Pediatric Residency Program Clinical Experience
Pediatric Residency Program Clinical Experience

Inpatient Floor

Inpatient volume continues to increase at Children's Mercy. In fiscal year 2012, there were 13,397 inpatient admissions, ranking Children's Mercy as one of the largest children's hospital in the nation based on number of admissions.

Non-surgical patients outside of the ICUs are admitted to one of seven inpatient teams, six of which are staffed by residents and one of which is staffed by pediatric hospitalists. Residents also spend time on our night-float team, called the "Owl Team".

Inpatient Teams

Red Team: General pediatric patients
Purple Team: General pediatric patients
Green Team: Senior-resident only team, which covers general pediatric patients
Blue Team: Cardiology
Gold Team: Endocrinology and Nephrology patients
Orange Team: Neurology and Pulmonology (Cystic Fibrosis) patients
Owl Team - Night Float: Covers inpatient teams Sunday to Thursday night
Hematology-Oncology: A rotation for second and third year residents with a more traditional call system

Emergency Department

  • The Children's Mercy Emergency Department is the only Level 1 Pediatric Trauma Center between St. Louis and Denver
  • More than 67,000 patients are seen annually
  • Recognized as one of the top pediatric emergency departments in the country
  • Staffed 24 hours a day by board-certified pediatric emergency medicine physicians

Pediatric Intensive Care Unit (PICU)

  • Residents spend two months in the PICU with 24-hour on-site pediatric intensivist supervision.
  • Our 41-bed Pediatric Intensive Care Unit is one of the largest PICU's in the nation.
  • There were 8,094 PICU days in fiscal year 2012
  • Our Critical Care Transport Program, which transports nearly 5000 infants and children each year, is the only program in the region honored multiple times by the Association of Air Medical Services (AAMS).

Neonatal Intensive Care (NICU)

  • Residents gain NICU experience at both Children's Mercy Hospital and Truman Medical Center.
  • Children's Mercy Hospital has a 64-bed Level 3C Intensive Care Nursery, and ECMO capabilities. NICU fellows and attendings are present 24 hours a day.
  • There were 19,823 ICN days in fiscal year 2012
  • The Truman Medical Center-West Neonatal Intensive Care Unit is a 24-bed Level II/III nursery associated with a high-risk obstetric service. Neonatal nurse practitioners, trained in neonatology, are in-house 24 hours a day.
    • Residents attend all high-risk deliveries to gain experience with delivery-room resuscitation.
    • Residents also complete a month of well-baby nursery during their first year to gain expertise with normal newborns.

Outpatient Clinical Education

  • Pediatric Care Clinic (PCC)
    • The Pediatric Care Center (PCC) is the general primary-care clinic for Children's Mercy Hospital. More than 73,000 children and families were served by the clinic last year.
    • Pediatric residents spend one month in the PCC.
    • The goal of the PCC is to provide every resident with a broad-based primary care pediatric experience.
  • Adolescent Medicine
    • In the Adolescent Medicine Rotation, residents learn about issues that are unique to the teenage population.
    • Residents have the option of continuing to work in the clinic once a month as part of their Continuity Care Clinic.
  • Developmental and Behavioral Medicine
    • In a clinic setting, residents gain an understanding of normal and abnormal development with a variety of child psychiatrists, psychologists and developmental pediatricians.
    • They also learn the management of common behavioral problems.
  • Continuity Care Clinic (CCC)
    • Each resident spends one-half day each week throughout residency in their Continuity Clinic.
    • Residents have the opportunity to build a panel of patients they can follow through their three years at Children's Mercy.
    • The clinic is staffed by the same general pediatricians each week to facilitate learning and continuity.
  • Community Pediatrics
    • Each resident spends one month in a private-practice pediatrics office.
    • Residents learn the basic skills of office management in addition to primary-care pediatrics.
    • Residents have the opportunity to spend this month outside the Kansas City metro area.

Longitudinal Education

  • Evidence-Based Practice and Quality Improvement

    • "Evidence-Based Tuesday" clinical lecture series at Noon.
      Bi-monthly patient safety and quality improvement lectures.
    • Bi-monthly journal clubs.
    • Team-based participation in a resident-led quality improvement project.
  • Patient and Family-Centered Care
    • Learn the art of communicating on family-centered rounds.
    • Simulated conversations to develop the skills of sharing difficult news with patients and families.
  • Advocacy Curriculum

    • Exposure to inspirational community and hospital speakers.
    • Topics range from political health care reform advocacy to grass roots community-service development.

Clinical Rotations by Year

PL-1 PL-2 PL-3
Well-Baby Nursery     NICU at Truman Medical Center NICU at Children's Mercy Hospital


General Inpatient OWL OWL or Hematology/Oncology Inpatient
General Inpatient General Intpatient General Inpatient
Core Subspecialty Inpatient Hem/Onc Inpatient General Inpatient Green Team
Core Subspecialty Inpatient Core Subspecialty Inpatient Core Subspecialty Inpatient
Core Subspecialty Outpatient Core Subspecialty Outpatient Core Subspecialty Outpatient
Adolescent Clinic Community Advocacy or International Health Advocacy IEU or Specialty Elective
Office-Based Practice

General Outpatient/PCC

Developmental and Behavioral Medicine IEU or Specialty Elective   IEU

Core Subspecialty Rotations
Cardiology, Endocrinology/Renal; Pulmonology/Neurology
Individualized Educational Unit


  • Electives exist in all pediatric subspecialties.
  • Residents can tailor their electives to meet their own goals and interests.
  • Some electives include:
Abuse/Neglect   Ophthalmology
Advocacy   Orthopedic Surgery
Allergy/Immunology   Otorhinolaryngology
Anesthesiology   Palliative Care
Cardiology   Pathology
Dermatology   Plastic Surgery
Developmental and Behavioral Medicine   Pulmonology
Endocrinology   Radiology
Gastroenterology   Research
General Surgery   Rehabilitative Medicine
Genetics   Rheumatology
Hematology/Oncology   Spanish Immersion
Hospital Medicine   Special Care Clinic
Infectious Disease   Sports Medicine
International Medicine   Toxicology
Neonatology   Transport
Neurology       Urgent Care
Neurosurgery   Urology

Copyright © 1996-2014 The Children's Mercy Hospital