The pediatric residents at MMC serve integral roles both as learners and educators throughout their residency. During the day-to-day care of patients in both the inpatient and outpatient setting, informal teaching sessions are continuously occurring between attendings, residents, and medical students. Formal teaching occurs in the following forums:
Grand Rounds occurs every Thursday at 9:00AM in the Dana Teaching Center on site. Topics range from national speakers bringing in the latest data on a particular pediatric disease, to our local faculty presenting their expertise on pediatric topics. Senior residents also prepare and present a grand rounds topic of their choosing during their 3rd year.
Each week, following Grand Rounds, residents have protected didactic time between 10:00AM and 1:00PM. During this time, residents are excused from clinical duties. The didactic curriculum spans clinical, psychosocial, and pathophysiologic topics and are given by our attending physicians and other leaders within their field of expertise. Lecture content is based on American Board of Pediatric Content specifications such that by the time a resident has completed training, they will have had the opportunity to hear key content topics twice. Didactic sessions take on a variety of formats including chalk talks, group discussions, Power Point presentations, or demonstrations. All sessions are recorded and then available to residents to review on their off time in case they were on vacation or nights during a particular talk. Resident participation is always encouraged!
Morning report is held at 7:45-8:15AM four times per week. Led primarily by the chief resident, this conference provides an in-depth discussion of common and uncommon chief complaints, recent cases, and high-yield board prep exposure. Cases are often used as starting points to explore differential diagnoses and management decisions of inpatient, outpatient, specialty and critical care cases. Unconventional morning report styles are also sometimes incorporated to review key concepts and to engage the learners. Morning report is focused on discussing senior resident level diagnostic understanding and management decisions. It is attended by senior residents, interns, medical students and faculty.
The Hannaford Center for Safety, Innovation and Simulation is a state-of-the-art simulation training center for students, residents, attendings, nurses, and ancillary health care providers. This 18,000 square foot facility includes operating rooms and trauma rooms identical to the rooms at MMC. It houses life-like child and infant manikins that breathe, blink, have pulses, seize, turn blue and respond to medication. Our program has taken advantage of this facility by building a formal simulation curriculum. This robust curriculum brings each resident to the simulation center four to five times a year for Hi Fidelity scenarios ranging from procedural sedation to newborn emergencies. The scenarios become more involved and difficult the more senior the resident. We have dedicated faculty leadership from the hospitalist, PICU, and NICU teams developing and facilitating this experience. Interns are oriented to basic procedures and code team structure during their July orientation, and new seniors participate in a Senior Boot Camp preparing them for the added responsibilities they will have as a senior resident. We are excited to incorporate this new and innovative method into our program, now entering its sixth year.
Other regularly scheduled conferences for all residents include:
- Pediatric Journal Club (monthly)
- Pediatric Morbidity and Mortality Conference (monthly)
- Pediatric Emergency Medicine Conference (monthly)
- Pediatric Primary Care Conference Series (monthly)
- Pediatric Psychiatry Lunch and Learns and Morning Report Series (monthly)
- Pediatric Board Review (2-day senior conference in June)
- Mock Code Sessions (weekly at the MMC Simulation Center and MMC campus)
- Pediatric Pulmonary Conference (once per month during morning report)
- Pediatric Dermatology Conference (once a month during morning report)
- Child Abuse Conference (once a month during morning report)
Other conferences specific to rotations include:
- PICU midday teaching (daily for residents on PICU rotation)
- Radiology Rounds (weekly for residents on IPU rotation)
- "Quality Improvement Conference" (twice monthly clinic and selected rotations)
Our residents also participate in a longitudinal “Residents as Teachers” curriculum where they gain the skill set to become better teachers through interactive didactic presentations throughout the year. These are grouped to occur during the ACQUIRE rotation in year 1, at our Pediatric Retreat for year 2, and in the 3rd year TEACHing rotation. Many of our residents earn commendations on their teaching skills from the Tufts medical students each year.