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Education

Medicine-Pediatrics Curriculum

Master
Content

The combined Medicine-Pediatrics residency program at Baylor College of Medicine is fully integrated within the categorical internal medicine and pediatric programs and meets all of the requirements set forth by the Accreditation Council for Graduate Medical Education. The program is integrated by block assignments over four years alternating between the two categorical programs. The four years of training provide a total of 12 months of internship (six months in pediatrics/six months in medicine) and 36 months of residency (18 months in pediatrics/18 months in medicine) for a total of 48 months (24 months in pediatrics/24 months in medicine). Electives on internal medicine can be done at any of the affiliated training sites including MD Anderson. The academic calendar each year is divided into 13 four-week blocks. Residency start date is June 24, 2017.

Key for Hospital Sites

*BT = Ben Taub Hospital
*SL = CHI Baylor St. Luke's Hospital
*TCH = Texas Children's Hospital
*VA = Michael E. DeBakey VA Medical Center

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Internship

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In the first year, interns switch between medicine and pediatrics approximately every twelve weeks (the 13th block is divided into two weeks of pediatrics and two weeks of medicine rotations). Half of the intern class starts on pediatrics rotations, the other half will start on medicine rotations and after the first twelve weeks will switch to the other discipline. Throughout all rotations, residents are assigned to our continuity clinic at MLK approximately one half-day per week. Below is an example of the intern year schedule.

 

Pediatrics

Medicine

BT Newborn Nursery

BT Emergency Medicine Rotation

TCH Pediatric Hospital Medicine (general wards)

BT General Medicine Wards

TCH Pediatric Hospital Medicine (general wards)

VA General Medicine Wards

TCH Subspecialty Selective (ie. pulmonology, endocrinology, ID, neurology)

BT or VA Medical Intensive Care Unit

TCH Hematology/Oncology

BT or VA Cardiac Care Unit

Pediatrics 101/HCHD

Inpatient Consult Elective

Pediatric Skills (2 weeks)

Night Float (2 weeks)

 

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Residency

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In the second and third year of residency training at Baylor College of Medicine, residents alternate between medicine and pediatrics every four-five blocks. This results in having one year on predominantly medicine rotations (eight medicine/five pediatrics blocks) and one year on predominantly pediatrics (eight pediatrics/five medicine blocks) rotations. The curriculum was designed in this fashion to allow for summer and winter seasons in each discipline, providing clinical exposure to illnesses with seasonal variation. Below is an example of what to expect during the PGY-2/3 years.

Second and Third Year Rotations

Pediatrics

Medicine

TCH Inpatient Wards - Liver/GI

VA General Wards Supervisory Rotation

TCH Pediatric Cardiology

VA General Wards Supervisory Rotation

TCH Inpatient Wards - ARRRG (A&I, Rheumatology, Renal, Retrovirology, and Genetics)

BT or VA Neurology

Adolescent Medicine

BT or VA General Medicine Consult Service

Pediatric Development

BT/VA/SL Cardiology Consult Service

TCH Neonatal Intensive Care Unit

Ambulatory Geriatrics (2 weeks) + 2 week ambulatory selective

TCH Pediatric Intensive Care Unit

Intensive Care Night float (2 weeks) + 2 week ambulatory selective

TCH Pediatric Hospital Medicine Supervisory Rotation

Inpatient Consult Elective

TCH Pediatric Emergency Medicine

Inpatient Consult Elective

BT Pediatric Emergency Medicine

Inpatient Consult Elective

Ambulatory General Pediatrics

Inpatient Consult Elective

Pediatric Elective

Ambulatory Elective

Pediatric Elective

Ambulatory Elective

 

The fourth year of residency at Baylor College of Medicine is designed similar to the first year, alternating between medicine and pediatrics every three blocks and a 13th block that is split into two weeks of pediatrics and two weeks of medicine. The fourth year of residency training is primarily in a supervisory role in both disciplines.

Fourth-Year Rotations

Pediatrics

Medicine

TCH Pediatric Hospital Medicine Supervisory Rotation

BT General Medicine Wards Supervisory Rotation

BT Neonatal Intensive Care Unit Supervisory Rotation

BT General Medicine Wards Supervisory Rotation

Community Pediatrics

BT or VA Medical Intensive Care Unit Rotation

STAR/Newborn Chief/Subspecialty Supervisor

Med-Peds Continuity Clinic Chief

Pediatrics Elective

Transition Medicine

Pediatrics Elective

Medicine Elective

TCH Pediatric Emergency Medicine (2 weeks)

Medicine Elective (2 weeks)

 

 

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Mentors and Evaluation

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Each resident is assigned a faculty advisor. The advisor acts as counselor for both professional and personal matters. The system for evaluating is designed to help each resident reach his or her full potential. Residents are evaluated following each rotation by their attending physician and supervising resident or fellow. Resident evaluations are based on their new core competencies or patient care, medical knowledge practice based learning and improvement, interpersonal and communication skills, professionalism and systems based practice.

Evaluations are continually reviewed by the resident's advisors as well as by the director and/or co-directors. The faculty steering committee meets quarterly to discuss resident evaluations. In order to provide an analysis to aid in improving fund of knowledge, the American Board of Pediatrics and the American Board of Internal Medicine in service examinations are offered to residents annually.