Pediatric Rotations

Inpatient/Outpatient Balance

On the outpatient side, the experience of our residents is more than just going to the clinic. They now have exposure to the life of private and community pediatrics, adolescent medicine and international rotations. This breadth of experience is essential for anyone considering outpatient pediatrics. For those on the inpatient side, the ICU and general pediatric floor provide ample teaching time and time to develop procedural skills.

General Pediatric Inpatient Unit

The Pediatric Floor Team is composed of one PL-3, one PL-2 and two interns. The residents admit patients, formulate management for patient care and are involved in various pediatric procedures. A brand new pediatric unit on the 5th floor was added in February 2012 and includes private individual patient rooms (14 private rooms for a total capacity of 44 beds), separate work areas, new playroom, family area, procedure room and conference rooms for residents. An EMR system is used on the inpatient unit and daily progress notes and discharge summaries are expected of the resident in charge of the patient.

Family-Centered Rounds are conducted every day with the Service attending and additional Teaching Walk Rounds are conducted by many of our sub-specialty faculty. Residents work with highly skilled pediatric nurses, child life staff and social workers. Residents are also involved in teaching third and fourth year medical students from Rutgers Robert Wood Johnson Medical School as well as osteopathic medical students and pharmacy students. Our residents also participate in a Night Shift rotation and our PGY-3 residents rotate as the "Admitting Resident," providing additional assistance to our inpatient teams as well as gaining added experience in triage, leadership and teaching.

The senior on the general pediatrics unit is also in charge of receiving transport calls and arranging transfers of patients both to and from outside hospitals with the JSUMC transport team.

Pediatric Intensive Care Unit (PICU)

Our PICU has 10 beds and includes two nursing stations for patient monitoring and a family conference room. One or two residents are assigned to this unit and round with the in-house pediatric intensivist at least once a day. All residents perform critical procedures supervised by these faculty members.  The unit includes a conscious sedation team.

Neonatal Intensive Care Unit (NICU) – (current expansion underway, expected completion Winter 2015)

Two residents rotate in the 25-bed NICU per month. They work with neonatology faculty members, neonatal nurse practitioners, highly trained nurses and respiratory therapists. Residents admit critically ill newborns and perform admission work-ups and procedures. Rounds are conducted in the morning with the NICU team. Residents take part in all critical deliveries and have the opportunity to go on transports with a team of healthcare providers when a newborn in need of advanced care is transferred to JSUMC from an outside hospital.

Jane H. Booker Family Health Center

In our community-based Family Health Center, residents are supervised by two of our general pediatric faculty members in assessing and managing a variety of ambulatory care patients. All residents have assigned days for their Continuity Clinic where they follow a number of patients for their regular well check-ups. Residents also participate in our pediatric obesity clinic, oral-health program, asthma follow-up clinic, mental health screening program and ADHD clinic. Senior residents also have the option to continue their continuity experience with one of the local private practice pediatricians in the community.

Dedicated Pediatric Specialty Care Center

Our pediatric specialty outpatient center, which is on our main campus, allows residents to see patients in our sub-specialty clinics with our faculty members. This center is 25,000 square feet and includes 7 clinical suites and 40 exam rooms. 12 different subspecialties use these offices to see patients with our residents. The center also includes the Center for Breastfeeding and the Pediatric Dental Clinic. Our Pediatric Dentists see patients at the subspecialty center and also come to our general pediatrics clinic at the Family Health Center to provide education and routine follow-up of patients with well check appointments. Residents thus have the opportunity to work alongside pediatric dentists during their training program.

New Community Longitudinal Rotation

Over 3 years, each resident will be given exposure to many of the major units of community pediatrics and complete a meaningful community project. Interns spend two weeks doing a community pediatric rotation. During this rotation, residents spend time with the AAP New Jersey chapter, child abuse center, school health, juvenile justice, medical home visits, and more. After these two weeks, interns choose a specific area of interest and incorporate that into a longitudinal project. They may select from one of the major areas of concentration below:

  • prenatal and early childhood including day care
  • child abuse and neglect/foster care/ violence
  • school health
  • mental health/substance abuse
  • community public health/ environmental health/ epidemiology
  • children with chronic illness or disability
  • cultural diversity/children living in poverty
  • children in the juvenile justice system
  • The role of pediatric organizations - AAP New Jersey, PCORE (The Pediatric Council on Research and Education), SPAN (State Wide Parent Advocacy Network ), the New Jersey Association for Children, the New Jersey Council of Children’s Hospitals

Pediatric Emergency Medicine

K. Hovnanian Children's Hospital has a dedicated Pediatric Emergency Department that is staffed 24 hours a day and includes 10-12 pediatric beds and a separate entrance and triage area. One resident is assigned per month in the pediatric ER. Residents are in charge of assessing patients, formulating immediate management plans for patients, and performing various procedures.

Newborn Nursery

Residents spend two months in the regular nursery rounding on the new babies, preparing discharges, and speaking with pediatricians. All residents on this rotation will participate in high-risk deliveries with the NICU team and become proficient in delivery and resuscitation skills.

Urgent Care

Residents spend two months doing urgent care at the Family Health Center treating our medically under-served patients in Neptune and Asbury Park. This rotation gives the resident the opportunity to develop skills on triaging, evaluating a sick patient in an outpatient setting, and foster relationships with families. The resident also has the opportunity to see patients in the asthma, obesity, and ADHD clinics.

Adolescent Medicine

A resident spends one month on their adolescent medicine rotation supervised by a board certified adolescent medicine faculty member. In the adolescent medicine rotation, the resident meets with the faculty member to discuss all core aspects of adolescent medicine. The rotation also includes activities at the juvenile detention center, sports medicine clinic, OB/GYN clinic, Planned Parenthood, the Monmouth University Health Clinic, and the mental health crisis center. The resident can also do inpatient consultations on adolescent patients.

Developmental and Behavioral Pediatrics

This is a one-month rotation supervised by two fellowship trained developmental pediatricians. In this rotation, the resident actively participates with these faculty members and child psychologists in ITAP (Infant-Toddler Assessment Program) and other behavioral and developmental clinics. Since the director of this rotation received a 1 million dollar grant to create an autism center, residents will have multiple opportunities to evaluate children with autism and special needs.

Electives and Individualized Learning Curriculum

Residents have block rotations of electives at JSUMC including: Gastroenterology and Nutrition, Infectious Disease, Endocrinology, Pulmonology, Neurology, Hematology/Oncology, Cardiology, Nephrology, Nutrition, Research, Child Protection/Foster Care, Rehabilitation, Concussion/Sports Medicine, Anesthesia, Procedural Sedation/Transport, Trauma, Pediatric Surgery (including General and Neurosurgery), Psychiatry, Ophthalmology, ENT, Orthopedics, and Radiology.

The Individualized Learning Curriculum consists of 6 rotations tailored to the future career aspirations of each resident. This curriculum can include Research, Advocacy, International Health and Community Pediatrics and each resident will be provided with a career mentor to help develop their own curriculum.

All PGY-2 residents will participate in an inpatient pediatric hematology/oncology rotation at Rutgers Robert Wood Johnson Medical School. Additionally, residents have the opportunity to do Pediatric Rheumatology, Pediatric Nephrology and Pediatric Genetics at Rutgers Robert Wood Johnson Medical School.


View an example of a PGY-1 residency block schedule below

  Block 1 Block 2 Block 3 Block 4 Block 5 Block 6
Schedule 6/29 - 7/26 7/27 - 8/23 8/24 - 9/20 9/21 - 10/18 10/19 - 11/15 11/16 - 12/13
PGY-1            
Resident 1 Child Abuse/Comm Floor Clinic Nursery NF NICU
Resident 2 NF Pulm NF GI Comm/Vac Clinic
Resident 3 Nursery Neuro/Cardio NF Floor Clinic Nursery
Resident 4 Clinic NF ID/Comm NF Floor Endo/Vac
Resident 5 ER Cardio/Endo Comm/Vac NF Nursery Floor
Resident 6 Sports Med NF Nursery ER Vac/Comm NF
Resident 7 NF Nursery Sports Med Comm/Vac ER NF
Resident 8 Floor Comm/ENT ER Allergy/Cardio NF Pulm/Vac

 

 

  Block 7 Block 8 Block 9 Block 10 Block 11 Block 12 Block 13
Schedule 12/14 - 01/10 01/11 - 02/07 02/08 - 03/7 3/8 - 4/4 4/5 - 5/2 5/3 - 5/30 5/31 - 6/27
PGY-1              
Resident 1 Psych/Sports ER Nursery Vac/Endo NF ID/Vac NF
Resident 2 Floor Nursery NICU NF ER NF Vac/ID
Resident 3 NICU NF Vac/Sports Derm/Comm NF Ophtho/Vac ER
Resident 4 Nursery NICU ER NF Vac/Neuro RAD/GI Floor
Resident 5 NF ID Neuro/Vac Clinic Nursery NICU NF
Resident 6 ENT Floor NF Vac/Genetics Clinic Nursery NICU
Resident 7 Allergy/Psych NF Floor NICU Vac/Endo NF Clinic
Resident 8 NF Clinic NF Nursery NICU Vac/Neuro Nursery


Key: NF= night float; Vac= vacation; Comm= Community