- Blue Team
The Blue Team consists of a third year resident and two first year residents during the day, and a second year resident and first year resident at night. Third and fourth year medical students also rotate on this team, and most months a family medicine resident rotates with the team as well. Patients on this inpatient pediatric unit are cared for by the general pediatric hospitalists, as well as cardiologists, neurologists, and pulmonologists. The team cares for acute respiratory illnesses and neurologic emergencies, as well as more complex cardiac conditions, diagnostic challenges, and general pediatric admissions.
- Red Team
The Red Team consists of a third year resident and two first year residents during the day, and a second year resident and first year resident at night. Medical students rotate on this team during the day. Patients on this inpatient pediatric unit are cared for by faculty members in hematology/oncology, nephrology, gastroenterology, and endocrinology. Residents commonly handle acutely ill and immunosuppressed children undergoing chemotherapy, dialysis, and surgeries. They will follow diabetic and oncology patients from initial presentation through follow-up guidance.
- Newborn Nursery
General pediatric hospitalists supervise a first year resident and medical students in the newborn nursery. This rotation includes experience with vaginal and cesarean births and resuscitations, as well as the recognition of risk factors in the newborn. The multidisciplinary team includes close collaboration with lactation consultants, social work, and audiology.
The Neonatal Intensive Care Unit is comprised of five bays, and our residents rotate in Bay 1 during their second and third year of the program, and Bay 2/3 in their first year. The Bay 1 team consists of a second year resident, a neonatology fellow, and a staff neonatologist during the day, as well as medical students and emergency medicine residents on occasion. During the night, our third year resident functions as the team leader with the guidance of the on-call fellow. This Bay 1 team resuscitates and cares for our most critically ill neonates. Residents will gain exposure to a variety of neonatal conditions and procedures, and will become adept at fluid and nutrition management, ventilator adjustments, and critical decision-making.
The Bay 2/3 team consists of a first year resident and several experienced neonatal nurse practitioners, as well as a neonatology fellow and a staff neonatologist. Most months, there are family medicine residents and medical students as well. Bay 2/3 is our ‘step-down’ neonatology unit, caring for less critically ill infants, or those that require a longer stay due to prematurity. Residents on this team work in a multidisciplinary group helping to care for sick newborns, infants with complex medical conditions, and premature infants working on the transition home.
- Inpatient Night Team
The inpatient night team consists of a second year resident and two first year residents. Each first year is assigned one of the inpatient team, and the second year resident provides supervision and guidance. All pediatric admissions and procedures, as well as any emergency codes or rapid response activations, go through this team.
Our Pediatric Intensive Care Unit team consists of two second year residents and two third year residents rotating on a regular schedule. The critical care fellows and attendings provide guidance and supervision in the management of our most critically ill pediatric patients. This multidisciplinary team, with pharmacists, social workers, dieticians, and nurse practitioners, also includes emergency medicine and anesthesia residents and senior medical students at times. Residents become adept at caring for complex post-operative conditions, including cardiac procedures and ECMO, and participate in the stabilization and management of patients in the acute setting.
- Continuity Clinic
The weekly continuity clinic is the cornerstone of our primary care training. All residents are assigned to one weekday for the duration of the training program, with consistent resident colleagues, nurses, and attending general pediatricians to provide continuity for the families and encourage follow-up. During most blocks, each resident will spend one half-day per week in the general pediatric clinic, caring for their own panel of patients. Special attention is given to well care, anticipatory guidance, and identifying community resources.
- General Pediatrics Acute Care Clinic
Residents are the primary care providers of our busy general pediatric practice, under the supervision of academic general pediatricians. The second and third year resident lead the clinic and guide patient flow, manage triage questions, and perform necessary procedures, as well as caring for patients. Two first year residents gain valuable general pediatric experience caring for well and acutely ill walk-in patients of all ages. Medical students rotate through the clinic, as well as family medicine, psychiatry, and pediatric dental residents.
- Emergency Department
Third year residents have one block rotation in our Trauma Center and Emergency Department, working alongside emergency medicine residents and pediatric-specific attendings. Common acute problems managed include minor and major trauma, lacerations, respiratory infections, asthma, seizures and dehydration.
- Emergency Department at Blank Children's Hospital
Second year residents spend one block rotation in a busy, urban pediatric emergency room located in Des Moines, about 2 hours from Iowa City. On this rotation, lodging, meals, and transportation are provided by the program, and residents return one day per week for their continuity clinic. Residents work closely with pediatric-trained emergency room attendings and residents from the local community program.
- Adolescent Medicine Rotation
Third year residents provide medical care to adolescents with a variety of medical conditions, including sexually transmitted diseases, substance abuse, depression, eating disorders, common dermatologic disorders and common orthopedic diseases and injuries. In addition to experiences in the Adolescent Psychosocial and Primary Care Clinic, residents participate in an Eating Disorders Clinic, a Sports Medicine Clinic, and a school-based clinic.
- Subspecialty Rotations
Residents in all three years of training work closely with our wide range of pediatric specialists in our comprehensive subspecialty clinic. During these primarily outpatient months, residents will see patients, perform procedures, provide consultative services, and work with medical students, under the direct supervision and guidance of attendings. Our subspecialty clinic includes several procedural and infusion suites, and has child life, social work, and specialized nursing care immediately available.
- Developmental and Behavioral Pediatrics
Residents gain valuable exposure to our comprehensive developmental and behavioral pediatrics center during their first year of training, which allows them to gain the skills and learn the resources to use during the rest of their residency. Residents participate in structured experiences with the experts in the divisions of psychology, genetics, and child abuse, and become adept at the management of children with attention deficit disorders, psychosomatic diseases, behavior problems and learning disabilities.
- Community Pediatrics Rotations
Second year residents spend one block working in a busy private general pediatrics practice within 30 miles of Iowa City. Transportation is provided by the program on this rotation. Community pediatricians provide guidance and supervision as the resident gains exposure to the private practice model and works in an independent fashion as part of a larger community practice.
Residents at every level have the ability to individualize their training program by choosing from a wide variety of structured electives in clinical care, research, teaching, and international health. Using the wealth of resources in all pediatric and surgical subspecialties, intensive care and primary care, procedures, research, and academic practice, that we have at the University of Iowa and the surrounding communities, residents can also design their own experience. Six blocks during the three years allow each resident to tailor their residency to prepare them for independent practice or fellowship. Popular clinical electives include dermatology, infectious disease, palliative care, and bone marrow transplant team. Many residents choose to do at least 1-2 blocks of research during their residency, with most resulting in a presentation or a publication. Specially-designed experiences include maternity/paternity electives, teaching/leadership rotations, procedure electives, and advocacy projects.