During their PL2 and PL3 year, residents have increasing patient care responsibilities and serve as supervisors for interns and medical students on primary care services. On subspecialty services, the resident serves as a consultant, evaluating both inpatients as well as outpatients with full-time subspecialty faculty and fellows.
Pediatric Ward Service
As the supervisory resident on the pediatric ward service, the resident is responsible for the initial evaluation, daily management and discharge of all pediatric patients on the team. Working closely with the attending physician as well as the consult services, there are many opportunities to teach interns and medical students about common as well as complex medical and surgical conditions.
Pediatric Emergency Department
As a PL2 and PL3 in the Pediatric Emergency Department, the resident provides oversight and is responsible for the disposition of patients. Interns and medical students present cases to the resident and the attending physician, and the resident assists in developing a treatment plan and contacting pediatric and surgical consult services. All patient transports to the Pediatric ED also are evaluated by the PL2 or PL3 in charge. In addition, pediatric residents work closely with housestaff from Emergency Medicine in the evaluation and stabilization of trauma patients.
Neonatal Intensive Care Unit and Nursery
In both the NICU and in the nursery, the resident serves as the team leader and supervises interns from the Departments of Pediatrics and Family Medicine in the care of the critically ill infants, preterm babies and healthy, term neonates. The resident also is responsible for attending and supervising all neonatal resuscitations in the delivery room and in the NICU.
Pediatric Intensive Care Unit
The Pediatric Intensive Care Unit (PICU) is a 10-bed unit dedicated to the management of critically ill infants, children, and adolescents. The resident is an integral member of the ICU team which consists of resident, a pediatric nurse practitioner, a critical care fellow, and a full-time faculty member from the Division of Critical Care.
A pair of night shift senior residents cover the pediatric ward, neonatal intensive care unit and pediatric intensive care unit on weeknights. This system reduces fatigue for both the daytime and nighttime senior residents on the ward and in the pediatric intensive care unit. The rotation allows the senior residents increased time for reading and teaching interns and medical students. Night shift residents are also involved in patient transfers from other hospitals.
Each of the subspecialty services, including Hematology and Oncology, have both inpatient and ambulatory experiences and allow participation in specialized procedures such as bone marrow biopsies.
The elective rotations give the resident an opportunity to pursue special interests either at Harbor-UCLA or at other affiliated institutions. This time may be spent on a clinical rotation or performing clinical or lab based research.
The adolescent medicine rotation consists of ambulatory experiences at several different sites, including a college student health service, a school-based clinic, and a hospital-based teen clinic. Residents are given an opportunity to prepare and deliver a conference on a topic of their choice.
The subspecialty clinics rotation occurs primarily in the outpatient clinic at Harbor-UCLA where the resident participates in each of the daily subspecialty clinics and works closely with subspecialty full-time and volunteer clinical faculty.
The Clinicopathological Conference (CCC) is a long-standing tradition of the pediatric residency program. Each PL3 receives a clinical case, and is given two weeks to prepare a thorough evaluation and assessment of the problem/condition which is presented as a formal lecture during Pediatric Grand Rounds.