The pediatric ambulatory rotation is a 4-week rotation for junior residents.  It will expose you to a wide array of outpatient general pediatric experiences.  We have many diverse experiences to choose from and you can tailor your ambulatory rotation to your specific interests.  Two weeks of the rotation will be centered in one of many outpatient clinic experiences.  Two weeks will be assigned to the Child Protective Services (CPS) team during which time the resident will rotate through a variety of experiences under the direction of CPS.  Prior to begninning this rotation, you must contact Dr. Nanah Park to discuss your clinic schedule and contact Dr. Jill Glick to acquire the CPS schedule.

Schedule/Expectations:

You are expected to be at clinic Monday through Friday from 8:15am - 5pm, though individual sites may vary somewhat.  You are excused from clinic for daily noon conference at Comer Hospital and your continuity clinic.  Any other absences should be discussed with Dr. Park, Dr. Glick, and the site physicians.

The ambulatory experience is scheduled for weekdays and there is no assigned weekend or nighttime obligations.  The resident will be expected to maintain his/her continuity clinic.  The resident is expected to arrive on time and stay until completion of the assignment for the day.  The resident must provide his/her own transportation to all off-campus sites.

You may pick one site to do your pediatric ambulatory clinic rotation (see addendum A).  If you would like to do a combination of sites, please speak with Dr. Nanah Park in advance.  We are willing to make your experience as personally rewarding as possible. We will work wtih you to ensure that you are exposed to a wide array of children. The bulk of your time will be taken up doing primary care pediatrics - a mix of healthy and ill children.

You can select from the following choices:

Friend Family Health Center

The Friend Center is a federally qualified health center, and we see approximately 50-60% Medicaid patients, and 40-50% insured patients.  We do not accept walk-in visits; pateints need to schedule ahead of time both for preventative visits and urgent care.  Most sick patients are seen within 2 days of their call.

The Friend Center has pediatricians, one OB/GYN, one internist, and one nurse practitioner.  The pediatric section of the clinic is divided into 3 major areas: Peds A, Peds B, and Adolescent/Internal Medicine.  In Peds A, attendings have their personal clinicas and other attendings see only urgent care patients.  In Peds B the residents have their weekly continuity clinics, 5 days a week.  Adolescent and Internal Medicine departments share the third area.  It is also here that our nurse practitioner has a clinic.

There are other areas of the clinic and providers that offer specialty care.  Dr. Smith is a developmental/behavioral physician who has clinic once a week at the Friend Center.  Dr. Cade-Bell is the medical director of the Care Van, which is a mobile health van that gives school physicals and vaccines at local schools.  Dr. Park has an asthma-only clinic.

There are support services that are also offered in the clinic, including a WIC (Women and Children First) office at the lower level, a social worker, case manager, financial manager, and two certified pediatric nutritionists.

On or before your first day of your rotation you need to meet with Dr. Nanah Park (pager 5461) to set up the details of your two-week rotation.

DCAM

The DCAM clinic is a University of Chicago clinic that is locate on the hospital campus.  It sees patients mostly in the University of Chicago Health Plan but Medicaid patients are seen there as well.

Currently there are 4 pediatric attendings, three of which share their clinic responsibilities with being ward attending on the General Pediatric service.  There are also 3 Hospitalists who rotate at OSH who have a 1/2 day of clinic each.

On or before the first day of your rotation you will meet with Dr. Nanah Park to set up the details of your two-week rotation.

47th Street/Lake Park Clinic

On or before the first day of your rotation you will meet Dr. Shi to set up the details of your two-week rotation

Mobile Care Van

You will schedule the day on the MCV when you discuss your site preferences on this rotation with Dr. Park.