GME Pediatrics Sim Lab

PGY 1

General Pediatrics Inpatient Days:

Schedule: 12-hour shifts (0730-1930); 6 days per week

Team members: Supervisory resident (PGY2 or PGY3), PGY1 Peds resident, Family Medicine residents, Faculty available 24/7 in house

Patients per resident: average 5-7 max 10 for rounds

Procedures: LP’s, IV’s, NG placement, Urine catheterizations

thumbnail_AH-Daytona-Peds-ER-Nurse-with-Patient-and-Mother-2000x1333px

General Pediatrics Inpatient Nights:

Schedule: 12-hour shifts (1930-0730); 6 days per week

Team members: Supervisory resident (PGY2 or PGY3), PGY1 Peds resident Family Medicine resident, Faculty available 24/7 in house

Patients Per Resident: Cap for admission is 8-10 per Intern; Anything over cap handled by faculty/senior resident

Description: Admissions to all non-ICU services

Procedures: LP’s, IV’s, NG placement, Urine catheterizations

A mom wearing a mask holding her infant.

Newborn Nursery:

Schedule: 0700-1600; 6 days per week (No night shifts); Rotation occurs during the first 6 months of Intern Year

Team members: PGY1 Pediatric resident, Family Medicine and Resident, Newborn Faculty

Patients per residents: 10

Description: Healthy, term newborns

Procedures: circumcisions, attend newborn deliveries

Sondra with Leo in the AdventHealth NICU.

NICU

Schedule: 0700-1700; 5 days per week with 2 NICU call days

Team members: Supervisory Resident (PGY3) with PGY1, Nurse Practitioner, Faculty

Patients per resident: 3-5

Description: ICU Level babies with a variety of conditions, attend deliveries of high risk, premature infants

Procedures: intubations, central line placement, LPs, ventilator management

A little boy hugs his teddy bear while in the hospital.

Emergency Medicine:

Schedule: Average 19 shifts per 4-week block, mix of days, nights and weekends.

Location: Pediatric Emergency department at AdventHealth for Children or AdventHealth East Orlando, staffed by Board certified Pediatric Emergency Medicine physicians. Residents are on with faculty and NP who manages the Fast Track patients.

Procedures: suturing, LP, septic workups, IVs, blood draws, resuscitations, fracture care, sedations, foreign body removal

children hugging on a playground

Developmental Behavioral Pediatrics:

Schedule: Monday-Friday 8:00-5:00.

Location: DB Peds Outpatient Clinic. Evaluation and management of children with developmental disabilities, ADHD, and autism with a team of DB pediatricians and NPs.

Children who have had a sports physical at summer camp.

Advocacy

Schedule: Monday – Friday 0800-1700. One week in CCK clinic. Cross Cover 2 Saturdays during the block.

Team: Nurse practitioner from Kids House (local child abuse evaluation center), Faculty from clinic for Children with Special Healthcare Needs

Description: Residents will learn in depth about how children are evaluated for a variety of forms of abuse by our Child Protection Team. They will get to witness intake evaluations, obtaining history from children who have been abused both for sexual, physical and emotional abuse, as well as observe interdisciplinary meetings with law enforcement. In CCK clinic you will learn more about how we provide care coordination for Children with Special Healthcare Needs.

A child in bed with a fever, their parent holding a thermometer in his mouth.

Acute Care:

Schedule: Monday – Friday 0800-1700. Cross cover weekends.

Team: PGY3 Supervisory resident and PGY1 resident, faculty at our outpatient General Pediatric Practice.

Description: During this block you will primarily be seeing acutely ill patients.

Procedures: foreign body removal, wart freezing, vaccine administration

Doctor Keating using a stethoscope on his child patient

Elective:

Schedule: varies depending on specialty; usually 0800-1700.

Carrollwood Pediatric Room

Pediatric Potpourri:

Schedule: Variable; Two weeks of inpatient coverage, One week of simulation and one week off for either Christmas or New Years.

Description: This is block 7 of our year, which encompasses the Holiday season. During this block, we pull our residents to primarily staff the inpatient units, which allows us to have a week of Simulation.

A child playing doctor with a stuffed animal.

PGY2
General Pediatrics Inpatient Days: Supervisory Role

Schedule: 12-hour shifts (0730-1930); 6 days per week

Team members: PGY1 Peds resident, 2 Family Medicine residents, faculty available 24/7 in house

Patients per resident: average 5-7 max 10 for rounds

Description: Manage patients on resident team and admit to the resident team. Take CEC admit calls.

Procedures: LP’s, IV’s, NG placement, Urine catheterizations

Doctor checking on Child.

General Pediatrics Inpatient Nights: Supervisory Role

Schedule: 12-hour shifts 1930-0730; 6 days per week

Team members: PGY1 Peds resident, 1 Family Medicine resident, Faculty available 24/7 in house

Patients Per Resident: Cap for admission is 8-10 per Intern; Anything over cap handled by faculty/senior resident

Description: Admissions to all non-ICU services. Take CEC admit calls.

Procedures: LP’s, IV’s, NG placement, Urine catheterizations

Sondra Rae and her son Leo in the AdventHealth NICU

PICU (two rotations during PGY2 year):

Schedule: 12-hour shifts with 2 weeks of day and 2 weeks of nights

Team members: PGY3 orED resident,

PGY3/ ED resident, PGY2 resident, Nurse Practitioners, Faculty available 24/7

Average patients per resident: 5-8 ICU patients

Procedures; Intubations, central lines, chest tubes, arterial lines, ventilator management

Mother and Baby in our NICU.

NICU:

Schedule: 5-7 days per week from 0700-1700 (4 days off per block)

Team members: Nurse Practitioner, Faculty

Patients per resident: 5-8

Description: ICU level babies with a variety of conditions, attend deliveries of high risk, premature infants.

Procedures: intubations, central line placement, LPs, ventilator management

A little boy hugs his teddy bear while in the hospital.

Emergency Medicine:

Schedule: Average 19 shifts per 4-week block, mix of days, nights and weekends. Usually 12-hour shifts.

Location: Pediatric Emergency department at AdventHealth for Children, staffed by Board certified Pediatric Emergency Medicine physicians. Residents are on with faculty and NP who manages the Fast Track patients, scribes available for upper level residents

Procedures available: suturing, LP, septic workups, IVs, blood draws, resuscitations, fracture care, sedations, foreign body removal

Male lab technician treating a young patient

Adolescent Medicine:

Schedule: Monday – Friday 0800-1700. Possibility of cross cover weekend.

Team: Adolescent Medicine faculty member

Description: During this rotation you will seeing Adolescents for a variety of illnesses, mental and reproductive health needs.

A female nurse consoles a young female patient in her hospital bed.

Community Pediatrics:

Schedule: Monday – Friday 0800-1700. Possibility of cross cover weekend.

Description: This is an experiential rotation designed to help residents learn about local resources such as special needs daycare, WIC clinic, Harvest Food Bank, experience budgeting for parents with new babies, and reflections on healthcare disparities.

Childing Painting Heart

Cardiology:

Schedule: Monday – Friday 0800-1700. Possibility of cross cover weekend.

Team: Faculty, NP’s

Description: During this subspecialty block, you will experience both inpatient and outpatient Pediatric Cardiology, with opportunities to do inpatient consultations including CVICU rounds, attend catheterizations and interventional procedures.

A boy plays with a toy motorcycle.

Allergy and Pulmonology:

Schedule: Monday- Friday 0800-1700. Possibility of cross cover Weekend.

Team: Faculty

Description: During this subspecialty block, you will experience 1 week of outpatient Pediatric Allergy followed by 2 weeks of inpatient and outpatient Pulmonology including the experience of seeing any schedule bronchoscopies.

Doctor speaking with a mother and her child in an examination room

Elective:

Schedule: Varies depending on specialty; usually 8 Am to 5 PM. Possibility of Cross Cover Weekend.

child smiling while posing for a shot

Acute Care:

Schedule: Monday – Friday 0800-1700. Cross cover weekend.

Team: Faculty at our outpatient General Pediatric Practice.

Description: During this block you will primarily be seeing acutely ill patients.

Procedures: foreign body removal, wart freezing, vaccine administration

A female nurse examines the tonsils of a young girl at a doctor appointment.

Pediatric Potpourri:

Schedule: Variable; Two weeks of inpatient coverage, One week of simulation and one week off for either Christmas or New Years.
Description: This is block 7 of our year, which encompasses the Holiday season. During this block, we pull our residents to primarily staff the inpatient units, which allows us to have a week of Simulation.

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PGY3
General Pediatrics Inpatient Days: Supervisor

Schedule: 12-hour shifts (0730-1930); 6 days per week

Team members: PGY1 Peds resident, 2 Family Medicine residents, faculty available 24/7 in house

Patients per resident: average 5-7 max 10 for rounds

Description: Manage patients on resident team and admit to the resident team. Take CEC admit calls.

Procedures: LP’s, IV’s, NG placement, Urine catheterizations

kids_urgent_care

General Pediatrics Inpatient Nights: Supervisor

Schedule: 12-hour shifts 1930-0730; 6 days per week

Team members: PGY1 Peds resident, 1 Family Medicine resident, Faculty available 24/7 in house

Patients Per Resident: Cap for admission is 8-10 per Intern; Anything over cap handled by faculty/senior resident

Description: Admissions to all non-ICU services. Take CEC admit calls.

Procedures: LP’s, IV’s, NG placement, Urine catheterizations

A small girl holds her physician's hand in the hallway.

PICU (one rotation during PGY3):

Schedule: 12-hour shifts with 2 weeks of day and 2 weeks of nights

Team members:

PGY2 resident, Nurse Practitioners, Faculty available 24/7

Average patients per resident: 5-8 ICU patients

Procedures; Intubations, central lines, chest tubes, arterial lines, ventilator management

A child in bed with a fever, their parent holding a thermometer in his mouth.

Emergency Medicine:

Schedule: Average 19 shifts per 4-week block, mix of days, nights and weekends. Usually 12-hour shifts. One cross cover shift in the PICU.

Location: Pediatric Emergency department at AdventHealth for Children, staffed by Board certified Pediatric Emergency Medicine physicians. Residents are on with faculty and NP who manages the Fast Track patients, scribes available for upper level residents

Procedures available: suturing, LP, septic workups, IVs, blood draws, resuscitations, fracture care, sedations, foreign body removal

FREE Childbirth 3-Day Class - Oct. 14, 21, 28

NICU: Supervisory Role

Schedule: 5-7 days per week from 0700-1700 (4 days off per block)

Team members: PGY1 Peds resident, Nurse Practitioner, Faculty

Patients per resident: 5-8

Description: ICU level babies with a variety of conditions, attend deliveries of high risk, premature infants,

Procedures: intubations, central line placement, LPs, ventilator management

Pediatric specialist and child playing with toy house

Acute Care: Supervisory Role

Schedule: Monday – Friday 8 AM to 5 PM. Possibility of cross cover weekend.

Team: PGY1 Pediatric Resident, Faculty at our outpatient General Pediatric Practice.

Description: During this block you will primarily be seeing acutely ill patients.

Procedures: foreign body removal, wart freezing, vaccine administration.

Child seeing pediatrician.

Endocrinology:

Schedule: Monday – Friday 0800-1700. Possibility of cross cover Weekend.

Team: Endocrinology Faculty and Nurse Practitioners

Description: During this subspecialty block, you will experience both inpatient and outpatient Pediatric Endocrinology, with opportunities to do inpatient consultations.

Nurse Listening to Boy's Heartbeat

Hematology/Oncology:

Schedule: Monday – Friday 0800-1700. Possibility of cross cover Weekend.

Team: Hematology and Oncology Faculty and Nurse Practitioners

Description: During this subspecialty block, you will experience both inpatient and outpatient Pediatric Heme/Onc, with opportunities to do inpatient consultations, attend LP’s, BM aspirations and interventional procedures.

Young boy smiling about to take a puff from an inhaler.

Elective (4 chosen electives):

Schedule: Varies depending on specialty; usually 0800-1700. Possibility of Cross Cover Weekend.

AdventHealth physician checks young boy’s heart with stethoscope

Pediatric Potpourri:

Schedule: Variable; Two weeks of inpatient coverage, One week of simulation and one week off for either Christmas or New Years.

Description: This is block 7 of our year, which encompasses the Holiday season. During this block, we pull our residents to primarily staff the inpatient units, which allows us to have a week of Simulation.