User:Sudhanthar/MSU-SPARROW

''Michigan State University-Sparrow Hospital Pediatric Residency '''

Introduction

The Michigan State University Pediatric Residency is situated in East Lansing, Michigan. This is a dual accredited (ACGME and AOA) University-sponsored primary-care-oriented program. This program was first accredited in the year 1971. The program offers training in general pediatrics with a focus on both academic and community teaching environments. This program has the cooperation of the MSU Colleges of Human Medicine and Osteopathic Medicine and Lansing’s Sparrow Hospital, and combines the strengths of these institutions to offer comprehensive training in pediatrics.

Curriculum

This program offers comprehensive curriculum tailored to the needs of both MD and DO residents so that it meets the expectations of the respective governing bodies. The main emphasis is on primary care as evidenced by the curriculum but also various sub-specialty rotations are also offered as electives so that residents feel prepared for a sub-specialty career. You can look at the complete curriculum following the link "http://www.phd.msu.edu/Education/PediatricResidencyProgram/Curriculum.aspx

Advocacy Curriculum

The Residency has a longitudinal advocacy curriculum where the residents get lectures on advocacy and they also take part in an annual legislative advocacy where they go to the CAPITOL and meet the representatives. Also, the second year residents are expected to have a write-up about their advocacy efforts to one of their patients and the third year residents are expected to have finished an advocacy project. There is also an annual advocacy day at Grand rounds when various community resources get together and explain what their services are to the community.

Research Project

Graduating Residents are expected to finish a research project along with their research mentors and present it in the Grand rounds. This is a requirement to graduate. The residents are encouraged to start thinking about their project in the first year and be ready to carry the project forward in the second year and they will have a chance to disseminate their work in the third year. Residents are strongly encouraged to submit their abstracts to the national and local research meetings.

Core Rotations

Rotations include Pediatric inpatient wards which is a 41 bed ward with separate wing for the Hematology and Oncology patients. The inpatient team will be manned by the Pediatric Hospitalist team along with the 2 senior residents and 4 junior residents.Interns participate in the care and management of 6-10 patients per day with senior residents and attendings overseeing the education of each intern. There are morning reports on Tuesday and Friday mornings and also residents are expected to take part in the once a week didactics.

Residents rotate in Newborn Nursery which is a 50 bed newborn nursery manned by 2 full time attending. Residents are primary care giver to infants on the newborn teaching service. Daily teaching rounds with attendings. Residents do calls from home 1-2 nights per week and 2 weekends per rotation. Weekends include rounding on infants and home call. Residents learn to manage term baby care, common problems encountered like sepsis, feeding problems, respiratory distress and jaundice. Also residents learn to perform circumcision and lumbar punctures under the supervision of the newborn hospitalist.They also spend time with Lactation consultants so that they could be competent in counselling.

Residents also rotate through the Neonatal Intensive Care Unit with 35 bed Neonatal ICU and 6 full time Neonatologist. Residents are primary care physicians to their assigned neonates. They play an active role in the team management of these infants under the direct supervision of the fellows and attending. Daily teaching rounds by neonatologists or fellows. There are two teams with one being teaching or the resident team and the other being nurse practitioner team. NICU rotation offers residents to become competent in care of pre-term children, Small for Gestational age children, children with pulmonary, cardiac and other common neonatal complications. Residents could expect to be proficient in common procedures like Umbilical artery placement, Umbilical Vein placement,intubation,Lumbar puncture,bladder aspiration etc.

Residents also get the necessary exposure in the Pediatric Intensive Care Unit which is a 12 bed Pediatric ICU with 3 full time Intensivists. Residents participate in the PICU by being the first manager of the patients, accompanying the intensivist to the ER for traumas, medical emergencies, or treating child abuse victims, attending the OR with patients, and assisting with transfers to/or from other facilities or other floors within the hospital. Daily teaching rounds with an intensivist. Residents can expect to become competent in line placements, intubation, Lumbar puncture and also exposure to sedation procedures.

Ambulatory Clinic

Residents see their patients through Ingham County clinic which caters to almost 4000 children. During the first year residents are assigned to clinic one 1/2 day per week. During the 2nd and 3rd years residents are assigned one 1/2 day clinic during their in- hospital rotations and assign two 1/2 days of clinic during all other rotations. 3rd year residents can be assigned up to three 1/2 days of clinic per week. Patients are assigned to residents and scheduled according to residents schedule when ever possible for continuity. Residents get thier patients referred to them after hospital stays, from the RNICU, or from the newborn nursery. Preceptors are MSU faculty attendings. Residents can expect to encounter various types of visits and serve and learn.