We rotate on a block system with 4-week blocks. This provides residents the opportunity to complete 13 rotations over a 12-month period to help maximize the educational experience.
All general pediatric patients are admitted to one of two inpatient teams. Residents rotate on these teams during all three years of their training. The first year resident primarily manages the patient with the second and third year residents assuming a leadership role, overseeing and teaching first year residents and medical students. A pediatric attending conducts daily teaching rounds. Residents are exposed to a wide range of diagnoses, creating an opportunity to learn about both common pediatric diseases and complex diagnostic challenges.
General Pediatric Teams
Two teams, each with a patient census of up to 15 General Pediatric patients. Comprised of 1-2 upper level residents and 2-3 interns. Colleagues from family medicine typically rotate on either Red Team or Blue Team as interns, and the team often has a group of third year medical students as well as a Sub-I.
Patient census of up to 15 total cardiology and nephrology patients. Comprised of 1-2 upper level residents and 1-2 interns. Medical students and Sub-I's are members of this team as well.
All residents spend one block rotating on each of our selective specialties, including cardiology and endocrinology. This allows the resident direct interaction with the sub-specialty attending as well as in-depth teaching on these complicated patients. The rotations are designed to include both inpatient and outpatient components.
Residents may choose from an extensive array of electives, including but not limited to: the various subspecialties, rotations with allied health (speech therapy, nutrition, etc), and procedural electives (anesthesiology, sedation, procedure elective, etc.). Third year residents have six blocks of Individualized Curriculum (IC). These IC blocks help graduating residents create rotations that meet their individual professional goals.
Residents spend one block rotating with our heme/onc inpatient service and bone marrow transplant service, which typically manages about 20 patients per day. Common diagnoses include leukemia, lymphoma, solid tumor, sickle cell disease, and hemophilia.
Our newborn nursery is a bustling service, where our residents have the opportunity to learn about a diverse array of neonatal conditions. OU Medical Center's Children's Hospital is home to over 4,000 deliveries each year and provides support for the only high-risk obstetrics service in the state. The Mother/Baby resident team attends all high-risk deliveries. There is an in-house neonatology attending, fellow, and/or NP to assist with delivery resuscitation when needed. This team is also present for all NICU deliveries. Healthy, term infants are admitted to the Mother/Baby unit and cared for by the residents on this rotation. An attending conducts daily teaching rounds with the residents and medical students. Each resident completes this rotation as an intern then as an upper level.
Neonatal Intensive Care Unit
Our NICU is a level IV Unit with 93 beds, including an ECMO suite. We are a state-wide referral center with over 1,200 admissions per year. Residents spend two blocks during residency in the NICU, learning management of these high-risk, complex neonates. This rotation provides an excellent opportunity to gain procedural skills.
Pediatric Intensive Care Unit
Our 25 bed PICU is the largest in the state of Oklahoma and serves the majority of the state. Residents rotate through the PICU during second and third year. There are currently 7 board-certified PICU attendings who are in-house 24 hours a day, 7 days a week and make teaching rounds at the bedside daily. Pediatric residents manage all medical patients and co-manage the majority of the surgical patients. There are frequent opportunities for procedures, including line placements, chest tubes, and intubations.
Pediatric Emergency Department
OU has the only dedicated children's emergency department in the state, serving over 45,000 children from all over Oklahoma yearly. We are a statewide referral center and serve as the only level I pediatric trauma facility for the state. Our emergency department has 25 rooms total, including 2 full code rooms, and 4 fast-track rooms. Our pediatric residents primarily manage their own patients with the guidance of the ED attendings.
Sooner Pediatrics Clinic Rotation
This clinic is our largest general primary care clinic at OU Children's, and has over 22,000 patient visits per year. Each intern spends 2 blocks during their first year in Sooner Pediatrics clinic. The goal of this rotation is to provide every resident with broad-based primary care pediatric experience, which includes well child care, acute illness management, and exposure to complex diagnostic and social problems.
Each resident spends 1/2 day per week in Continuity Clinic on most rotations. Residents have the opportunity to build a panel of patients whom they can follow throughout the three years of residency. There are 3 Continuity Clinic sites.
-Sooner Pediatrics Clinic is the site of our largest continuity clinic (see above).
-Fostering Hope Clinic, a multidisciplinary medical home for children in foster care, is located within Sooner Pediatrics Clinic. This unique clinic combines the efforts of faculty and resident physicians, psychologists, and case coordinators to facilitate the delivery of quality health care for this at-risk population.
-OU Latino Clinic serves mostly a Spanish-speaking population and provides a great clinical experience for residents interested in working with this population. In-house translators are available when needed.
During the advocacy rotation, interns have unique experiences which provide exposure to the various resources available in the community. Past experiences have included visits to the WIC office, exposure to the OK newborn screening system, and a visit to our Safe Kids coalition. This rotation is also a platform to learn about a physician's role in advocacy on a larger scale.
Residents complete one block during the second year rotating with Adolescent Medicine. The clinic provides exposure to issues unique to adolescents, including high risk behaviors, sexuality and birth control, mental health, and chronic illnesses. The resident also rotates on the inpatient eating disorder service.
Second year residents spend one block on the development rotation at OU's Child Study Center. Residents spend time in ADHD clinic, ABC clinic (for patients with in-utero exposure to drugs and alcohol), and Jump Start clinic (provides a full evaluation of children suspected of having autism). Residents also spend time making home visits with Sooner Start, Oklahoma's early childhood intervention program. This rotation allows residents to gain an understanding of both typical and atypical development.