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Pediatric Residency Program Clinical Experience
Pediatric Residency Program Clinical Experience

Inpatient Floor

Inpatient volume continues to increase at Children's Mercy, making us one of the largest children's hospitals in the nation based on number of admissions and ensuring diverse educational experiences for our residents.

Non-surgical patients outside of the ICUs are admitted to one of nine inpatient teams, seven of which are staffed by residents and two 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
Teal Team: General pediatric patients
Green Team: General pediatric patients; senior-resident team only
Blue Team: Cardiology
Gold Team: Endocrinology and Nephrology patients
Orange Team: Neurology and Pulmonology patients
Owl Team - Night Float: Covers inpatient teams Sunday to Thursday night
Hematology-Oncology: A rotation for second and third year residents

Emergency Department (ED)

  • Residents spend three months in the ED with 24-hour a day staffing by board certified pediatric emergency medicine physicians
  • Our ED is the only Level 1 Pediatric Trauma Center between St. Louis and Denver, north to Iowa City and south to Little Rock.
  • More than 70,000 patients are seen annually
  • Recognized as one of the top pediatric emergency departments in the country

Pediatric Intensive Care Unit (PICU)

  • Residents spend two months in the PICU covering both the medicine and cardiac ICU teams with 24-hour on-site pediatric intensivist supervision
  • Our 41-bed Pediatric Intensive Care Unit is one of the largest PICUs in the nation
  • Our Critical Care Transport Program, which transports nearly 5,000 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 an 84-bed Level IV Intensive Care Nursery, with ECMO capabilities. NICU fellows and attendings are present 24 hours a day.
  • The Truman Medical Center-Hospital Hill Neonatal Intensive Care Unit is a 24-bed Level III nursery associated with a high-risk obstetric service. 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

  • Continuity Care Clinic (CCC)
    • Each resident spends one-half day each week throughout residency in their Continuity Clinic.
    • Residents patients are paneled to build continuity through out their three years at Children's Mercy.
    • The clinic is staffed by the same general academic pediatricians each week to facilitate learning and continuity.
  • Pediatric Care Clinic (PCC)
    • The Pediatric Care Center (PCC) is the general primary-care clinic for Children's Mercy Hospital. More than 70,000 children and families were served by the clinic last year.
    • Pediatric residents spend one month in the PCC.
    • The goal of the PCC rotation 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.
    • Following their initial Adolescent Medicine rotation, residents continue 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 working with child psychiatrists, psychologists and developmental pediatricians.
    • They also learn the management of common behavioral problems.
  • Office-Based Practice
    • 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.
  • SCAN Clinic (Child Abuse and Neglect)
    • Third year resident rotation combined with Anesthesia
    • Residents improve recognition and management for suspected at-risk children

Longitudinal Education

  • Evidence-Based Practice and Quality Improvement

    • "Evidence-Based Tuesday" clinical lecture series at Noon with focus on evidence behind clinical decisions in pediatrics
    • 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 involved in a variety of advocacy experiences
    • Topics range from political health care reform advocacy to grass roots community-service development.
    • Second Year Community Child Advocacy month includes education about the pediatrician's role in child advocacy and experiences at multiple community sites.  Integrated with local Global Health experiences for those who participate in our Global Health Track.
Supplemental Procedure Education
  • Anesthesiology
    • Third year resident rotation combined with SCAN Clinic (Child Abuse and Neglect)
    • Resident spend two weeks in the OR performing procedures including intubation, LMAs, bag mask ventilation and line placement

Clinical Rotations by Year

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


General Inpatient OWL OWL
General Inpatient General Inpatient General Inpatient
Core Subspecialty Inpatient Hematology/Oncology Inpatient General Inpatient - Green Team
Core Subspecialty Inpatient Core Subspecialty Inpatient Core Subspecialty Inpatient
Core Subspecialty Outpatient* Core Subspecialty Outpatient* Child Abuse & Neglect/Anesthesia
Adolescent Clinic* Community Advocacy or International Health Advocacy* IEU*
Office-Based Practice*

General Outpatient/PCC*

Developmental and Behavioral Medicine IEU* IEU*
Core Subspecialty Rotations =
Cardiology, Endocrinology/Renal, Neurology/Pulmonology
Individualized Educational Unit

*=vacation eligible

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