Pediatric ResidencyChildren’s Hospital

MetroHealth Medical CenterAbdulla Gori, MD, FAAP, MRCP (UK)

Program Director, Pediatrics

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Greetings from my colleagues at MHMC

• MetroHealth Med Ctr• Pediatrics Department• Residency Aspects

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MetroHealth Medical Center

• 731-bed teaching hospital

• Comprehensive outpatient surgery center

• Two long-term care/skilled nursing centers

• 10 community health sites

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MetroHealth Medical Center

• 9,140 ambulatory surgeries • ~80,000 ED visits • Metro Life Flight logged 3,269 transports• Nearly 6000 staff• 399 physicians; 1,050 registered nurses• 350 physicians in training

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Pediatrics Department

History

• Established in 1922, joint department with

University Hospital

• Autonomous department in 1950

• Autonomous Pediatric Residency training since

1986

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Pediatrics Department

Patient Volume and BedsPatient Volume and Beds• Total hospital beds - 731• Active beds - 585• Total Pediatric beds - 147(25%)

– In-patient unit - 44– Level III NICU - 45– Term Nursery and step down - 48– Level I PICU - 10

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Pediatrics Department

• The numbersThe numbers• 3500-4000 deliveries per year• >3500 in-patient admissions per year• 835 PICU admissions per year• 700 NICU admissions per year• 57,000 Pediatric out-patient visits per year

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Pediatrics DepartmentSub-specialties available on site

• Neonatology• Pediatric Critical care• Adolescent Pediatrics• Comprehensive care• Pediatric Cardiology• Pediatric Pulmonology• Pediatric Gastroenterology• Pediatric Hematology• Pediatric Nephrology• Pediatric Neurology• Pediatric Infectious Diseases• Pediatric Endocrinology• Pediatric Psychiatry

• Genetics/Metabolism• Pediatric Allergy and Immunology• Pediatric Rheumatology• Pediatric Radiology• Pediatric Dermatology• Pediatric Surgery• Pediatric Urology• Pediatric Orthopedics• Pediatric ENT• Pediatric Ophthalmology• Pediatric Dentistry• Pediatric Anesthesia

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General PediatricsFaculty In-house

Abdulla Gori, M.D.Christopher Rizzo, M.D.David Bar-Shain, M.D.David Roberts, M.D. Garey Noritz, MDIrene Dietz, M.D.James Quilty, M.D. *Kim Simpson, MDMark Feingold, M.D.Marina Lazbin, M.D.Nada Haddad, M.D.Nebiat Tafari, M.D.

*half time

Philip Fragassi, M.D.

Robert Needlman, M.D.

Susan K. Santos, M.D.

Suzanne Scharfstein, M.D.

Susan Post, MD

Susan Carlin, M.D.

Tara Williams, M.D.

Vipul Garg, M.D

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Nurse Practitioners Barbara Lightner, NP Endocrinology/ General Pediatrics Debbie Fattlar, NP Research Judy Whitwell, NP Research Lynda Nossaman, NP Neurology Mary Ford, NP Neurology Melissa Fletcher, NP Adolescent Medicine Nancy Diffenbacher, NP General Pediatrics/ CAMAC Roberta Anderson, NP Lead Clinic/ Hematology Shannon Sikorski, NP General Pediatrics/ Hematology Patricia Liechti, NP Gastroenterology

PLUS NPs in nursery and NICU

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““We are proud of the strength of our We are proud of the strength of our University Affiliated Teaching University Affiliated Teaching

Faculty of General Pediatricians Faculty of General Pediatricians in-house, with diverse interests”in-house, with diverse interests”

complementing the group of sub-complementing the group of sub-specialistsspecialists

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Other Units Related to Pediatrics

• Pediatric Level I trauma center– only one in NE OH

• State of the art Emergency Department– 55,000 square feet facility

• Regional Burn Center• Perinatal Research Center• Center for Behavioral Health for Children and

Adolescents

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Other Units Related to Pediatrics

• Division of Adolescent Health Care– Fellow– Social worker, Teen counselor, Nutritionist

• Alpha team (Non Accidental Injuries)• NEW clinic for obesity• Metro Life Flight Program - 2nd largest in

the country

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Other Units Related to Pediatrics

• Muscular Dystrophy Clinic for Northern Ohio• Lead poisoning clinic• Child Life Division with nine specialists• Healthy Hispanic Teens program• Community Advocacy Program

– only such program in Ohio – brings on-site legal services to the patients

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Research Funding

$7,000,000 funded research

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We are a Children’s Hospital“Children’s Hospital at

MetroHealth Medical Center”

Residency Aspects

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Number of residents

• Medium sized program• Eight Pediatric Residents per year of

training (total 24)• Six Med Peds Residents per year of training

(half in Peds at any given time)• Total 36 residents at any given time

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Teaching Activities

Typical week• Ambulatory pediatrics lecture 8.00 to 8.30

am, Monday to Thursday• Morning report, 8.30 to 9.00 am Mon to Thu• Grand rounds 8.00 to 9.00 am on Fridays• Noon conf 12.00 to 1.00 PM Mon to Fri• Other topic discussions in every division

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Teaching Activities

• Distribution and content of topics is based on ABP recommendations

• Time distribution is proportionate to the percentage representation in boards

• Journal clubs• Monthly board review series• Annual free board review course - > 25 hours

long

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Teaching Activities

• Evidence Based Medicine series– Residents are educated on EBM with tools to

critic literature– Residents present their EBM task

• Quality Improvement Projects– Personal Continuous Quality Improvement– System Improvement

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Team Clinic

• Same day every week• Same preceptor every week - “single

preceptor concept”• Located at main campus• Wide diversity in medical and social issues• Residents own their patientsResidents own their patients

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Comprehensive Care Division

• Unique division• Cares for children with multiple health needs• Complex patients, syndromes etc• Meeting their needs at home including home

ventilator management• Imparts confidence in handling these

problems in the community

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Other Attractions• Low number of fellows• Residents interact directly with attendings• Opportunity for procedures• Confidence in handling NICU/PICU issues

in the community• Post call free taxi ride• No night float system

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Other Attractions• Golden weekend• At least one day off weekly on an average• Teaching is a priority over service• Resident autonomy, but never alone• Friendly atmosphere• Federal holidays – total 12 holidays an year• Electronic medical records• Moonlighting• No night float

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It is a residency aimed at preparing strong It is a residency aimed at preparing strong pediatricians, ready for the community or pediatricians, ready for the community or

for sub-specialty trainingfor sub-specialty training

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Scholastic Achievements

• Research projects– Eight every year

• 15 national/international presentations• Publications• National recognition

– 3 out of 10 presentations selected nationally for 2005 AMA and AAP conferences were from Metro Peds

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Fun Activities

We believe in ensuring a quality life outside the hospital too

• Annual Retreat in Spring• Graduation Ceremony in Summer• Fall feast• Super Bowl Party in winter

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MHMC Peds

Patient diversity

EducationResearch

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Thank You

www.metrohealth.org/Clinical/Pediatrics

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