WebForMDs > PROVIDER RESOURCES > FAIRFAX PEDS > ROTATIONS

Adolescent, University of Maryland at College Park - As a second year resident he (she) will spend a one-month block rotation at the campus infirmary of the University of Maryland at College Park.  This health care facility provides services for a student population of over 32,000.  This is a comprehensive facility, run by adolescent specialists, that provides both primary and secondary care services. | learn more

Behavior and Development - This portion of the program is provided in three segments: a one month block during the PL-1 year which includes two weeks each of behavioral and developmental pediatrics; a one month experience spread out over the three years encompassing additional time in the developmental office; family therapists offices, specialty clinics such as f/u for "preemie grads"; and county developmental centers where young children receive developmental screening and therapy provided.  In addition, the focus on normal and abnormal behavior and development is a daily occurrence in both the in and outpatient facets of this program.  There are didactics in behavioral and developmental pediatrics as part of both the core lecture series and in the "mini conference series". The block month during the PL-1 year consists of two weeks at the Kellar Center, one week at the Kluge Institute in Charlottesville, VA, and one week of out patient experiences in developmental screening and assessment of OT/PT/speech. | learn more

Cardiology - One month block rotation in cardiology is arranged during the PL-1 year at one of two cardiology practices.  The majority of the time (50-70%) will be spent in the office interviewing, examining and discussing patients with cardiac abnormalities (or evaluation to rule-out).  A smaller percentage of time (30-50%) will be spent in the hospital setting seeing cardiology inpatients for additional experience with those acutely ill.  By assisting with consultations, experience will be developed in the acute evaluation of infants and children with potentially serious cardiac problems.  A small percentage of the time will allow familiarity with specialized procedures such as transthoracic and transesophageal echocardiography, cardiac catheterization, pacemaker insertion, and electrophysiologic studies.  Flexibility will be allowed in the schedule to allow the resident to take advantage of patients presenting unexpectedly (e.g., newborn or ED consultations).  This will enhance the development of skills for the acute assessment of such patients as well as the experience to treat them. | learn more

Dermatology - The resident will spend a 2 week block rotation working on-on-one with the attending.  This will include time in the office seeing first time consultations and follow-up visits, as well as rounding on ward patients when the need arises. | learn more

Emergency Department - The residents will have a one month block in pediatric emergency medicine in each of the PL-1 and PL-3 years.  Our Emergency Department is the major trauma center for our locale and the pediatric section is staffed by board certified and board eligible pediatric emergency specialists.  There are over 75,000 ED visits per year and approximately 20,000 of these are children, thus enabling our residents to see a broad mix of acute illnesses and trauma.  We have a Pediatric and ED fellowship program and the atmosphere is strongly geared toward teaching.  | learn more

Endocrinology - The resident will be in the office 5 hours per day Monday through Friday.  They will see new consultations and old patients in the practice with interesting endocrine disorders.  After the resident sees the patient, he will discuss the case with the attending and be involved with the discussion with the patient and/or family.  The ½ day the resident is not in the office seeing patients, he will be available to do inpatient consultations and have library time to work on an endocrine topic.  The inpatient consultation will be performed first by the resident, who will then report verbally to the attending and in writing on the consultation form in the patient's chart.  The attending and resident will then seen the patient together and the case will be discussed further.  | learn more

ENT - The PL-2 resident will spend a two-week block working one-on-one with the ENT specialist.  This rotation will include seeing patients in the office, participating in hospital rounds, and attending the OR. | learn more

Genetics - The resident will work with a full time clinical geneticist in the evaluation and care of patients with inherited disorders and congenital defects. This will include in-house consultations, outpatient visits, and specialty clinics (craniofacial and prenatal). The resident will also rotate through the various laboratory services at the Genetics and IVF Institute to learn cytogenetic and molecular technologies. Each resident will prepare a short presentation on a topic of interest to be given at the end of the rotation. | learn more

Gastroenterology - The goal of this program is to expose the resident to common in and outpatient problems of gastroenterology in children from infancy through late adolescence. This will be achieved by hands on patient-oriented teaching with attending supervision. During the elective, Residents rotating through pediatric gastroenterology can expect to spend four to five half days per week in the hospital seeing patients, participating in their care and evaluation, seeing consultations and witnessing endoscopies. They can also expect to spend five or more half days per week in the outpatient setting with one of the attending physicians seeing outpatient consultations for a variety of problems. | learn more

Heme / Onc - Each PL-2 spends either a four-week or six-week block on the Hematology/Oncology service. During this time they manage with the hematology/oncology attending staff all of their inpatients. Approximately half of each day is spent in the outpatient setting seeing hematology/oncology patients on an ambulatory basis seeing patients for routine management and consultations. | learn more

Infectious Disease - The goal of the pediatric infectious disease elective is to familiarize the resident with the various infectious problems encountered in the pediatric age group. To accomplish this there will be three one-hour didactic tutorial sessions, prior to which the resident will be given relevant reading assignments. These should provide a core introduction of the subject. The faculty provides a framework for the months clinical experience. | learn more

Inpatient Ward, PL-1 - The PL-1 functions as the hospitalized child's primary care physician. He or she performs the initial comprehensive history and physical and, with the supervision of the senior resident, develops the differential diagnosis, determines what lab testing should be ordered and sets forth a treatment plan. The PL- 1 interacts closely with the patients and his or her family during the entire hospital stay and sets up an appropriate follow-up upon discharge. The PL-1 functions as the patient's advocate and tend to the patient's emotional well being in addition to whatever illness necessitated the hospitalization. The residents' daily schedule includes work rounds with the members of his or her team, morning report, attending bedside rounds, radiology rounds, noon conference series (four days per week), noon teaching conference with Dr. Ziai, psychosocial rounds, Grand Rounds, and Problem Conference. A journal club is held one day per month. In addition to the formal teaching rounds, the residents receive a significant amount of teaching at the bedside by the primary care physicians and the subspecialists. The Inova Fairfax Hospital functions both as primary care facility and as a major tertiary care center for Northern Virginia thus enabling the resident to take care of patients with a wide variety of pathological conditions. | learn more

Inpatient Ward, PL-3 - The PL-3 functions as the team leader during the day and the senior admitting resident at night. He or she examines every patient admitted to the team, aids the PL-1 in performing the H&P, helps the PL-1 or student develop the differential diagnosis and provides guidance regarding lab testing and the various treatment modalities. In the case of an M-SET, the PL-3 is the team leader until the patient is stabilized or an intensivist attending arrives. | learn more

IPC (INOVA PEDIATRIC CENTER) - This center is the primary care health facility for several thousand children who receive the full range of general pediatric care. It is a multi-cultural, multi-lingual center, which serves the many needs of an indigent patient population in a family context. Residents will work with the faculty and work with public health, social services, health educators, and nursing staff to address the children's' medical and other needs. This center will serve as a source of ambulatory training for resident block rotations as well as continuity clinic experience for some. At the end of each month, the second and third year residents give a lecture of their own on a relevant ambulatory related topic. | learn more

Nephrology Elective - Residents will actively participate in the day-to-day activities of the Kidney Center with one-on-one teaching and supervision by the renal attending physicians. The Pediatric Nephrology Center includes ambulatory consultative services at the Fairfax and Bethesda offices and inpatient primary and consultative services. There is a broad spectrum of patients ranging from those with common nephrologic and urologic problems to patients with complex, ongoing renal problems including dialysis and transplantation. In addition, there are ongoing clinical research projects at the center and the center participates with several national databases. The elective is open to PL-2 and PL-3 residents and the block carries a minimum elective time of four weeks. | learn more

NICU - The second and third year residents will be rotating through the NICU and will function as the primary care physicians for this group of patients. While they will be taking care of a wide spectrum of newborns requiring intensive care, a major focus of this rotation will be neonatology from the primary care physicians' point of view. The rotation will include diagnosis and treatment of the common maladies, diagnosis and initial stabilization in acute care situations and the knowledge to know when to utilize specialist support. The 2nd and 3rd year residents will be attending deliveries and neonatal lectures. There will also be night call every 3 days (except weekends) with the overnight neonatologist. | learn more

Orthopedics - As a PL-2, the resident will spend two weeks accompaning the attending on hospital rounds, to the OR, and seeing patients in the office setting and in the ED as the situations arises. | learn more

PICU - The PICU rotation aims at providing the residents at the PL-2 and PL-3 levels with experience in caring for a wide variety of critically ill children. Additionally, the exposure to the sophisticated medical technology, the difficult medical and ethical decisions, and the psychosocial dilemmas of the ICU will make the pediatrician ultimately able to take a more active role assisting the tertiary attendings in the care of his or her own critically ill patients both during and after their PICU stay. | learn more

Private Practice - A major thrust of this residency program is to provide instructed real life practice experiences. Residents will be placed for a total of four months in private physician offices. Practice site opportunities range from traditional small group practices to large multi-specialty HMOs and rural offices. The preceptors in these practices have exhibited an exceptionally strong interest and ability in the education of residents. Goals: Gathering data by history or interview. Learn to conduct effective interviews with parents or children at all developmental stages. Gathering data by physical exam. Perform patient education and counseling. Managing the Whole Patient (understand how to provide patient care in a humanistic manner). Be proficient in common pediatric therapeutic and technical procedures. Learning office management and general principles of coding and billing. | learn more

Pulmonary - The resident will spend 2 weeks during the first year and two weeks in the second year in with the pediatric pulmonologist. During this rotation, the resident will be responsible for evaluating all patients on the pulmonary service and writing consultations with the attending. The resident will round on all inpatients and in conjunction with the attending will manage all problems, write daily progress notes and continue with one-on-one contact with the attending. Correlative diagnostic studies such as radiographic imagery, pulmonary function studies and flexible fiberoptic laryngobronchoscopy will be initiated to further enhance the learning process. Outpatient responsibilities will include participation in four half-day activities in the following area: apnea clinic, asthma clinic, general pulmonary clinic and the Cystic Fibrosis clinic. | learn more

Surgery / Anesthesia - Surgery: The resident will be present at many of the surgical procedures and attend some of the office sessions with the surgical attendings. In addition, the resident will see patients in the ED with the surgical team whenever possible.

Anesthesiology: The resident will spend a one week rotation working closely with attending anesthesiologists in various clinical settings (OR, ED, L&D, non-OR anesthesia). The focus will be on airway needs assessment and development of the technical skills necessary to provide an adequate airway. | learn more

Well Baby - During the PL-1 year, the resident will spend a one-month block seeing patients in the well baby nursery, functioning as the primary care physician for these children. The focus will be on obtaining an appropriate perinatal and neonatal history, performing an accurate physical exam (looking for signs of illness or congenital malformations), well newborn care, and parent education (providing anticipatory guidance to the new families). The intern will be attending neonatal lectures and teaching rounds with the more senior residents, attending staff and Pediatric Nurse Practitioners. The PL-1 will become familiar with the initial evaluations and treatment of the common Level 1 maladies. | learn more