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The Pediatrics Residency Program at SBH

The mission of the Department of Pediatrics at SBH Health System is to provide high-quality and compassionate care to our patients while offering community resources dedicated to children’s health

Our Department

 

Since its inception in January 1999, the Department of Pediatrics has grown from a faculty of 11 pediatricians to over 50 experienced pediatric primary care and pediatric subspecialty attending physicians. Over the past five years, the Department has experienced an impressive annual growth rate in outpatient, inpatient and pediatric emergency services.

The goal of the Department has been to address the full spectrum of pediatric problems from primary care to complicated diagnostic dilemmas. The Department is comprised of the following divisions: Inpatient Pediatrics, Pediatric Emergency Medicine, Neonatology and Ambulatory Care.

The Pediatric Inpatient Unit at SBH Health System is a sixteen-bed unit staffed by our group of attending pediatric hospitalists and general pediatricians. The unit provides care to children up to twenty years of age. Interdisciplinary rounds are held daily on the unit offering our patients and their families needed social as well as medical support.

Within the unit, the Child Life Room offers patients a safe environment for play. Older children may be admitted to the Hospital’s Intensive Care Unit and are under the joint care of the Department of Pediatrics and the Division of Intensive Care Medicine. Teaching Rounds are held daily on all pediatric patients admitted to the ICU and Pediatric Inpatient Unit. The Pediatric house staff is responsible for the care of all patients admitted to the ICU and Pediatric Unit.

The Division of Pediatric Emergency Medicine at SBH Health System functions in a physically separate specialized facility dedicated to the emergency care of children 24 hours a day. The new physical expansion of the Pediatric Emergency Department has created a large patient and staff friendly environment in which patient care is optimized. For each of the past 5 years, there has been a substantial growth in outpatient volume. During 2015, there were approximately 20,000 pediatric patient visits.

The case mix of patients seen in the Pediatric Emergency Department is impressive and ranges from simple to extremely complex medical, surgical, and trauma-related problems. SBH Health System is a New York State designated Level 2 Regional Trauma Center, which provides residents with firsthand experience in the evaluation, treatment and management of pediatric trauma patients.

The Division of Neonatology includes the Well Baby Nursery (WBN) and a Level III Neonatal Intensive Care Unit (NICU). Four full-time neonatologists staff the department, with 24 hour attending coverage. Our impressive group of Attending Neonatologists conducts teaching rounds daily. Due to a greater than 15% increase in annual deliveries, there are plans to expand the division.

This will include the NICU and WBN and the development of a high-risk follow-up clinic. The Division of Neonatology is a member of the Bronx Perinatal Consortium, allowing for seamless collaboration on clinical cases and research projects.

The Department of Pediatrics offers children comprehensive pediatric primary care at six locations throughout the
Bronx. The Pediatric Ambulatory Division continues to grow at an impressive pace. There were approximately
50,000 patients seen during the past year. The Ambulatory Division also has several specialized primary care programs serving the Bronx Community:

  • The Adolescent Medicine Program, led by pediatricians trained in adolescent medicine serves the community through a teen pregnancy prevention program and provides general adolescent care at the Teen Health Center.
  • Reach Out and Read, an innovative national program aimed at promoting early childhood literacy, is a major initiative of the Division.
  • The Developmental and Behavioral Program applies progressive techniques in the management of a variety of developmental disorders.
  • The Early Intervention Program provides advanced diagnostic and therapeutic care to young children with developmental delay.
  • The New York State-designated AIDS Center features comprehensive medical care and case management for HIV infected women and newborns.
  • The Community Outreach Program includes participation in local health fairs, school educational seminars, community-based organizations, and participation in local and regional TV and radio
    informational sessions.

The Department of Pediatrics is committed to becoming a premier institution for clinical research dedicated to child health. Our areas of particular interest include pediatric respiratory disease, pediatric infectious disease, pediatric trauma, and clinical epidemiology. We have also initiated several clinical research projects related to child safety, pediatric asthma, adolescent psychiatry, pediatric dentistry, and developmental and behavioral pediatrics. The Pediatric Residency Research Program offers monthly Research Seminars (focused on principles of epidemiology and methodology), a monthly Journal Club, and faculty mentoring of resident initiated research projects.

The success of the Pediatric Residency Research Program is clearly reflected in the number of presentations of resident directed research by our residents at regional and national pediatric scientific meetings as well as by the enthusiasm of fellowship directors who appreciate the level of clinical research experience our residents bring to their fellowships. These accomplishments have clearly made an impact with fellowship directors as well as primary care recruiters regarding the acceptance of our residents into competitive ambulatory positions as well as top programs for advanced fellowship training. A representative sample of research projects is noted below:

  • Asthma Outcomes after Adeno-tonsillectomy in Children
  • Associations of Acute Otitis Media and GERD in children 6 months to 3 years
  • Association between Early Newborn Well Child Care and Emergency Department Non-Urgent Visits during Neonatal Period
  • SBH Workers’ Perception on SSB/Healthy Beverage Zone
  • Correlation between Severity of Worsening Myopia and Screen Time in Adolescents
  • Why do Adolescents Offered HIV Testing have Low HIV Testing Rates?
  • Toxic Stress in Parents and Psychosocial Functioning of Children
  • Brain CT after Minor Head Trauma
  • Relationship between PHQ-2 and PHQ-9 in Detecting Depression in Adolescents
  • Relationship between Covid-19 Pandemic and Parental Refusal of Influenza Immunization
  • Maternal Knowledge, Attitudes and Perceptions towards the Use of Human Donor Milk
  • The prevalence of ADHD in 6-12 year olds in an inner city primary care setting
  • Parental attitudes toward HPV vaccination in males
  • Incidence, risk factors, and outcome of brachial plexus injuries
  • Predictors of asthma med adherence via Rx filling patterns
  • Criteria for radiological evaluation of pelvic fractures in children
  • Gastroesophageal reflux in obese children with asthma
  • Administration of Tdap vaccine by obstetrical providers to post-partum adolescent mothers aged 11-18 years
  • BMI and children with reduced visual acuity
  • Cervical spine injuries in children; prospective study
  • Internet used as a resource for health information in the Bronx
  • Thyroid function abnormalities in obese children and adolescents
  • Treadmill testing in children with exercise induced chest pain
  • MRSA does location matter
  • Comparison of appendicitis scoring protocols in the diagnosis of appendicitis
  • Disordered eating in inner city male adolescents
  • Risk factors that predict PICU admissions among babies with acute bronchiolitis

Resident Wellness at SBH

We offer a wealth of resources to ensure a smooth transition into our residency programs. We also provide detailed wellness information, highlighting the support systems in place to maintain your physical and mental health during your residency.


Resident Wellness

Residency

The graduate training program of the Department of Pediatrics offers a well-balanced experience in primary care and subspecialty pediatrics. As a result of the training program’s focus on the entire spectrum of pediatric practice, our graduates have successfully chosen to pursue post graduate fellowship training or practice opportunities in general or subspecialty pediatrics across the country in a variety of academic and non-academic locations.

This is an exciting time in the field of pediatrics. Over the past ten years, we have seen major advances in pediatric tertiary care, as well as a renewed focus on primary care and community outreach. The mission of the Department of Pediatrics at SBH Health System is to provide high-quality and compassionate care to our patients while offering community resources dedicated to children’s health.

The graduate training program of the Department of Pediatrics offers a well-balanced experience in primary care and subspecialty pediatrics. As a result of the training program’s focus on the entire spectrum of pediatric practice, our graduates have successfully chosen to pursue post graduate fellowship training or practice opportunities in general or subspecialty pediatrics across the country in a variety of academic and non-academic locations.

The Department of Pediatrics has valuable clinical and administrative support from several university-based institutions in New York City, which includes specific rotations for our pediatric residents.

The Pediatric Residency Training Program at SBH Health System is an ACGME approved Residency Program (#3203521416) that provides medical school graduates with the essentials of the entire Pediatric educational curriculum – ranging from Pediatric Primary Care to Subspecialty and Intensive Care training, including the tools to become leaders in the field of Pediatrics. The training experience emphasizes the management of general and subspecialty problems in both primary care and hospital settings. Rotations at SBH Health System, the Children’s Hospital at Montefiore Medical Center, as well as Memorial Sloan Kettering Cancer Center provide both the intensity and diversity needed for a well-rounded competency based pediatric education. Our residency offers in-depth clinical experiences, progressively increasing individual responsibility, and opportunities for elective study and research. All rotations are organized in 4-week blocks. There are 13 blocks per year including four weeks vacation.

PL-1 Internship: The Basics

The PL-1 year is designed to provide the intern with experience and education pertaining to all aspects of the care of the hospitalized and ambulatory pediatric patient. It is essential that interns assume the responsibility for patient care decisions with the supervision of senior residents and attending physicians. Through inpatient rotations at SBH Health System interns learn the diagnosis and management of common pediatric problems. They also study the management of sick newborns at the St. Barnabas NICU. The Well Baby Nursery rotation provides the framework for the year’s focus on general pediatric care. Interns also actively participate in the Pediatric Ambulatory Group Practice, where they follow their own patients throughout their three years of training. All PL-1 residents are assigned to one clinical location (SBH Health System Pediatric Primary Care Clinic, Pediatric Primary Care Clinic at Grand Concourse, Pediatric Primary care Clinic at Union Community Health Center) where they serve as a resident primary care continuity provider between 1 and 4 half days per week (depending on the rotation). The intern is identified as a patient’s pediatrician and will follow that patient through all scheduled and, when possible, non-scheduled appointments throughout their three year residency. Block rotations in the Outpatient Pediatrics and Pediatric Emergency Department give interns a feel for the important link between the ambulatory and inpatient settings. Rotations in Allergy/Immunology and Cardiology provide the necessary knowledge base for the resident to gain confidence in managing problems in these areas. Finally, it is during the PL-1 year that the design and implementation of the resident’s research project begins to take shape with the assistance of faculty mentors and core research conferences.

PL-2 Junior Resident: Transition to Leadership

The second year allows the resident to take on greater supervisory and decision-making roles during two block rotations on the Inpatient service and two block rotations in the Pediatric Emergency Department. Residents also spend one block rotation on the Pediatric Oncology Service at Memorial Sloan Kettering Cancer Center. Management of acutely ill children is the primary focus of the rotation at the Children’s Hospital at Montefiore Pediatric Intensive Care Unit. Ambulatory-based rotations in Adolescent Medicine, Child Development and Neurology provide residents with the depth of knowledge they need to become well-rounded pediatricians. Residents may spend one block rotation as elective time in any clinical or academic pursuit, in consultation with the program director.

PL-3 Senior Resident: Independence and Teaching

Third year residents function as leaders among the housestaff and medical students at SBH Health System. The rotations in Outpatient Pediatrics and Community Medicine enable senior residents to become familiar with a variety of settings outside of the hospital. There are also 2 block rotations of elective time that the resident can use to supplement his/her core educational experience. It is during the third year of training that residents must complete their research projects initiated during the PL-1 year and present their findings during the final Grand Rounds of the academic year.

Ambulatory Group Practice: The Continuity of Care

Based on a resident’s training period of 10 one-half day sessions per week, all house officers spend between 1 – 4 sessions per week in Continuity Clinic (depending on specific year of training and rotation). The house officer will longitudinally follow a cohort of patients through all aspects of well and sick pediatric care. All residents are assigned to one of three locations for their pediatric primary care continuity clinic: the SBH Health System Pediatric Primary Care Clinic, the Pediatric Primary Care Clinic at Grand Concourse or the Pediatric Primary Care Clinic at Union Community Health Center. All three locations are staffed by experienced full-time pediatric primary care faculty who care for their own panel of patients in addition to serving as preceptors for residents. Residents will also rotate through these same assigned locations while on the Outpatient pediatric rotations. Each site gives the residents the experience of practicing in a supervised pediatric primary care practice – very similar to one they may find themselves working in after graduation. The practices include an appointment system that accommodates scheduled appointments and walk-in visits, as well as comprehensive on-site and telephone coverage. Residents monitor their patient’s consultative visits outside of the clinic and any hospitalizations and/or emergency room visits.

Residency Rotations

YEAR 1

  • 3 Rotations General Pediatric Inpatient Service (1 at Children’s Hospital at Montefiore )
  • 1 Rotation Infectious Disease Selective
  • 2 Rotations Pediatric Emergency Department
  • 1 Rotation Well Baby Nursery
  • 1 Rotation Cardiology Selective
  • 3 Rotations Elective
  • 1 Rotation Allergy/Immunology
  • 4 weeks Vacation

Year 2

  • 2 Rotations General Pediatric Inpatient Service
  • 1 Rotation Memorial Sloan Kettering Cancer Center/Pediatric Oncology Service
  • 2 Rotations Pediatric Emergency Department
  • 1 Rotation Neonatal Intensive Care
  • 1 Rotation Children’s Hospital at Montefiore Pediatric Intensive Care Unit
  • 1 Rotation Developmental/Behavioral/Neurology
  • 1 Rotation Outpatient Service
  • 1 Rotation Adolescent Medicine
  • 2 Rotation Elective
  • 4 Weeks Vacation

Year 3

  • 3 Rotations General Pediatric Inpatient Service
  • 2 Rotations Pediatric Emergency Department
  • 1 Rotation Neonatal Intensive Care
  • 1 Rotation Developmental/Behavioral/Neurology
  • 1 Rotation Outpatient Service
  • 1 Rotation Children’s Hospital at Montefiore Pediatric Intensive Care Unit
  • 1 Rotation Mental Health
  • 2 Rotations Elective
  • 4 Weeks Vacation

The following benefits are available to all residents:

  • Professional liability coverage for all activities that are approved components of the resident program
  • Health Insurance
  • Dental insurance
  • Prescription drug plan
  • Disability insurance
  • Vacation: 4 weeks
  • Our salaries are very completive for the NYC Area.

PL-1 Applicants
All interested candidates for PL-1 positions (categorical pediatric internship) for July should apply through the Electronic Residency Application Service (ERAS). We only accept ERAS applications for these positions and do not accept any applications by mail for these positions.

PL-2 and/or PL-3 Applicants
There may be a limited number of PL-2 and/or PL-3 positions open to superior candidates. For those interested in these positions, please submit:

  • Completed ERAS Application Form
  • USMLE scores (front and back of report)
  • ECFMG Certificate (if applicable)
  • Three letters of recommendation
  • Dean’s letter
  • Medical school transcript (including diploma if available) and a recent photograph to the following address:

Karla Seams, MBA
Program Coordinator, Department of Pediatrics
4422 Third Avenue
Mills Building, 4th Floor
Bronx, NY 10457

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Application Process

PL-1 Applicants
All interested candidates for PL-1 positions (categorical pediatric internship) for July should apply through the Electronic Residency Application Service (ERAS). We only accept ERAS applications for these positions and do not accept any applications by mail for these positions.

PL-2 and/or PL-3 Applicants
There may be a limited number of PL-2 and/or PL-3 positions open to superior candidates. For those interested in these positions, please submit:

  • Completed ERAS Application Form
  • USMLE scores (front and back of report)
  • ECFMG Certificate (if applicable)
  • Three letters of recommendation
  • Dean’s letter
  • Medical school transcript (including diploma if available) and a recent photograph to the following address:

Karla Seams, MBA
Program Coordinator, Department of Pediatrics
4422 Third Avenue
Mills Building, 4th Floor
Bronx, NY 10457

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