Rotations

• Inpatient care of patients with a variety of high-acuity pediatric conditions
• Two team system:
  • Team A: General critical care conditions
  • Team B: Post-op cardiac surgery patients and patients with congenital heart disease
• Medical team includes fellows and nurse practitioners

4 Weeks – Inpatient Pulmonary and Endocrine Team (Blue Team)

• Pulmonary and endocrine inpatient service for general and intermediate care patients
• Care of pulmonary patients of various complexities. Patients are often dependent on various degrees of mechanical ventilation. Diagnoses include, but are not limited to, spinal muscular atrophy, cystic fibrosis, congenital pulmonary malformations and bronchopulmonary dysplasia
• Medical team includes fellows

• Supervision of one to two interns
• Patients admitted in preparation for, during, and immediately post-BMT, with other admissions for later BMT-related illnesses
• Hematologic service provides care for patients with sickle cell anemia, idiopathic thrombocytopenic purpura, hereditary and severe anemias, and other hematologic conditions
• Medical team includes nurse practitioners and fellows

• Management of all levels of NICU infants
• Admissions include premature and extremely premature infants and their related complications, newborns with acute medical conditions or birth complications, and infants with congenital malformations or genetic conditions, and feeders and growers
• Residents may have the opportunity to work at the Surgical NICU at the American Family Children’s Hospital
• The rotation is comprised of 2 weeks of days and 2 weeks of nights
• Medical team includes fellows, newborn hospitalists, and nurse practitioners
• Team located at UnityPoint Health-Meriter Hospital

• Outpatient care in the general adolescent and sexual health clinics at the University of Wisconsin-Madison Student University Health Services and in the Adolescent Medicine Subspecialty Clinics at 20 S Park and the PATH Clinic.
• Also involves shifts in pediatric urgent care
• Residents complete a quality improvement project during this rotation

4 Weeks – Mental Health

• Primarily outpatient based mental health care
• Outpatient time in pediatric psychiatry, schools, addiction clinic, counseling, day treatment center, and community groups
• Inpatient psychiatric consults at AFCH, Meriter Inpatient Psychiatry Unit

• Two 4-week rotations of subspecialty rotations (Cardiology, Infectious Disease, Neurology/Genetics, or Nephrology). Residents will complete each of the subspecialties at some point during their residency training to ensure a broad-based educational experience
• Residents participate in outpatient clinics, inpatient consult, subspecialty teaching rounds and conferences

• Resident’s choice of elective experience

• Resident works multiple shifts in the pediatric section of the UW Hospital Emergency Department (Level I Trauma Center), alongside emergency medicine residents and faculty who have specialized in Pediatric Emergency Medicine
• Weekly training in the Simulation Center

2-4 Weeks – Hematology/Oncology/BMT and Triage Nights (Night Hawk)

• Overnight management of patients admitted to the hematology/oncology service.
• Medical team may include on-call fellows.
• Fellows and attendings are not in-house, but are available by phone if needed.
• Triage and manage overnight outpatient General Pediatrics phone calls.

2 Weeks – Swing Backup (Swing BUC)

• Combination of afternoon swing shifts on inpatient services and backup call
• Individualized time for additional clinical experiences, scholarly project work, and teaching

• One half-day per week in designated continuity clinic

• Residents work weekend nights on both the general pediatric services as well as the NICU
• Residents are “Backup Call” approximately one to two times per week during elective and subspecialty months to cover any essential patient care roles for colleagues.

• Multidisciplinary teaching and simulation of various topics pertinent to global health. Examples include case reviews, cultural sensitivity training, legal and ethical considerations, infectious disease, etc.
• Project development with a local non-governmental organization serving the local-global community

• Senior resident leading teams of two interns and medical students including acting interns
• Red Team (4 weeks): Inpatient service for general pediatric hospitalist medicine, nephrology, and cardiology
• White Team (4 weeks): Inpatient service for general pediatric hospitalist medicine, and gastroenterology
• Both Red and White teams care for children admitted with neurological and infectious disease concerns 
• Medical teams may include fellows on hospitalist medicine, endocrinology, and infectious disease services and nurse practitioners on gastroenterology

• Overnight care of all patients admitted to the Red, White, and Blue teams
•  Senior residents supervising 1-2 interns and medical students including acting interns
•  Intake and management of new patients admitted overnight
• Attendings are not in-house, but they are available by phone as needed

• Management of all levels of NICU infants
• Admissions include premature and extremely premature infants and their related complications, newborns with acute medical conditions or birth complications, infants with congenital malformations or genetic conditions, and feeders and growers
• Residents may have the opportunity to work at the Surgical NICU at the American Family Children’s Hospital
• The rotation is comprised of 2 weeks of days and 2 weeks of nights
• Medical team includes fellows, NICU hospitalists, and nurse practitioners
• Team located at UnityPoint Health-Meriter Hospital

• Resident works multiple shifts in the pediatric section of the UW Hospital Emergency Department (Level I Trauma Center), alongside emergency medicine residents and faculty who have specialized in Pediatric Emergency Medicine
• Weekly training in the Simulation Center

4 Weeks – General Pediatrics

• General acute care pediatrics in the clinic setting with general pediatrics faculty
• Practice with general pediatrics triage
• Outpatient procedures
• Supervisory experience with intern on general pediatrics rotation

• Second half of CPAAX (Community Pediatrics, Advocacy, and Ambulatory eXperience)
• Improve general pediatric clinical skills through continuity clinic sessions, urgent care shifts, exposure to outpatient therapy and behavioral health services, and learning modules/activities targeted toward key outpatient pediatric knowledge and skills
• Work with the behavioral psychologist embedded in the 20 S. Park Pediatric clinic, to gain exposure to this practice model and to learn brief intervention techniques for common behavioral and mental health issues
• Billing and coding module
• Sessions on clinical reasoning: cognitive biases and comfort with diagnostic uncertainty

• Three 4-week rotations of subspecialty areas (Cardiology, Infectious Disease, or Nephrology) and one 2-week Neurology rotation. Residents will complete each of the subspecialties at some point during their residency training to ensure a broad-based educational experience
• Residents participate in outpatient clinics, inpatient consult, subspecialty teaching rounds and conferences

• Resident’s choice of elective experience

• One half-day per week in designated continuity clinic

• Residents work weekend nights on both the general pediatric services as well as the NICU
• Residents are “on call” approximately one to two times per week during elective and subspecialty months to cover any required patient care shifts if a colleague is ill (“sick call”).

• Multidisciplinary teaching and simulation of various topics pertinent to global health. Examples include case reviews, cultural sensitivity training, legal and ethical considerations, infectious disease, etc.
• Project development with a local non-governmental organization serving the local-global community