Sinai Hospital: Serving Baltimore and Beyond > About Sinai > Graduate Medical Education at Sinai Hospital > Residency Programs > Pediatric Residency Program > Rotations

Children's Hospital at Sinai Pediatric Residency Program - Rotations

First Year	Second Year	Third Year
Rotation	Rotation	Rotation
Ward Day 13 Weeks	Ward Day 4 Weeks	Ward Day 8 Weeks
Ward Night 5 Weeks	Ward Night 4 Weeks	Ward Night 4 Weeks
NICU 4 Weeks	NICU 4 Weeks	NICU 2 Weeks
Emergency Department 5 Weeks	Emergency Department 4 Weeks	Emergency Department 4 Weeks
Individualized Curriculum 2 Weeks	Individualized Curriculum 14 Weeks	Individualized Curriculum 12 Weeks
Nursery 4 Weeks	PICU - Sinai 4 Weeks	PICU-Hopkins 4 Weeks
Outpatient 1 5 Weeks	Adolescent 4 Weeks	PICU - Sinai 4 weeks
Outpatient 2 4 Weeks	Hematology/Oncology 4 Weeks	Cardiology 4 Weeks
Behavior and Development 2 Weeks	Advocacy  2 Weeks	Outpatient 3 4 Weeks
Gastroenterology 4 Weeks	Behavior and Development 2 Weeks	Holiday Block 2 Weeks
Vacation 4 Weeks	Holiday Block 2 Weeks	Vacation 4 Weeks
	Vacation 4 Weeks
Total 52 Weeks	Total 52 Weeks	Total 52 Weeks

Adolescent Medicine

The adolescent medicine rotation is a favorite of many residents. This month, residents work with Dr. Oscar Taube, a board-certified adolescent medicine specialist whose easy and eager teaching style makes this rotation a uniformly positive experience. The main highlights of this rotation are working at the local Loyola University Student Health Center and The Arrow Project, a residential diagnostic and treatment center for troubled adolescents. 

Behavior and Development

During the first year of residency, residents will spend two weeks at the Kennedy Krieger Institute rotating through the following departments: Center for Autism and Related Disorders, Clinic for ADHD, Concussion Clinic, Neuro-genetics and Neuro-developmental disabilities clinics, and the Cerebral Palsy Clinic.

Continuity Clinic

All residents are assigned one half-day per week for their continuity clinic, which typically remains the same throughout the three years. All residents have their patient panel for which they are responsible. Residents can be scheduled for up to six health maintenance visits in each clinic. The continuity clinic teams and their preceptors quickly become a close-knit group, and, for many residents, the continuity clinic is something they look forward to every week.

Greenspring Pediatrics
Outpatient Subspecialties/Outpatient with Call

In addition to weekly continuity clinics, each resident spends three months at Greenspring Pediatrics, our outpatient clinic located on campus. Residents gain insight and experience into the inner workings of an outpatient pediatric office and are responsible for all acute visits and some health maintenance visits. Third-year residents typically precept and supervise the first-year residents. Third-year residents take night calls for the clinic approximately every fourth night, including two weekends per month. In addition, there is a social worker and education coordinator present on site.

Emergency Medicine 

All residents spend three months in our pediatric emergency department. Each resident typically has 14-18 twelve-hour shifts in a month. Residents not only see a wide variety of patients but can also master procedures, including lumbar punctures, peripheral intravenous catheterization, suturing, and splinting of fractures.

Well-Baby Nursery

This one-month rotation in the first year of residency allows the first-year residents to develop a sense of normalcy in the newborn, which is an essential step toward recognizing pathologies. Residents are responsible for examining all the neonates daily and rounding with the on-service neonatologist, who is readily available throughout the day to teach and answer any questions. Residents also attend all high-risk deliveries.

NICU

Our NICU is a 22-bed Level III facility with the ability to handle a variety of neonatal problems. Sinai Hospital has more than 2,500 deliveries each year, allowing residents ample opportunity to acquire neonatal resuscitation skills. In addition, admissions are received from many outside institutions. The residents' learning experience includes attending all high-risk deliveries, daily morning attending rounds with the staff neonatologists, weekly core neonatology conferences and resident presentations germane to the month. Also, a weekly perinatal conference is held with the Department of OB/GYN regarding management and follow-up of patients. Residents are expected to take call every fourth night with an on-call neonatologist as backup for any problems.

Inpatient Pediatrics

Each month the inpatient team consists of two interns and two senior residents. During the month, residents care for a variety of diseases in General Pediatrics, Oncology, Gastroenterology, Endocrinology and other subspecialties. Other  subspecialties include our newest addition of the Rubin Institute of Advanced Orthopedics, which provides pediatric housestaff with an opportunity to post-operatively manage children with limb deformities. Residents gain invaluable experience in post-operative management of complex pediatric orthopedic patients, including pain management. In addition, pediatric housestaff follow all surgical admissions to ensure these patients receive appropriate care. Private pediatricians and our inpatient director, Dr. Joanne Lanzo, provide supervision. The management of all patients is discussed daily during Family Centered Rounds, which take place each morning. The interdisciplinary team of caregivers share information, at the patient's bedside, so they can work effectively as a team. Call is taken as part of the night float system. Formal teaching sessions include family centered rounds and attending rounds. Residents are also responsible for the instruction of approximately four medical students per month.

Pediatric Intensive Care

The curriculum provides two months of intensive care experience in our state-of-the-art 7-bed Intensive Care Unit. During these months, residents are exposed to a variety of critically ill children, including patients with respiratory failure, metabolic and hematologic derangements, traumatic injuries, and critically ill post-surgical patients. Residents become familiar with ventilator management, conscious sedation and a variety of remote procedures under direct supervision of one of three critical care attendings. Instruction is provided during morning work rounds, didactic teaching sessions and throughout the day. Call occurs every fourth night.

Gastroenterology

As part of the first-year curriculum, every resident spends one month in pediatric gastroenterology. During the rotation, residents evaluate and treat patients with common GI complaints in the outpatient clinic and join the attendings in consults on the inpatient service. Residents are also able to observe procedures, including endoscopies and colonoscopies.  

Advocacy

During this 2-week rotation, residents are afforded the opportunity to improve the health of children outside of the hospital/in clinic setting. Residents commonly get involved in administration of health legislature, bill defense at the state level, and are also able to work with the American Academy of Pediatrics. 

Hematology/Oncology

During the second year, residents spend one month in the outpatient hematology-oncology clinic. Residents typically see all new referrals to the clinic, patients in active chemotherapy, long-term cancer survivors, and follow-ups for chronic hematologic diseases. Residents also attend interdisciplinary team meetings, review peripheral smears, and present a topic of their choice at the end of the rotation. 

Cardiology

During their third year, residents spend one month at the pediatric cardiology clinic at the Johns Hopkins Outpatient Center, including exposure to fetal cardiac diagnoses and pediatric echocardiography. Residents may also attend cardiac catheterization procedures, round on the inpatient services, or join the clinical faculty at one of several off-campus offices where many of our patients are seen.

Individualized Curriculum (IC)

Our program has five subspecialties built into the curriculum: adolescent medicine, behavior and development, hematology-oncology, gastroenterology, and cardiology. In addition, residents have 28 weeks through three years, where they can plan IC rotations based on their chosen curricular track along with the support of a track/career mentor. Johns Hopkins Hospital and the University of Maryland Medical Center are popular choices for scheduling electives locally. There are also opportunities to schedule electives outside the Baltimore area, along with global health trips.