Residency Program | Outpatient Experience

	"When you encounter a really sick patient, you realize that at some point you have crossed that magic line between medical school and residency and you have the confidence to rely on your clinical judgment and knowledge base. I'm starting to finally feel comfortable calling myself a doctor." - Gretchen Sander, PL-1

The emergency department, COPE, the outpatient component of the subspecialty rotations, and the elective months add up to 17 months of the 33 working months of residency. This experience is particularly rich because of the relationships that exist in the pediatric office, the subspecialty offices, the emergency room and COPE. While there is value in the traditional ward and unit house staff teams, this educational model is powerfully complemented by the one-on-one interaction in the preceptorresident rotations in the outpatient experience.

The emergency department at St. Louis Children's Hospital sees more than 61,000 patients annually, and ambulatory visits to clinics total over 185,000 per year. These numbers support an exceptional outpatient experience with a vast degree of patient diversity.

Subspecialty rotations are offered with the following pediatric divisions:

• Adolescent Medicine
• Allergy and Pulmonary Medicine
• Behavioral/Developmental Medicine
• Cardiology
• Child Protection Training
• Critical Care Medicine
• Diagnostic Medicine
• Endocrinology and Diabetes
• Gastroenterology and Nutrition
• Genetics and Genomic Medicine
• Hematology and Oncology
• Rheumatology and Immunology
• Infectious Diseases
• Nephrology
• Newborn Medicine

Areas of study are also available with pediatric neurology, dermatology, gynecology and pediatric surgery. Fellowships of two to five years are available for post-residency training in clinical and research activities.

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