Curriculum - Department of Pediatrics

Sample Schedule

Block 1	Block 2	Block 3	Block 4	Block 5	Block 6	Block 7
White/Elective	Mole	CPAX	PEM	Endo	Hem/Onc	NICU

Block 8	Block 9	Block 10	Block 11	Block 12	Block 13
CC/Elec	White	NNN	Blue	Red	GI

10 Weeks – General Inpatient Teams (Red and White Teams)

Red Team (4 weeks): Inpatient service for general pediatric hospitalist medicine, gastroenterology, and endocrine
White Team (6 weeks): Inpatient service for general pediatric hospitalist medicine, cardiology, and nephrology
Both Red and White teams care for children admitted with neurological and infectious disease concerns
Medical teams include fellows on endocrine and infectious disease services

4 Weeks – Inpatient Pulmonary Team (Blue Team)

Pulmonary 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

4 Weeks – Hematology/Oncology Team

Inpatient management of patients with various malignancies and hematologic conditions
Oncologic admissions include scheduled chemotherapy, new oncologic diagnoses, fever with neutropenia and bone marrow transplant
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

4 Weeks – Endocrinology

Subspecialty rotation spent primarily in endocrinology clinic but includes endocrine consults
Clinical time focusing on developing knowledge of growth, pubertal development, obesity and its complications, along with adrenal, carbohydrate, and thyroid disorders
Endocrinology fellow on service with residents

4 Weeks – Inpatient Night Float (Mole)

Nighttime care of all patients admitted to the Red, White and Blue teams
Intake and management of new patients admitted to these services overnight
Attendings are not in-house, but available by phone as needed

4 Weeks – Neonatal Intensive Care Unit (NICU)

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
Medical team includes fellows, newborn hospitalists, and nurse practitioners
Team located at UnityPoint Health-Meriter Hospital

4 Weeks – Normal Newborn Nursery (NNN)

Management of infants in the newborn nursery
Residents provide resuscitation needed during C-section deliveries or higher acuity vaginal births, newborn consultations and performance of circumcisions
Team located at UnityPoint Health-Meriter Hospital

4 Weeks – Emergency Medicine (PEM)

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
Evening clinic time at pediatric afterhours clinic (University Station Clinic)
Weekly training in the Simulation Center

4 Weeks – Gastroenterology (GI)

Clinical time is divided between inpatient consults and pediatric gastroenterology clinic (American Family Children’s Hospital)
Residents have the opportunity to observe gastroenterology-related procedures, such as endoscopic biopsies and colonoscopies

4 Weeks – Advocacy (CPAX)

CPAX = Community Pediatric Advocacy eXperience
Dedicated time to start and develop an advocacy project
Includes time at a federally qualified health center (Access Community Health Center Erdmann Clinic)
Engagement with various community programs and advocacy services. These include, but are not limited to: Planned Parenthood, legal services for low-income patients, juvenile detention center medical care, observation of lobbying for legislation at the State Capitol, Birth-to-Three, and Women, Infants, and Children (WIC) programs
Residents have the opportunity to join the partnership between the Global Health track participants and a local non-governmental organization, and participate in a long-term project

4 Weeks – Elective

Resident’s choice of an elective experience

1 Week – Continuity Clinic Intensive (CC)

1 week devoted to becoming familiar with the resident’s assigned continuity clinic site and staff
Example activities include shadowing medical assistants and nurses, learning more about phone triage, and administering vaccines

Weekly Continuity Clinic

1 half-day per week in dedicated continuity clinic
Intermittent weekend coverage at the Pediatric After Hours clinic (University Station Clinic)

For Global Health Track Participants: 2 weeks Global Health Fundamentals

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

Sample Schedule

Block 1	Block 2	Block 3	Block 4	Block 5	Block 6	Block 7
Adol	Elec	PICU	B&D	Flex	SS	Blue Sr

Block 8	Block 9	Block 10	Block 11	Block 12	Block 13
PICU	SS	NICU	Elec	Hem/Onc Sr	PEM

10 Weeks – Pediatric Intensive Care Unit (PICU)

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
6 weeks are day shifts and 4 weeks are night shifts (split between PICU and Flex blocks)
Medical team includes fellows and nurse practitioners

4 Weeks – Hematology/Oncology Service

Supervision of the two-intern team
Oncologic admissions include scheduled chemotherapy, new oncologic diagnoses, fever with neutropenia, and bone marrow transplant
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

4 Weeks – Inpatient Pulmonary Team (Blue Team)

Supervision of the intern
Pulmonary 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

4 Weeks – Neonatal Intensive Care Unit

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, newborn hospitalists, and nurse practitioners
Team located at UnityPoint Health-Meriter Hospital

2 Weeks – Individualized Learning Time

Time for resident to choose individualized experiences based on interests and specific educational needs
Examples of experiences include: working additional continuity clinics, observing cardiac surgeries/procedures, practicing simulation, attending subspecialty clinics/conferences and working on academic projects

4 Weeks – Adolescent Medicine (Adol)

Mornings spent practicing in the general adolescent and sexual health clinics at the University of Wisconsin-Madison Student University Health Services
Afternoons spent working with Adolescent Medicine Specialists at University Station Clinic
Residents complete a quality improvement project during this rotation

4 Weeks – Behavior and Development (B&D)

Residents see patients at UW Waisman Center clinics, which are dedicated to issues related to pediatric development, behavior, and disability
Clinics include Autism and Developmental Disabilities Clinic, Developmental Neuromotor Clinic and Developmental Consultation Clinic/NICU Follow-Up Clinic
Residents also spend time at the ADHD Clinic at UW Health Union Corners Clinic
Residents complete an evidenced-based medicine presentation as part of this rotation

8 Weeks – Subspecialty Team (SS)

Two 4-week rotations on specific subspecialty rotations: Endocrinology, Cardiology, Infectious Disease, Neurology/Genetics and Nephrology. Each of our residents completes each of the subspecialties to ensure a broad-based educational experience
Residents split time between subspecialty conferences, teaching rounds, outpatient clinics and inpatient consults

8 Weeks – Elective

Resident’s choice of elective experience

4 Weeks – Emergency Medicine (PEM)

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

Weekly Continuity Clinic

1 half-day per week working in their designated continuity clinic

Nights/Call

Residents work weekend nights on both the general pediatric services as well as the NICU
Residents are “on call” about once a week during elective and subspecialty months where they would be required to cover a rotation if a colleague is ill (Sick Call)

For Global Health Track Participants: 2 weeks Global Health Fundamentals

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

Sample Schedule

Block 1	Block 2	Block 3	Block 4	Block 5	Block 6	Block 7
Elec	SS	Flex Night Hawk	Elec	White Sr	SS	NICU

Block 8	Block 9	Block 10	Block 11	Block 12	Block 13
Ambulatory	Mole Sr	Elec Night Hawk	Red Sr	PEM	SS

1-2 Weeks – Pediatric Intensive Care Unit (PICU) Nights (Flex)

Inpatient care of patients with a variety of high acuity pediatric conditions, including post-operative cardiac surgery patients and patients with congenital heart disease
Medical team includes fellows

8 Weeks – Inpatient Teams (Red and White Teams)

Senior resident leading two-intern teams along with medical students and Sub-Is
Red Team (4 weeks): Inpatient service for general pediatric hospitalist medicine, cardiology, gastroenterology and endocrine
White Team (4 weeks): Inpatient service for general pediatric hospitalist medicine, neurology, infectious disease and nephrology
Medical team includes fellows on endocrine and infectious disease services

4 Weeks – Inpatient Night Float (Mole)

Nighttime care of all patients admitted to the Red, White, and Blue teams
Supervise 1-2 interns
Attendings are not in-house, but available by phone as needed
Intake and management of all new patients admitted overnight

4 Weeks – Neonatal Intensive Care (NICU)

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, newborn hospitalists, and nurse practitioners
Team located at UnityPoint Health-Meriter Hospital

4 Weeks – Emergency Medicine (PEM)

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 – Ambulatory Pediatrics

Improve general pediatric clinical skills through 3 continuity clinic and PAC sessions (each) per week
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

12 Weeks – Subspecialty Team (SS)

Three 4-week rotations on specific sub-specialty rotations: Endocrinology, Cardiology, Infectious Disease, Neurology/Genetics and Nephrology. Each of our residents completes each of the subspecialties to ensure a broad-based educational experience
Residents split time between sub-specialty conferences, teaching rounds, outpatient clinics and inpatient consults

10-12 Weeks – Elective Time

Resident’s choice of elective experience

2-4 Weeks – Hematology/Oncology Service Nights (Night Hawk)

Overnight management of patients admitted to the hematology/oncology service
Medical team includes on-call fellows. Fellows and attendings are not in-house
Takes overnight outpatient GPAM phone calls

Weekly Continuity Clinic

1 half-day per week working in their designated continuity clinic

Nights/Call

Residents work weekend nights in the NICU and in the wards
Residents are “on call” about once a week during elective and subspecialty months where they would be required to cover a rotation if a colleague is ill (Sick Call)

For Global Health Track Participants: 2 weeks Global Health Fundamentals

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