Pediatric Residency Program
residency rotation
Download the 2007-2008 Pediatric Resident Master Rotation Schedule (PDF)
PL-1
Doernbecher Pediatric Clinic (3 months)
Mother-Baby Nursery
Emergency Medicine
Community-based Adolescent and Child Health (CACH)
Doernbecher Neonatal Care Center
Doernbecher Pediatric Acute Care Center (Inpatient) (2 months)
Emanuel Inpatient Service (2 months)
Hematology/Oncology
Pulmonary
Continuity Experience
PL-2
Cardiology
Nephrology
Endocrine/Metabolism
Gastroenterology
Hematology/Oncology
Hematology/Oncology Night Float
Developmental/Behavioral & Chronic Illness/Disabilities
Emergency Medicine
Primary Care (Community based)
Emanuel Inpatient Service
Doernbecher Neonatal Care Center
Pediatric Critical Care
Continuity Experience
PL-3
Elective Rotations (3 months)
Adolescent Health
Kaiser Ambulatory Clinic and Urgency Care
Doernbecher Pediatric Clinic
Neurology
Doernbecher Pediatric Acute Care Center (Inpatient) (2 months)
Doernbecher Pediatric Acute Care Center Night Float
Infectious Diseases
Doernbecher Neonatal Care Center
Pediatric Critical Care
Continuity Experience
Rotation Descriptions
Adolescent Health
This community-based experience provides residents with a focused experience in adolescent medicine. Residents see patients at Portland school-based health centers; Outside In, a clinic in downtown Portland for homeless youth; Kartini Clinic for adolescents with eating disorders; and Doernbecher Child and Adolescent Psychiatry Clinic.
Behavioral/Developmental & Chronic Illness/Disabilities
This rotation focuses on children with disabilities, attentional dysfunction, behavioral problems, and chronic health conditions. Residents attend clinics in Genetics, Spina bifida, Autism, Cerebral Palsy, Child Development, and Neonatal follow-up, These multidisciplinary clinics are at the Child Development and Rehabilitation Center in Doernbecher and supervised by faculty with specialty training in pediatric development, behavior, learning problems, disabilities, and ethics.
Continuity Experience
Each resident is a member of a team of residents at different levels of training headed by a faculty member from the Division of General Pediatrics. Residents have their clinic four times a month on the same half-day each week with an alternate morning or afternoon session to avoid post-call clinics. The continuity clinic has priority over all other experiences. Residents are encouraged to follow normal infants, children, and adolescents as well as patients with a variety of chronic and acute disorders. Continuity clinics occur in two major settings. Half of the residents have their clinics at the Doernbecher Pediatric Clinic on the main OHSU campus. The others are at community clinics in Beaverton and Oregon City.
Community-based Adolescent and Child Health (CACH)
Residents experience children and adolescents in their natural environments, including camps, day care settings, pre-schools, and elementary, middle, and high schools. Hands-on experience is provided along with observations, supplemental readings, preparation of an ongoing advocacy project, and giving lectures to students, health professionals, and lay groups. Clinical experiences at Outside In, a clinic for homeless youth in downtown Portland, and Planned Parenthood include acute and preventative care services such as annual women's health exams, STI assessments, options counseling, and emergency contraception. The rotation includes experiences in mental health and behavioral pediatrics.
Doernbecher Pediatric Acute Care Center (Inpatient)
Children admitted to Doernbecher Children's Hospital are cared for by two teams on a 48-bed inpatient unit. One team (Coast Team) cares for patients who are part of a well-established HMO, Northwest Kaiser-Permanente. The other team (Hood Team) cares for patients of the OHSU health care system. Subspecialty service patients are divided between the two teams. Physicians from Kaiser Permanente are the attendings for the Coast Team. The Hood Team attending is a Hospitalist faculty member from the Division of General Pediatrics. The night float experience is Monday through Thursday nights.
Doernbecher Neonatal Care Center
This is a 46 bed Level 2 and 3 neonatal intensive care unit. Residents care for ill newborns with medical and surgical problems, attend high-risk deliveries, and respond to issues in the Mother-Baby Nursery at night. The nursery is an "open unit" accepting admissions of neonates who have been home from the hospital. Thus, residents develop a familiarity with a wider spectrum of problems as compared to a typical NICU experience.
Doernbecher Pediatric Clinic
This outpatient care facility on the seventh floor of Doernbecher Hospital includes general pediatric and pediatric subspecialty clinics. In this setting, residents have block rotations in general pediatrics, continuity clinics, and the ambulatory portion of their subspecialty rotations.
Elective Rotations
There are three elective months without call. Residents design their elective months to add to their educational experience. This may include research, intensive training in a particular aspect of pediatrics, or experience in a specialty outside of pediatrics. Many residents choose an international health experience as an elective. An elective month may be moved to the second year by moving Primary Care to the third year.
Emanuel Hospital Inpatient Service
Emanuel is a private community hospital in northeast Portland, a 10-minute drive from the OHSU campus. Residents care for a mix of more common, general pediatric problems. Supervision is provided by a combination of full-time staff, community pediatricians, and private pediatric subspecialists.
Emergency Medicine
Residents do eight- to ten hour shifts in the OHSU Emergency Department during their first and second years. There are over 15,000 pediatric visits annually to the Emergency Department. Residents are supervised mostly by faculty trained in pediatric emergency medicine.
Hematology/Oncology
This experience is in the 21-bed inpatient Hematology/Oncology Unit in Doernbecher Hospital. Residents are integrated into the multidisciplinary team managing patients under the supervision of faculty from the Division of Hematology/Oncology. During the night float rotation in this specialty, residents have 3 nights on duty followed by 2 nights off.
Kaiser Ambulatory Clinic and Urgency Care
Kaiser Permanente is a large health maintenance organization with clinics throughout the metropolitan area. The resident works in a busy, efficient, ambulatory care setting under the supervision of Kaiser staff pediatricians. This experience includes after-hours urgency care.
Mother-Baby Nursery
This rotation provides experience with normal newborn infants. All infants room-in with their mothers. The resident gains experience in counseling new mothers, develops proficiency in examining normal newborns, and learns to recognize disorders of newborn transition. Supervision is by faculty in the Division of General Pediatrics.
Pediatric Critical Care
Critically ill or injured infants and children are cared for in the twenty bed Pediatric Intensive Care Unit at Doernbecher. Residents are supervised by an in-house Pediatric Intensivist 24 hours a day. Patients with surgical problems are co-managed by the pediatric service, including trauma patients and pre- and post-operative cardiac patients.
Pediatric Subspecialty Services
Residents spend seven months focusing on pediatric subspecialties in Cardiology, Endocrine/Metabolism, Gastroenterology, Nephrology, Neurology, Infectious Disease, and Pulmonology. Residents do inpatient consults, attend subspecialty ambulatory clinics, and attend associated teaching conferences.
Primary Care (Community based)
Experience primary care pediatrics outside of the University health care system in an urban or rural private practice. Residents develop an understanding of the workings of an office practice, including the business of pediatrics, managing a large patient volume, and different practice styles.