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The Training Program was reviewed by the Residency Review Committee and was found to be in compliance with all guidelines and received the full 5 year accreditation. Additionally, the Training Program remains in full compliance with all of the new guidelines for residency training. As always, we are committed to any modification of the Program that will benefit the educational experience of the residents.
The following information is for prospective applicants about pediatric training at UT Southwestern Medical Center:
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Admissions to Children's |
25,000 |
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Deliveries at Parkland Memorial Hospital |
16,000 |
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Emergency Center Visits (Children's) |
100,000 |
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Subspecialty Clinic Visits (Children's)
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345,000
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I. Children's Medical Center
Number of Beds:
61 Pediatric Intensive Care Unit/Cardiac Critical Care Unit
406 Pediatric
12 Psychiatry
5 Epilepsy Monitoring Unit
All patient areas provide potential teaching opportunities. However, the housestaff are responsible only for a subset of hospital beds. The additional beds are covered by the Children’s Medical Center Hospitalist program.
Inpatient Teaching Services
Cardiology
Gastroenterology
General Pediatrics (4)*
Hematology/Oncology
ICU
Nephrology
Neurology
Pulmonology
* Includes: Pulmonary, Genetics & Metabolism, Rheumatology, Infectious Diseases, Neurology, Endocrinology, etc.
II. Parkland Memorial Hospital
30 Bed Neonatal ICU
73 Bed Step-Down Neonatal Special Care
Flexible census in Newborn Nursery
Pediatric nurse practitioners care for 70% of term newborns
Neonatal nurse practitioners care for 25% of ICU patients
III. Texas Scottish Rite Hospital
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Contract Specifications 2009-2010:
I. Nature of the Duties and Responsibilities of the School (UTSW Department of Pediatrics)
Provides an environment with supervision and progressive educational and patient care experiences
Provides a teaching staff available with ability, enthusiasm and commitment to teaching, patient care and research
Provides a curriculum with appropriate balance between clinical and didactic activities
Provides opportunities for resident scholarly research, which may include clinical investigation and/or basic research
Provides professional liability insurance provided for all activities related to training
II. Duties and Responsibilities of the Resident
Provide safe, effective and compassionate care
Fulfill the educational requirements of the program
Comply with Participating Institution policies, procedures and regulations
Obtain written consent prior to performing any medical practice at or during non-training institutions
Resident must be eligible for institutional permit or a Texas Medical License
Resident assignments and vacations will be determined by the Chief Residents, with the Program Director’s approval
Parental, professional and sick leave requests are discussed with the Chief Residents in conjunction with the Program Director
III. Duties and Responsibilities of the Participating Institution (Children's Medical Center Dallas, Parkland Hospital and System)
Sufficient hospital staff to provide variety of patient care needs
Exposure to a variety of patients and equipment to provide a broad educational experience
Group Life Insurance in the amount of one times the annual stipend
Major contribution to the resident’s insurance premiums for Hospital’s current health, dental, disability insurance in effect (Resident can purchase at resident’s expense coverage for any additional dependents)
Meals while resident is on 24-hour call at the Hospital
PL-1 has two weeks paid vacation and one additional week for PL-1 without pay
PL-2 and 3 have three weeks paid vacation per year
Additional days off will be provided around winter holidays as coordinated by Chief Residents
Residents will work in an environment free of sexual and other forms of harassment and will have access to file a complaint if such report is to be undertaken
Psychological, medical and counseling is available if such support/services are required
IV. Contract appointment begins on June 24, 2009 for PL-1 year, and on July 1 of subsequent years
**Mandatory paid orientation begins on June 16, 2009.
V. Termination and Grievance Procedures presume that the resident will serve the entire contract period unless the agreement is terminated by the School’s Policies and Procedures for Supervision, Evaluation, Discipline and Grievances of Graduate Medical Education Trainees.
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PL I - 2 weeks + last week of PL I year off for all PL I's (PL I's orientation on June 16th, and clinical work starts June 24th)
PL II - 3 weeks
PL III - 3 weeks
**5 days off during each winter holiday schedule
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| February 7, 2009 - February 9, 2009 |
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Seven rotations, distributed throughout the PL-I, PL-II and PL-III years. All Pediatric subspecialties available.
Four of the 7 electives are required to be ambulatory. |
Off-campus required rotations include:
Developmental Pediatrics at Texas Scottish Rite Hospital (1.8 miles away)
Adolescent Rotation (varied locations)
Community Pediatrics Rotation (varied locations)
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PL I - 5 blocks of every 4th night call
PL II - 1-2 blocks of every 4th night call
PL III - 2-3 blocks of every 4th night call
* 1 block equals 28 days
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Resident Continuity Clinics are conducted at the following five sites:
Children’s Medical Center
East Dallas Health Center
DeHaro Saldivar Health Center
Oak West Health Center
Pediatric Primary Care Center
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Past 22 years - 380 individuals (General Pediatrics 57%; Fellowship, other residency - 43%)
Year
1977-1978
1978-1979
1979-1980
1980-1981
1981-1982
1982-1983
1983-1984
1984-1985
1985-1985
1986-1987
1987-1988
1988-1989
1990-1991
1991-1992
1992-1993
1994-1995
1995-1996
1996-1997
1997-1998
1998-1999
1999-2000
2000-2001
2001-2002
2002-2003
2003-2004
2004-2005
2005-2006
2006-2007
2007-2008
Total:
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No. of PL III Residents
14
15
13
16
19
18
19
20
22
21
21
20
21
21
21
25
28
26
24
23
25
25
26
24
26
26
27
26
27
649
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No. (%) Taking Fellowships
6 (60)
7 (50)
8 (57)
7 (54)
4 (25)
5 (26)
7 (39)
4 (21)
8 (40)
7 (32)
13 (62)
16 (76)
9 (43)
10 (44)
9 (43)
10 (46)
9 (39)
9 (32)
1 (4)
8 (33)
7 (30)
9 (36)
7 (28)
6 (23)
7 (29)
11 (42)
12 (46)
15 (56)
11 (41)
231
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| ACTIVITY |
LOCATION |
| General Pediatrics |
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- Texas (18)
- Nevada (1)
- New York (1)
- Massachusetts (1)
- North Carolina (1)
- Colorado (1)
- Florida (1)
- Ohio (1)
- Arkansas (1)
- New Mexico (1)
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- CMC Dallas, Texas (7)
- Medical City, Dallas, Texas (1)
- Decatur, Texas (1)
- Boston, Massachusetts (1)
- Philadelphia, Pennsylvania (1)
- St. Louis, Missouri (2)
- Rockford, Illinois (1)
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- Dallas, Texas (5)
- Fort Worth, Texas (1)
- Garland, Texas (1)
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- Hospital-based Acute Care
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- Referral Care Ctr, CMC Dallas, Tx (2)
- Referral Care Ctr, CMC Dallas, Tx (2)
- Emergency Room attending
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- Adolescent Medicine, CMC Dallas, TX (1)
- Newborn Nursery, Parkland Hospital, Dallas,
TX (3)
- First Care Clinic, CMC Dallas, TX (2)
- General Pediatrics, CMC Dallas, TX (3)
- Texas Tech School of Medicine, El Paso, TX (1)
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- Baylor College of Medicine-Swaziland, Africa (1)
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- Dyess Air Force Base, Abilene, TX (1)
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Fellowships |
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- UT Southwestern, Dallas, Texas (4)
- Children’s Hospital of Boston, MA (1)
- University of Michigan, Ann Arbor, MI (1)
- Vanderbilt University, Nashville, TN (1)
- University of Washington, Seattle (1)
- Texas Children's Hospital, Houston (1)
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- UT Southwestern, Dallas, TX (4)
- Texas Children's Hospital, Houston (1)
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- UT Southwestern, Dallas, TX (5)
- Emergency Medicine, Morgan Stanley Children's Hospital, New York, NY
(1)
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- UT Southwestern, Dallas, TX (4)
- LSU (1)
- Children's Hospital of Boston, MA (1)
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- UT Southwestern, Dallas, TX (1)
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- UT Southwestern, Dallas, TX (2)
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- UT Southwestern, Dallas, TX (8)
- Duke (1)
- St. Louis Children’s Hospital, Washington University/Barnes, St. Louis, MO (1)
- University of California at San Francisco (1)
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- UT Southwestern, Dallas, TX (2)
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- UT Southwestern, Dallas, TX (7)
- Vanderbilt (1)
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- UT Southwestern, Dallas, TX (1)
- Texas Children's Hospital, Houston (1)
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- UT Southwestern, Dallas, TX (4)
- Children's Hospital of Philadelphia, PA (1)
- University of California-San Francisco, Children’s Hospital of Oakland, Oakland, CA (1)
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- UT Southwestern, Dallas, TX (4)
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- Pediatrics Pulmonary Medicine
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- Texas Children’s Hospital, Houston, TX (1)
- Children’s Hospital of Philadelphia, PA (1)
- Tucson, AZ (1)
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- Chapel Hill, NC (1)
- UT Southwestern, Dallas, TX (1)
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- Master’s Degree, Public Health
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- National Health Services Corps
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- Lake Charles, Louisiana (1)
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Rotations and Conferences Lead to Learning and Growth
Flexibility is one of the keys to success for the pediatric residency training program at UT Southwestern. In addition to the rotations listed below, learning continues during conferences, reports and rounds. The following is a list of some of the conferences available to you during your three-year residency:
Interactive Morning Report: Seniors and interns have their own conferences
Grand Rounds
Noon Conference (lunch provided)
Specialty Conferences (Tumor Board, Cardiology Conference, NICU Conference)
Child Abuse Grand Rounds
Pathology D & D
M&M Conference (resident-run)
Critically Appraised Topics
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PL-1 Year (Continuity Clinics All Year) |
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General Pediatric Wards |
G.I. |
Hem/Onc |
Renal |
Cardio |
Newborn
Nursery |
NICU |
Outpat
Acute
Care |
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E.R. |
Night
Float |
PL-2 Year (Continuity Clinics All Year) |
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E.R. |
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Ward
Senior |
NICU |
Behavior
Develop-
mental |
Night
Float |
PICU |
Elective |
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PICU
night float
ACN Float |
PL-3 Year (Continuity Clinics All Year) |
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Adolescent |
NICU |
Sr.3 |
E.R. |
PICU |
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Ward Senior** |
PICU
night float
Elective
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Elective |
Outpatient Elective |
*Continuity Clinics are 1/2 day per week on average
**Option for hospitalist experience
The above are representative schedules and may vary.
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Individual Program Design
The program shown above describes a common curriculum for our residents. The elective time generally provides the flexibility to obtain specific education in areas that meet personal interest and career goals. However, we are also committed to additional modifications in the curriculum that allow particular preparation for academic careers and subspecialty training (for example, The Special Alternative Pathway, The Integrated Research Pathway, The Accelerated Research Pathway, Subspecialty Fast-Tracking and Combined Subspecialty Training). In this spirit, the Program Director will work with residents who wish to follow one of the tracks approved by the American Board of Pediatrics that blend general pediatric and subspecialty education.
Individuals who are pursuing a career as a physician scientist have ambundant opportunities on campus during their residency. The Program Director and faculty mentors assist residents in designing special research electives created to provide opportunities to work with UT Southwestern scientists and clinicians in areas of subspecialty interest. The Physician Scientist Training Program offers highly individualized research training and career development for physician scientists at the fellowship level.
Residents interested in Pediatric Neurology are given special consideration in scheduling to prepare them for the two year curriculum in pediatrics as outlined by the American Board of Pediatrics. The American Board of Pediatrics has specified the curricular content for these two years in pediatrics and residents seeking training in neurology are encouraged to pursue additional elective rotations in addition to these requirements.
Residents interested in general pediatrics are able to pursue their career interests through the flexibility in our curriculum. Over the course of three years, trainees may work with the Program Director to generate a focus on primary care through the abundant elective time provided. This flexibility allows residents to explore general pediatrics without commitment to a restricted track, so that they may individualize their curriculum to suit their personal goals – even when those goals change.
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