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