The Pediatric Residency Training Program at The University of Chicago is designed to offer the prospective pediatrician a diverse and stimulating clinical experience in a variety of settings: The University of Chicago Children's Hospital (UCCH), La Rabida Children's Hospital and Research Center, Friend Family Health Center, and private physician's offices.
Although the university is well known for its basic and clinical research programs, there is an equally strong commitment to clinical practice and delivery of the highest quality health care. The research and clinical care aspects of the pediatric department greatly enhance each other and provide a rich intellectual environment for learning. There are more than 100 faculty members in the Department of Pediatrics. Close association between the residents and faculty is fostered in both inpatient and outpatient areas. Every effort is made to provide support for residents while encouraging autonomy and responsibility. Opportunities for pursuit of special interests are provided, particularly in the second and third years. The department offers an extensive post-residency research and clinical subspecialty fellowship program in twelve different areas.
(Intern Retreat 2010)
The pediatric training program prepares the resident for career options in pediatric practice, academic pediatrics, pediatric subspecialties, and basic research. Our training program offers education and experience in all of the sub-specialty areas, both medical and surgical, while continuing to emphasize comprehensive and compassionate aspects of general pediatrics. Through supervised practice, case study, didactic encounters, example, and critical evaluation, residents progressively develop the competence necessary for the practice of pediatrics. After completing training, residents will be prepared to pass the certifying examinations of the American Board of Pediatrics. Our residents are well rounded and prepared to enter careers in every area of pediatrics.
Resident performance is evaluated through in-training examinations and observation of clinical skills by faculty, case managers, medical students and peers. Evaluations are based on the 6 Core Competencies as defined by the Accreditation Council for Graduate Medical Education (ACGME):
During the first year, residents learn to recognize and treat serious disease in the acutely ill child. Starting with PALS, NRP and an orientation to the department and to the Comer Children's Hospital setting, the majority of the year is spent in general and subspecialty inpatient services both at Comer and at Evanston’s Northshore University Health System, the emergency department, the general care nursery and the neonatal ICU. From the start of their intern year, individuals are assigned to out-patient clinics where an emphasis is placed on maximizing patient preceptor continuity. Additional outpatient rotations in adolescent medicine, ambulatory pediatrics and advocacy round out the pediatric intern’s clinical experience at the University of Chicago. We encourage our interns from the moment they join our clinical teams to be advocates for their patients and to begin developing autonomous management styles as well as self-directed learning skills.
During the second year, emphasis is placed on the care of children with more complex disease and on the acquisition of supervisory experiences, while continuing to focus on both the management of well children and disease in the continuity clinic setting. All PGY-2 residents spend one month as the senior resident in the intensive care nursery and the emergency room, one month in the pediatric intensive care unit and two or three months at La Rabida Children’s hospital, a specialty center for children with chronic illness rehabilitation medicine. This is also the first year that our residents take on the role of Night Senior, effectively managing the inpatient hospital patients and supervising the interns at night. A variety of elective opportunities including a developmental and behavioral pediatrics rotation complete the educational experience.
The third year of training allows the resident to increase clinical skills, enhance clinical judgment and assume increasing responsibility for supervising medical students and residents in both inpatient and ambulatory care settings. Considerable elective time is made available in the PGY-3 year to allow the residents to consolidate their general pediatric background as well as to concentrate on specific areas of their own interest. Most residents currently have 3- 4 months of elective time during this year and often choose to spend some portion of that time in research efforts, international experiences, or extramural rotations.
The Chief Residency is both an educational and administrative position at the PGY-4 rank, and the chiefs are selected by the Program Leadership for their dedication to the program and specific educational and administrative skills. Our three Chief Residents are immediately accessible at both the University and LaRabida, and they are the immediate supervisors of the educational components of the Residency Program. Furthermore, they serve as liaisons between the attending physicians, fellows and pediatric residents. They lead daily morning reports, organize all noon didactic conferences, run weekly didactic sessions with medical students and manage the clinical schedule of the pediatric housestaff. The chief residents are vital and integral parts of the Department of Pediatrics at the University of Chicago.