Pediatric Residency Curriculum

The Pediatric Residency at MetroHealth Medical Center offers a diverse and multi-faceted three-year experience for residents.

Curriculum Overview

Site locations for the residency program:

MetroHealth Medical Center- Primary Site
Cleveland Clinic Children’s Hospital: Pediatric Subspecialty Inpatient rotation and available for elective rotations
Akron Children’s Hospital: Pediatric Emergency Medicine, Pediatric ICU and available for elective rotations
Rainbow Babies and Children’s Hospital: available for elective rotations

Conferences

Daily

Morning Report (Monday, Tuesday, Wednesday and Friday mornings): Residents present an interesting case and the discussion is on the clinical approach and diagnostic work-up followed by discussion of management strategies and review of current research on the topic.

Weekly

Pediatric Grand Rounds (Thursday mornings): Held year-round, grand rounds focuses on resident education. Topics vary each week. Faculty, residents and fellows attend.

Thursday Didactics - Core Curriculum (Thursday afternoons): The residents are protected from clinical responsibilities to attend these didactic sessions. The format includes lectures and other large group teaching methods. Topics are based on core competencies and ABP content specifications and are proportionate to what is seen on the board exam. The lectures are planned to cover the content specifications over a period of two years.

Board Review: Friday mornings facilitated by a senior resident. It includes Q&A sessions of various pediatric topics as outlined by ABP

Monthly

Morbidity and Mortality Conference

Residents along with a faculty facilitator present important cases of morbidity and mortality to address issues leading to medical error, identification of systems improvement or patient safety concerns.

Mock Code Simulation

This includes simulation of clinically deteriorating patients with different medical conditions, and procedural simulation.

Journal Club/ EBM

Residents engage in discussion about a recent article where principles of evidence-based medicine and are applied. Faculty members are involved in the selection of articles and facilitating the discussion. Each senior is required to lead at least one journal club, but residents of any year in training are encouraged to choose an article and lead the discussion.

Balint sessions

Residents and faculty meet monthly for these group sessions to facilitate development of interpersonal skills to improve both understanding and management of doctor patient relationships trying to help the residents develop and maintain therapeutic relationships with the patients

Community Experience

The Community Experience block is a 4 week rotation where the residents are able to learn from a variety of health resources, and become familiar with resources available in different communities, which they may not normally get in the inpatient or outpatient setting. This includes the foster clinic, lead clinic, the nutrition and wellness center, juvenile detention center, pediatric hospice center and EMS rides.

Night Float Curriculum

Residents are expected to complete online modules while on the floor rotation and in the PICU. Online modules (developed nationally) are followed by review questions pertaining to issues and medical knowledge specific to night shift.

Patient Safety Curriculum

All residents participate in monthly inter-disciplinary Patient Safety rounds focusing on root cause analysis, the process and systems and recommending system level improvement. Morbidity and Mortality Conferences held about eight times a year further reinforce this learning process.

Inter-Professional Skills

Inter-professional training and team building is practiced through simulation in the context of psychology/psychiatry issues.

Informatics

David Kaelber, MD, PhD, Chief Medical Informatics Officer and Vice President of Health Informatics, is recently recognized as a national leader in his field by Health Data Management is a medicine-pediatric physician. In addition to becoming the first public health system nationwide to install Epic electronic health records (EHRs) in 1999, MetroHealth was among the first health systems in the country to expand EHRs enterprise-wide. The department of pediatrics has two physicians ( Dr David Bar-Shain and Dr Matthew Tien) working to improve the experience of EHR in pediatrics.