For residents interested in a pediatric subspecialty that is not included in either the Primary Care or Hospital Based Practice Pathways
Electives
At least 4/7 must be "core pediatric" electives; others can be "non-core"
Must Do for pathway (4 core)
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Choose 2 (additional core)
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Non-core (Tier 1)
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Non-core (Tier 2) – higher consideration for ED
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Cardiology
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Hematology/Oncology
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Anesthesiology
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Dermatology
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Pulmonary
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Renal
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PM&R
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Ophthalmology
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Neurology
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Infectious Disease
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Radiology
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Otolaryngology
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Endocrinology
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Rheumatology
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Genetics
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Sports Medicine
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Allergy/Immunology
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Individualized Units
Suggested longitudinal blocks for pathway – incorporate research into longitudinal blocks
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Suggested alternative electives/ IUs
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Choose 1 Rigorous month in senior year
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Procedural/Diagnostic/Imaging – incorporate sedation services, PICC team, interventional radiology, ultrasound, radiology
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General pediatric surgery – focus on OR experience, assessment in ED and in-patient units
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Cardiac Critical Care – rotate on cardiac team in PICU, go to OR/cath labs
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Hospital systems/multi-specialty/QI – rotate through various hospital disciplines (nursing, PT, OT, RT, pharmacy), QI training modules and multi-system QI project
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Mount Washington Hospitalist – rotate on either chronically ill service or NICU step-down service
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NICU at Mercy – rotate on Mercy NICU team, acting in a fellow role
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Nutrition
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Hospitalist – BWMC/Upper Chesapeake
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Palliative Care, pain management
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Peds ED Senior - precept other residents, coordinate throughput
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Simulation
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PICU/NICU nights
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Transport – NICU/PICU
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Professional Development
Practice Based Learning and Improvement
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Teaching
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Systems Based Practice
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QI project for whole pathway, ie asthma discharge follow up
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Team coordination
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Systems error project
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Possible month elective with QI training – Lean Sigma, Teluride, IHI modules; participate in ongoing division QI
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Option to add a 1-month Teaching Elective as an IU as part of a longitudinal block and act as adjunctive teaching member to rounding teams |
Business of medicine project
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EBM journal club presentations during pathway, with a focus on translational, basic science, and clinical research articles
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Pathway residents create monthly QI newsletter for department
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