louis Children’s Hospital and how to access services offered by the Child Protection Program.

Continuity Clinic

Two weeks in resident’s continuity clinic in addition to a weekly half-day

Teaching Resident

Teach physical diagnostic skills to third-year medical students one-on-one with their patients. Also participate in various child advocacy programs.

Elective

One-month elective left open to the interest of the house officer. Many residents use this time to work in other cities and countries. Alternatively, the resident may choose to undertake a scholarly project with a faculty member at St. Louis Children’s Hospital.

Pediatric Surgery

Support the surgical services in the NICU, PICU and CICU as well as surgical inpatients in addition to surgical consults and trauma experience