- Blue Team
The Blue Team service is an inpatient ward service that is made up of different Pediatric division inpatient services. Included in Blue Team are: Cardiology, Neurology, General Pediatrics, and Pulmonology divisions. The rotation is staffed by a collection of faculty from each division. Faculty attendings work directly with the residents for some services, others have fellows involved with inpatient care as well.
- Red Team
The Red Team service is an inpatient ward service that is made up of different Pediatric division inpatient services. Included in Red Team are: Hematology/Oncology, Nephrology, Gastroenterology, Endocrinology divisions. The rotation is staffed by a collection of faculty from each division. Faculty attendings work directly with the residents for some services, others have fellows involved with inpatient care as well.
- Newborn Nursery
Faculty with expertise in general pediatrics will be involved in your learning experience for this rotation through teaching and supervision. This rotation will include experience with: recognition and appropriate intervention for high-risk infants; distinguishing well from ill infants; performance of a physical examination on newborn infants, which includes assessment of gestational age and the appropriateness of intrauterine growth; identification of common anomalies, birth defects, and syndromes, including counseling the parents; provision of routine newborn care, recognition and treatment of common physiologic deviations in the newborn, identification and management of infants of mothers with substance abuse and/or sexually transmitted diseases (STDs) or other infections; routine newborn screening and appropriate follow-up of infants with positive test results; preventive measures, including immunization schedules and safety issues, such as counseling parents on the importance of infant safety seats and knowledge of normal infant nutrition, including breast feeding and knowledge of normal newborn growth and development; discharge planning.
The Neonatal Intensive Care Unit is comprised of five bays. Residents rotate through Bays 1–3. Bays 4 and 5 are covered by nurse practitioner teams with supervision from a staff neonatologist. The Bay 1 team consists of a PGY-1, a PGY-2, a neonatology fellow, and a staff neonatologist. Occasionally, there will be a fourth-year medical student on elective. Emergency medicine residents may also rotate through the NICU. The Bay 2-3 team consists of a PGY-2, neonatal nurse practitioners, a neonatology fellow (not all months), and a staff neonatologist. Most months, there is a family medicine resident. Third-year medical students may complete two-week rotations in Bay 2-3 as part of their general pediatrics rotation. Fourth-year medical students may rotate in NICU Bay 2-3 as a sub-internship. The PGY-3 is a night shift, known as “the mole.” The mole primarily assumes responsibility for NICU Bay 1 but acts as a resource for all the NICU bays.
- Night Shift
All general pediatric patient care activities will be supervised by the Night Admitting Resident, including admissions, continuation of overnight care for all hospitalized patients, and performance of procedures. The Night Admitter will respond to codes, Rapid Response Team activation, and will rapidly assess and appropriately manage patients in the event of clinical deterioration. The Night Admitter will be responsible for teaching students and residents (when and where; bedside, on rounds, morning report, other specific teaching times), and will appropriately seek fellow/attending guidance if needed.
During this rotation you will participate on the Pediatric Intensive Care Unit team. You will work with an ICU attending and fellow to assess, stabilize, and manage patient problems in the physiologically unstable or high risk patients. The focus should be on the physical examination and review of the events of the last 24 hours. You will present the patients on rounds and assist in developing the day’s plan of care. You will assist in implementing the plan of care and documenting your assessment and plan. You will admit new patients as they are admitted, participate in multidisciplinary discussions and are encouraged to interact with the families.
- Child Health Clinic
Child Health Clinic is the cornerstone of the primary care program. All residents participate in a continuity clinic one-half day a week for the duration of the training program; three rotations have two half-days a week. Special attention is given to anticipatory guidance and developmental behavioral issues. Approximately 16,500 patients are served annually in the clinic.
- General Pediatrics Clinic/Acute Care Clinic
Residents participate in the general diagnostic clinic, growth clinic, travel clinic, and encopresis clinic, as well as manage acutely ill pediatric walk-in patients of all ages.
- Emergency Department
PGY-3s have a block rotation in the Emergency Department at UI Hospitals and Clinics and PGY-2s provide consultative care to pediatric and young adult patients during night call. Common acute problems managed include minor and major trauma, lacerations, respiratory infections, asthmatic attacks, seizures and dehydration.
- Emergency Room at Blank Children's Hospital
PGY2s have a block rotation in a busy pediatric emergency room located in Des Moines, Iowa.
- Adolescent Medicine Rotation
PGY-3s provide medical care to adolescents with a variety of problems 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, a school-based clinic at an alternative high school and at the University of Iowa Student Health Clinic which serves college students.
- Child Health Specialty Clinics
Operating in conjunction with the Iowa State Department of Health, these clinics provide residents with the opportunity to participate in the care of children with special needs at clinics located throughout the state.
- Other Outpatient Rotations
Other clinics provide residents with the opportunity to increase their medical knowledge and enhance their proficiency in managing problems such as asthma, diabetes, seizures and behavioral problems, which constitute a large portion of the children and adolescents seen in an ambulatory care setting. Time is devoted to the adjustment problems of adolescents with chronic diseases, such as renal failure, cancer, hemophilia, and cystic fibrosis.
- Telephone Consultation
Second- and third-year residents respond to telephone calls from parents. These calls are all triaged by nurses before the resident is contacted.
- Developmental and Behavioral Pediatrics
PGY-3s participate in structured experiences jointly directed by faculty in the divisions of Developmental Disabilities, General Pediatrics, and Psychology. Experiences include management of children with attention deficit disorders, psychosomatic diseases, behavior and school management problems and learning disabilities. Exposure to children with more severe physical and mental disabilities occurs in the Myelodysplasia Clinic, the Metabolic Genetics Clinic and the Child Development Clinic.
- Community Pediatrics Rotations
Residents participate in required rotations in the community during their second and third years of residency to gain exposure to the practice of general pediatrics in a private setting.
Residents at the first, second and third years of training have a number of months available for elective opportunities. Those who are oriented towards primary care are encouraged to explore electives in dermatology, ophthalmology, sports medicine and otolaryngology, as well as additional exposure in the areas of pediatric psychology and developmental and behavioral medicine. Additional experiences in community pediatrics can be arranged as well.