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Rotations

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Our educational and clinical experiences are carefully researched and developed based on ACGME and ABP priorities and requirements, trends in healthcare, local resources, and dedicated expert faculty. We pride ourselves on hosting a variety of innovative electives based on unique career paths and the ever-changing needs of our learners. Across the inpatient and outpatient settings, our trainees are exposed to a wide range of pathology, providing the breadth and depth needed to address common pediatric diseases and complex diagnostic challenges.

Inpatient: General Pediatrics: Red and Blue teams

Patients are admitted to one of two general pediatric inpatient teaching services (Red team, Blue team). Residents rotate on these teams during all three years of their training. Interns are empowered to be the primary manager of their patients while upper-level residents assume a leadership role, overseeing and teaching interns and medical students. A pediatric attending physician supervises each service and leads daily teaching rounds, which feature family-centered rounding. Each service has a team census of up to 15 patients and features 2-3 interns and 1-2 upper-level residents. Colleagues from Family Medicine and Psychiatry rotate with us during their intern years. As a teaching hospital, we are proud to have third- and fourth-year medical students and sub-I’s working and learning alongside us.

Inpatient: Subspecialty Services

Cardiology and Nephrology: Purple team

Gastroenterology and Endocrinology: Orange team

Each service has a team census of up to 15 patients and features 1-2 interns and 1-2 upper-level residents. Third- and fourth-year medical students and sub-I’s are members of these teams, too. Residents will work with fellows and attending physicians to care for primary patients and participate in consults.

Hematology/Oncology: Green team

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.

Night Float

Residents receive checkout from day services (General Pediatrics, Cardiology, Nephrology, Gastroenterology, Endocrinology, Hematology/Oncology) and provide overnight, in-house coverage, which includes attending to patient needs and working up new admissions. An attending physician is available in-house the entire night. Many residents feel the night rotation is when their clinical and management skills blossomed the most. Residents serve on the overnight service for one block in each year of training; doing so eliminates the need for q4 call and helps our day-night balance

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Newborn Nursery (Mom/Baby Unit or MBU)

Oklahoma 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 MBU team attends all high-risk deliveries and administers Neonatal Resuscitation (NRP). Healthy, term infants are admitted to the MBU, where babies room-in with their families. Each resident completes this rotation as an intern and returns as a PL-3 in a supervisory role.

Neonatal Intensive Care Unit (NICU)

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 learn management of these high-risk, complex neonates during their intern and PL-2 years. Interns also complete a week of overnight NICU coverage. Day or night, this rotation provides an excellent opportunity to gain procedural skills.

Pediatric Intensive Care Unit (PICU)

Redesigned and renovated in 2019, our 34-bed PICU is the largest in the state of Oklahoma and serves the majority of the state. Residents rotate through the PICU during their PL-2 and PL-3 years. Over a dozen board-certified PICU attendings provide in-house coverage 24 hours a day and practice family-centered rounding. Pediatric residents manage all medical patients and co-manage the majority of the surgical patients. The PICU provides firsthand training in the highest level of acuity and complexity of pediatric conditions including ECMO, post-transplant, and level 1 trauma care. There are frequent opportunities for procedures, including line placements, chest tubes, and intubations.

Residents interested in intensive care and cardiology can arrange an elective to rotate in our Cardiovascular Intensive Care Unit, which cares for children with complex cardiac pathology, many of whom are admitted to the Pediatric Cardiothoracic Surgery team, both pre- and post-operation. 

Pediatric Emergency Medicine

Oklahoma Children's Hospital has Oklahoma’s only 24/7 pediatric emergency department in the state's only freestanding pediatric hospital. The department serves 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 EM attendings and fellows.

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Adolescent Medicine (both inpatient and outpatient)

Residents rotate with the Adolescent Medicine for one block during their PL-2 year, where they have the unique opportunity to learn in both the inpatient and outpatient settings. The inpatient service manages adolescent patients admitted for disordered eating and provides multidisciplinary care featuring physicians, psychologists, dietitians, and social work. The outpatient clinic provides exposure to issues unique to adolescents, including high-risk behaviors, sexuality and birth control, mental health, and chronic illnesses.

Developmental/Behavioral Pediatrics (DBP)

Residents rotate with the DBP service to gain a better understanding of typical and atypical development. OU’s Child Study Center has multiple clinics centered on children with unique developmental needs, including in-utero exposure to drugs and alcohol (ABC Clinic, A Better Chance), full multidisciplinary evaluation for autism spectrum disorder (Jump Start Clinic), and ADHD, among others. Residents build on their education with visits to on- and off-campus community centers and Sooner Start, Oklahoma’s early childhood intervention program.

Complex Care

PL-3 residents rotate at The Children’s Center (TCC), a free-standing, nationally renowned complex for children with special health care needs. In addition to residential stay, children at TCC are able to receive short- or long-term rehabilitation services. Many attending physicians at Oklahoma Children’s Hospital also round regularly at TCC to provide consultative care.

General Pediatrics Clinic

The Sooner Pediatrics Clinic is the largest general primary care clinic at Oklahoma Children's Hospital and has over 22,000 patient visits per year. Regardless of their continuity clinic site, all interns will spend one block in the Sooner Pediatrics clinic. The goal of this rotation is to provide every resident with a broad primary care pediatric experience, which includes well-child care, acute illness management, and exposure to complex diagnostic and social problems.

Electives

Residents can prepare for their future careers through elective experiences that supplement their education. There is an extensive list of established electives, but residents are also able to craft their own electives to provide rich experiences that meet their educational goals.

All established rotations above are also available elective experiences. Residents interested in outpatient general pediatrics can rotate in the community with pediatric practices in urban, suburban, and rural settings. Trainees pursuing a subspecialty career can explore their field of interest in both the inpatient and outpatient settings. Residents who are interested in hospitalist medicine can rotate with attendings on the hospitalist service (Silver team) in both day or night settings; residents can also work with the Admit Officer to field calls from physicians and facilities across the state for potential admission to Oklahoma Children’s Hospital. Trainees can rotate with dietitians, lactation consultants, and physical, occupational, and speech therapists in inpatient and outpatient settings. Some other popular elective rotations include infectious disease, medical Spanish, procedures, sedation, anesthesiology, disaster preparedness, humanities, education, and the new parent elective. This is just a small sample of options — at a large teaching hospital like ours, the sky is the limit!

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