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GME > Residency Programs > Pediatrics > About Our Program
About Rush University

Rotations

Rotations in the first year include:

PL 1 Schedule

Weeks
Rotation
8 Subspecialty Rotations (electives)
8
General Pediatric wards (day)
4
General Peds wards (night)
4 Neonatal ICU
4 Emergency Department/Child Psych
4
Mother-Baby Unit
4 Community/advocacy
4 Adolescent Medicine
4 Development behavior
4
Vacation
  1. Subspecialty rotations: Residents take cardiology and an elective of their choice. On these rotations they spend time seeing consults, rounding on inpatients, and seeing patients in clinic. (These rotations are evening and weekend-free.)
  2. General pediatric wards: inpatient care for general pediatric, subspecialty, and surgical problems ranging from short-stay observation to medically complex/chronic illness. Residents work 10-14 hour shifts, have three weekend shifts, and one weekend off.  There are two 2-week blocks of night float.
  3. Neonatal ICU: residents gain experience in neonatal resuscitations and caring for preterm and medically complex infants in our 57 bed NICU, which has 24/7 in-house neonatologist coverage. Interns stay until 9 pm every fourth night.
  4. Emergency Department: Residents do two 10 hour shifts/week in our pediatric emergency department, that sees 11,000 patient visits/year. Residents also see patients on an inpatient psychiatric unit and outpatient psych clinics.
  5. Mother-Baby Unit: residents care for all newborns, gaining experience in their newborn exam, blood draws, and educating parents. Many infants can be recruited for the resident's continuity clinic. Sundays are free.
  6. Community/advocacy: Residents work with the child protective service team, make a home visit with a DCFS agency, visit several chronic care facilities and homeless shelters to provide care, and visit other community resources such as the Illinois Chapter of the AAP and a WIC office. They also do a project that is presented to the entire residency at continuity clinic conferences. This resident cross-covers the inpatient ward on Friday evenings.
  7. Adolescent Medicine: a variety of outpatient clinics in adolescent care, including Sports Medicine. Sunday day shift in the general care nursery.
  8. Development and Behavior: residents attend D&B clinics at Rush, Stroger, and UIC.; also attend Early Intervention activity, speech and language evaluations, etc. No evenings or weekends.

There are 3 months with no evenings or weekends.

Rotations in the second year include:

PL 2 Schedule

Weeks Rotation
16 Subspecialty Rotations (electives)
8 Pediatric ICU
4 Neonatal ICU
8 Emergency Department
4 General pediatric ward supervisor
8 Acute care clinic
4 Vacation
  1. Electives - During these rotations, the PL-2 sees inpatient consults, rounds on inpatients and works in outpatient clinics. A variety of elective options are available including: sports medicine, genetics, anesthesia, radiology, toxicology and pediatric subspecialties. One month has PICU cross-cover q 4 call; one is jeopardy and two are call free. There is an option for a month in a private office setting.
  2. PICU: two months are spent in this 12-bed unit which has a significant population of complex congenital heart disease patients. Call is q 4 with an inhouse ICU attending.
  3. NICU: in our 57-bed, Level III unit, residents gain experience in caring for a population of medically complex neonates. Call is q 4 with an inhouse neonatologist.
  4. ED: PL-2s are given more independence in the ED as they assist with PL-1 and med student supervision. Four 10 hour shifts/week.
  5. Inpatient ward: PL-2 residents transition into a leadership role as a supervisory resident on this inpatient unit. There are two weekend shifts.
  6. Acute care clinic: residents spend two months seeing urgent visits in our general pediatric clinic facility, which also houses resident continuity clinics and a faculty practice. Two weeks are spent on Mommy pager home call.

No night float for PL-2s.

Rotations in the third year include:

PL 3 Schedule

4 Neonatal ICU Supervisor
4 Emergency Department Supervisor
8 General Pediatric Ward Supervisor
12 Subspecialty Rotations (electives)
4 PICU Supervisor
4 Night Float Supervisor
4 Acute Care Supervisor
4 Mother-Baby Unit Supervisor
4 Selective/Medical education
4 Vacation
  1. NICU: PL-3s gain experience running the team and supervising PL-1s with deliveries, procedures and decision-making strategies. Call is q 4 with in-house neonatologist.
  2. ED: PL-3s do 10-hour shifts and function both seeing patients and assisting PL-1s, medical students and nurse practitioner students with procedures and decision-making.
  3. General pediatric ward: Supervising PL-1s, MS3s and MS4s, the senior leads a team providing family-centered care. This rotation allows the PL-3 significant autonomy to teach, run a service and make independent decisions. Two Saturday calls.
  4. Electives: During these rotations, the PL-3 sees inpatient consults, rounds on inpatients and works in outpatient clinics. A variety of elective options are available including: sports medicine, genetics, anesthesia, radiology, toxicology and pediatric subspecialties. Two months are call-free and one is jeopardy coverage.
  5. PICU: PL3s care for patients and supervise junior residents and students. Call is q 4 with in-house ICU attending.
  6. Acute Care: Resident sees patients and supervises junior residents and students in our busy urgent care clinic.
  7. Mother-Baby Unit: Senior supervises the PL-1 and gains experience running a nursery and teaching students.
  8. Selective/Med Ed: seniors design a month to meet their individual learning needs and have weekly teaching sessions with M3s. Sunday inpatient ward call.

Two 2-week blocks of night float covering the inpatient ward.

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Teaching Conferences

Noon Report: (11:45am-1pm)

  • Includes a 30 minute case discussion followed by 45 minute faculty didactic
  • Cases presented by the floor, PICU or NICU residents
  • Discussion lead by the chief residents
  • Separate intern report on Fridays with the chiefs; senior report with chair and program director
  • Lunch provided 2-3 days/week

 
Photo caption: Residents take a break from the floor.

Case Conference:

  • Senior residents' formal presentation of an interesting case of their choice

Grand Rounds:

  • Joint conference with Stroger Hospital Tuesday at 8 am

Patient Safety Conference:

  • Multidisciplinary monthly case discussion to improve quality and patient safety
Behavior and Development:
  • Monthly joint conference with Rush, UIC, and Stroger hospitals
  • Invited speakers are local experts in child behavior and child development
Tour de PREP:
  • Friendly competition between residency classes based on board review questions
  • Organized and run by chiefs
 
   

Photo caption: A jubilant Tour de PREP winner!

Board Review:

  • Presented monthly by one of the senior residents
  • Pediatric specialist from the area being discussed is present to answer questions and assist in the discussion

Journal Club:

  • Monthly discussion at noon
  • Article chosen by a senior resident
  • A resident from each level participates in the analysis of the paper
  • Under the guidance of a research attending

Simulator Lab:

  • State-of-the-art high fidelity mannequins (new Sim Lab opening July, 2014)
  • Used to teach advanced life support skills in mock code drills
  • Sessions are taped and reviewed to enhance teaching

 
Photo caption: A mock code session in the Rush Simulation Center.

Housestaff Meetings:

  • Monthly meeting at noon with lunch and birthday cake
  • Run by the chief residents and the program director
  • Residents have the opportunity to discuss issues of concern and provide feedback about the residency program

Individual Class Meetings:

  • Opportunity to discuss class specific issues in the program
  • Several times each year at noon 

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Rush Pediatric Resident Research and Scholarly Activity

 
Current Projects:
 
Brogan S, Logan L. The Epidemiology of Clostridium Difficile Infection in
Children. In Progress
 
Scotellaro M, Malone E, Odiaga J, Waddell D, Loza J, Oddsen, S. Strengthening Medical Homes for Foster Children. 2012 AAP Community Access to Child Health Planning Grant.  In Progress

Glogower E, Kane J, Saunders J, Levins S. Impact of Quality Improvement Surrounding Resource Utilization of a Pediatric Rapid Response Team. In Progress
 
Akhtar Y, Lennon J, Logan L.  Cytomegalovirus Infection is Associated with Worse Outcomes in Immunocompetent Children with Community-Acquired Pneumonia. Submitted
 
Recent Presentations:

Patel N
, Mallula K, Naheed Z, Hijazi Z, Abdulla R. Double Outlet Right Ventricle with Intact Ventricular Septum: A unique Stage 1 palliation. Rush University Forum for Research and Clinical Investigation, Chicago, IL, April 2013.

Win K, Nam T. Transitioning Children with Autism to Adulthood. 2012 AAP Community Access to Child Health Resident Grant. Child Advocacy Symposium, Chicago IL, February 2013.

Patel N, Kenny D, Amin Z, Gonzalez I, Ilbawi M, Hijazi ZM. Single Center Outcome Analysis Comparing Reintervention Rates of Surgical Arterioplasty with Stenting for Branch Pulmonary Stenosis. Pediatric and Adult Interventional Cardiac Symposium; Miami, FL, January 2013.

Adhikari P, Ganesan R. Situational Circumstances, Emotional Reactions, and Coping Strategies Identified by Medical Residents Surrounding Patient Deaths. Annual Congress of the Society of Critical Care Medicine, San Juan, Puerto Rico, January 2013.
 
Meltzer L, McAuley J, Rajan K, Hayden M, Weinstein R, Logan L. A Multicenter Study of Extended Spectrum Beta-Lactamase producing Enterobacteriaceae Infections in Children. ID Week, San Diego, CA, October 2012.

Kent P, Hsu L, Ording J, Lauck S, Lamzabi I, Daley K, Cooper M.  Fatal Sickle Cell Associated Pulmonary Hypertension in Adolescents: Three Cases and the Highlighted Need of Specialty and Transitional Care. American Society of Pediatric Hematology and Oncology, New Orleans, May 2012.

Rainwater D, Kent P, Ording J, Balasubramanya S. Tracking the Enemy.  Rush Research Forum; Chicago, IL, April 2012.
 
Kent P, Shah K, Thakkar S. Fatal Tumor Lysis Syndrome Triggered by Laparoscopic Biopsy in Burkitt’s Lymphoma: A First Report. Rush Research Forum, Chicago, IL, April 2012.
 
Olson S, Kent P. What are the True Risks of Sickle Cell Trait? An Ethical Dilemma. American Society of Pediatric Hematology and Oncology, New Orleans, May 2012, and Rush Research Forum, Chicago, IL, April 2012 – Winner of the Resident/Fellow 2012 Sigma Xi Poster Competition.

Silvesteri J, Trivedi S, Spanier-Mingolelli S, Patel A. Prevention of Hypothermia through Quality Improvement (QI) of Resuscitation Practices for Very Low Birth Weight (VLBW) Infants. Pediatric Academic Society Meeting, Boston, April 2012.

Patel A, Trivedi S, Silvesteri J, Meier P. Quality Improvement (QI) Methods Applied to Necrotizing Enterocolitis (NEC) in Very Low Birthweight (VLBW) infants. Pediatric Academic Society Meeting, Boston, April 2012.

Sosnowski C, Kenny D, Cao Q, M.D., Hijazi Z.  Bail Out use of the Gore Excluder Following Pulmonary Conduit Rupture During Transcatheter Pulmonary Valve Replacement.  Pediatric Interventional Cardiac Symposium, Chicago IL, April 2012.
 
Mallula K, Sosnowski C, Awad S.  Spectrum of Pentalogy of Fallot: Case Series from a Single Tertiary Care Center.  Children’s’ Hospital of Philadelphia Cardiology Conference, Orlando FL, February 2012.
 
Kent P, Fricchione M, Deinhammer R, Follmer R, Ittner J. Life-Threatening Paraneoplastic Syndrome in a Child with Embryonal Sarcoma of the Liver Cured by Emergency Resection. Poster Presented at Pediatric Academic Society Meeting, Denver, May 2011 and American Society of Pediatric Hematology and Oncology, Baltimore, April 2011.

Kent P, Adhikari P, Grothaus J, Ittner J, Jacobson P. Pseudo-Hyperkalemia from Pneumatic Tube Transport in a Child with Leukemia Leading to Unnecessary Dialysis. Poster Presented at Pediatric Academic Society Meeting, Denver, May 2011 and Rush Research Forum, Chicago, April 2011.

Lauck S, Lamzabi I, Sharma G, Paul Kent MD. Fatal Pulmonary Birefrinent Microemboli in Patient with Sickle Cell Disease. Poster Presented at Rush Research Forum, Chicago, April 2011.
 
Rabbat JC, Moy JN. Specific Antibody Deficiency in a Patient with Jacobsen
Syndrome and Paris-Trousseau Syndrome. Poster Presented at American Academy of Allergy, Asthma, and Immunology Annual Meeting, San Francisco, March 2011.
 
Ostrander B, Levy R, Ray C, Baron J. The Prevalence of Sleep Disorder Symptoms in Children with Epilepsy and Type 1 Diabetes Mellitus. Poster Presented at the American Epilepsy Society Meeting, San Antonio TX, December 2010.
 
Patel A, Mutlu E, Meier P, Keshavarzian A, Jakubowicz A, Mryan J, Pombar X, Chen A, Gillevet PM. Impact of Early Enteral Feedings on Initial GI Microbiota and Disease in Premature Infants. Poster presented at the International Society for Research in Human Milk and Lactation; Lima, Peru, October 2010.
 
 
Krier J, Dutmer C.  11-Month Old Infant with Seizures in the Context of Fever. Poster Presented at the American Academy of Pediatrics Meeting, San Francisco, October 2010.
 
Trivedi S, Schmidt M, Kent P. Relapse of Low Risk Ganglio-neuroblastom Nodular Subtype: High Risk Behavior of Low Risk Neuroblastoma, Poster Presented at the Rush Research Forum, Chicago, May 2010.
 
Jakubowicz A. Double Trouble: A Neonate with Pulmonary Hypertension Secondary to Premature Closure of the Ductus Arteriosus in utero with Subsequent Methemoglobinemia. Oral Presentation presented at: Chicago Pediatric Society's Annual Unusual Case Vignette Competition; Chicago, May 2010.
 
Vinikoor M, Sharma GD. An Infant with Heterozygous ABC A3 Mutation, Chronic Respiratory Distress, Hypoxemia, and Interstitial Lung Disease. Poster Presented at the American Thoracic Society International Meeting in New Orleans, May 2010.
 
Patel A, Mutlu E, Meier P, Keshavarzian A, Jakubowicz A, Mryan J, Pombar X, Chen A, Gillevet PM. Impact of Early Enteral Feedings on Initial GI Microbiota and Disease in Premature Infants. Poster presented at the Rush Research Forum; Chicago, IL, April 2010.
 
Recent Publications:

Zimmerman B
, Valentino L. Hemophilia: In Review.  Pediatrics in Review Vol. 34 No. 7 July 1, 2013, pp. 289 -295.

Fricchione M, Glenn N, Follmer R, Kent PM. Life-Threatening Paraneoplastic Syndrome in a Child with Sarcoma of the Liver Cured by Emergency Resection. J Pediatr Hematol Oncol_ 2013 Mar;35(2):153-5.

Fricchione M, Deyro H, Jensen C, Hoffman J, Singh K and Logan L. Non-Toxigenic Penicillin and Cephalosporin-Resistant Corynebacterium Diphtheria Endocarditis in a Child: A Case Report and Review of the Literature. J Ped Infect Dis (2013) doi: 10.1093/jpids/pit022.
 
Sosnowski C, Kenny D, Cao Q, Hijazi Z. Bail Out Use of the Gore Excluder Following Pulmonary Conduit Rupture During Transcatheter Pulmonary Valve Replacement.  Catheterization and Cardiovascular Interventions Vol 79, Issue 5, April 2012 pg S16.
 
Schloemer N, Lozovatsky M, McClain R, Kent P. Sustained Remission of Chronic Immune Thrombocytopenic Purpura with Low Dose Hydroxyurea. Pediatr Blood Cancer. May 2011. doi: 10.1002/pbc.23153. [Epub ahead of print]

Bartoszewska M, Patel N, and Carter-Blanks L. Why do Some Parents in the United States Refuse to Vaccinate their Children? An Explanation of History, Origin and Causes. International Journal of Child Health and Human Development 4(3) 2011, (Epub).

Bartoszewska M, Kamboj M, Patel DR. Vitamin D, Muscle Function, and Exercise Performance. Pediatr Clin of North Am. June 2010; 57(3):849-61.

Aziz M, Patel A, Losavio J, Iyengar A, Berven M, Schloemer N, Jakubowicz A, Mathai T, and McAuley J. Efficacy of Fluconazole Prophylaxis for Prevention of Invasive Fungal Infection in Extremely Low Birth Weight Infants. Pediatric Infectious Disease Journal. April 2010; 29(4): 352-6.

Sharma GD, Vinikoor M. Loeffler’s syndrome. Emedicine from WebMD. February 01, 2010.
Available at: http://emedicine.medscape.com/article/1002606-overview.

 

 

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The Place

The Medical Center is conveniently located minutes from downtown Chicago in the West Side Medical District. Some residents choose to live within walking distance from the campus, and others prefer to live elsewhere in the city or the suburbs of Chicago. Residents have free parking at the hospital and can take the CTA train which stops at the Medical Center as well as both airports. 

Rush University Medical Center is a major patient care, teaching and research institution in Chicago. Rush University is home to Rush Medical College, Rush College of Nursing, and graduate programs in health systems management and biomedical research. The Medical Center offers more than 70 highly selective residency and fellowship programs in medical and surgical specialties and subspecialties.

In the 2013 issue of U.S. News and World Report's "America's Best Hospitals", Rush University Medical Center and Rush Children's Hospital again were ranked among the best hospitals in the US. Rush has also maintained the Magnet Award status for excellence in nursing care since 2002. Rush's leadership in the use of electronic medical records is why U.S. News and World Report recently named Rush one of the nation's Most Connected Hospitals..

Rush is undergoing a 10 year, hospital wide transformation. This includes a new hospital tower which opened in 2012. Included in this tower is The McCormick Foundation Center for Advanced Emergency Response. In addition to the daily operation as an Emergency Department with the capacity to handle 65,000 visits annually, it provides ann unprecedented level of readiness for large-scale health emergencies, such as mass outbreak or a terrorist attack. The tower also houses a new 72 bed Neonatal Intensive Care Unit which will open in November 2013. The Renee Schine Crown Neonatal Intensive Care Unit will be the only NICU in Chicago with private rooms for patients and their families. As part of its efforts to promote sustainability, Rush has incorporated green roofs -- roofs that are partially or completely covered with vegetation and soil, planted over waterproof material -- into the new hospital and other campus buildings. Renovations to the Atrium and Kellogg buildings will follow. Rush is also in the process of earning the "Baby Friendly" designation.

Facilities at Rush Children's Hospital include a 20 bed PICU, a 22 bed general in-patient ward, a 56 bed NICU and 34 bed Mother Baby Unit and a 15 bed child psychiatry unit. The pediatric Emergency Department sees more than 11,000 visits per year and the Pediatric Ambulatory Care Center, home to the residents continuity clinic and to the general pediatric faculty practice, sees more than 27,000 visits per year.

Some of the many programs Rush Children's Hospital has to offer include:

  • The Rush Center for Congenital and Structural Heart Disease, headed by one of the worlds leading interventional cardiologists, Ziyad M. Hijazi, MD, brings together pediatric and adult cardiologists and interventional cardiologists, electrophysiologists, transplant cardiologists and echocardiologists who collaborate with a pediatric cardiovascular surgeon to provide the best care possible.
  • The Rush Fetal and Neonatal Medicine Program provides multidisciplinary expertise to expectant parents facing fetal anomalies.
  • Hemophilia and Thrombophilia Treatment Center: This federally funded center offers comprehensive treatment for children and adults with hemophilia, von Willebrand disease and other bleeding disorders, as well as a wide range of clotting disorders.
  • The Rush NeuroBehavioral Center (RNBC) is as an institution of excellence and cutting-edge knowledge dedicated to improving the quality of life for children with neurobehavioral issues with a special expertise on Nonverbal Learning Disabilities and other Social-Emotional Learning Disorders.
  • The Rush Children's Hospital Dialysis Center is the only children's hospital in the greater Chicago area with a pediatric dialysis on premises. This offers a unique advantage:  a pediatric nephrologist, pediatric intensivist, and neonatal intensivist are on site furing dialysis. A tremendous advantage that Rush Children's Hospital has over other children's hospitals in the area is a comprehensive pediatric dialysis unit and transplant center all under one roof.
  • Ada F. Addington Inpatient Hospice Unit is the first inpatient hospice unit at a major medical center in Chicago and accommodates infants and children.
  • Pediatric Palliative Care Program
  • The Rush Cysytic Fibrosis Center offers a state-of-the-art, multidisciplinary team approach to the care and treatment of infants, children, adolescents and adults with cystic fibrosis.
  • Bone and Soft Tissue Sarcoma Program
  • The Rush/Stroger Core Center for HIV/AIDS
  • Rush Epilepsy Center: One of the largest programs of its kind in Chicago, the center offers many treatment options for children with epilepsy and other seizure-related disorders.
  • Fragile X Syndrome and Muscular Dystrophy Clinics
  • Snow City Arts Foundation has a program for arts education for children hospitalized at Rush.

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Benefits

These are just some of the benefits Pediatric residents at Rush enjoy:

Photo caption: Resident Stephanie Olson, MD, looks forward to cheering for the Bulls

  • 4 weeks vacation
  • Membership for three years in the American Academy of Pediatrics resident section
  • Lunch at some pediatric noon conferences
  • Free parking
  • On-call meal reimbursements through our Freedom Pay system
  • A book allowance of up to $300/year and numerous other GME benefits including tickets to Bulls and White Sox games, and the opportunity to serve as "Doc of the House" for the Chicago Symphony and Chicago Civic Opera
  • Rush University Medical Center Rush employee discounts, including discount memberships at local fitness centers.
  • Reimbursement for attendance at professional meetings and conferences
  • Mileage reimbursement for assignments off campus
  • Post-call transportation if needed
  • The beautiful city of Chicago, its parks, beaches and myriad cultural activities

 

 


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