CLINICAL CURRICULUM

ROTATIONS

* Call based on night float system with one week of nights and one weekend call during Wards and NICU, some 24 hour shifts during cross-cover months

continuity clinic

A team model is used for patient care, continuity and teaching. Recently the practice’s approximate 10,000 patients were distributed among ten smaller micropractices. Each resident is assigned to a micropractice group that has 1-2 faculty leaders and a nurse. Residents in each micropractice team generally have their clinic on the same day of the week with their faculty preceptors. This model allows for greater continuity and the ability to track outcomes for a smaller panel of patients. Residents provide a full range of pediatric services including well child visits, follow up visits for chronic medical conditions, medical clearance, sick visits, sports physicals and care coordination. Residents are expected to take ownership of their patients, follow up on labs and consults, and have a unique opportunity and responsibility to be the pediatrician for a family.

RESIDENT DIDACTICS

*During COVID-19 Pandemic, morning reports are offered as a “hybrid” curriculum, with both in-person (limited group) and virtual options for residents*

Standard MR – Case based format led by our teaching resident or one of our chief residents where we work through an interesting or challenging case. We encourage the use of games, small group work and reversed classroom structure to enhance engagement.

Senior MR – Weekly discussion of interesting cases admitted from the prior week with senior residents and attendings

Intern MR – Weekly didactic session led by fellows, teaching residents, or chief residents which focuses on diagnosis and management of common pediatric disorders

Journal Club – An interactive approach to journal club using JAMA Critical Appraisal, led by our teaching residents (and mentored by a faculty member), which incorporates small group work to evaluate articles related to Diagnosis, Therapy, Harm and Meta-Analysis.

Faculty Roundtable – Monthly discussion between faculty of various divisions regarding management of basic pediatric diagnoses. A time for residents and medical students to hear attendings discuss variations in care and the nuanced “art of medicine.”

ExCEL (Excellence in Communication and Emergency Leadership) – Monthly emergency room simulation/procedure based MR facilitated by PEM attendings and fellows. Focused on communication and procedural skills. 

Board Review Session – Weekly session led by our chief residents based on high-yield topics and test-taking strategies. Typically uses Kahoot! game interface.

Grand Rounds – Weekly presentations on Friday by invited guest speakers distinguished in their field directed towards faculty, fellows, and residents 

*During COVID-19 Pandemic, noon conferences are offered as a “hybrid” curriculum, with both in-person (limited group) and virtual options for residents*

We follow the 18 month American Board of Pediatrics Content Specification Guidelines to ensure that all our residents have didactic training across varied pediatric disciplines

Daily Noon Conference – Interactive, case based discussions led by attendings on topics highlighted in the ABP Content Specification Guidelines. Lectures incorporate Board Review questions to solidify concepts.

Resident Improvement Sessions – Monthly Residency Improvement Committee (residents & residency leadership), individual classes with Dr. Poitevien (PD), and residents with chiefs in order to work through systems issues that are affecting resident experience and brainstorm changes.

Simulation Curriculum – Monthly simulation of rapid response scenarios run by PGY-3s Adam Kronish and Dan Alanko with support from PICU and PEM faculty.

At Brown, resident and faculty wellness is both a priority and an open topic for creativity. The Brown Pediatrics Wellness Committee was created in 2017 with a focus on approaching wellness through a variety of methods. Residents are always encouraged to bring new ideas to the table. Our wellness committee serves with the goal to help each person develop the tools that help them find the most satisfaction and meaning in their work. The Brown Peds Wellness Committee is primarily resident-run and is dedicated to providing structured wellness activities into our curriculum. Our wellness committee is currently spearheaded by Adam Kronish (PGY-3), Nadya Rivera Gelabert (PGY-3), Ashley Nguyen (PGY-3), and Lindsey Mahoney (PGY-4). Through wellness research grants and activity funding, our wellness committee has been a very active part of our program and include the following wellness activities:

Follow us on social media:

  • Instagram: @brownpeds or @brownpedswellness
  • Twitter: @brownpediatrics

advising

We offer multiple tiers of advising for our residents:

Clinical Competency Committee (CCC) Advisor – an advisor assigned to you at the beginning of PGY-1 whose main responsibility will be to support you successfully through residency training

Career Advisor – an advisor assigned to you at the beginning of PGY-2 matched with you based on your chosen career path. Their main responsibility is to help our residents prepare for their next stage AFTER residency training. From fellowship applications to research grants, to job interviews this advisor will leverage their experience to guide your plans for the future.

Program Advisor – a member of Program Leadership assigned to you at the end of PGY-1 whose main responsibility is to help you map out your Individualized Curriculum.

PROGRAM IMPROVEMENT

We value the feedback of our housetaff and understand their input must drive the changes and improvements we plan for the program. As a result we offer several opportunities to hear from our residents and create plans for actionable, sustainable change.

Resident Improvement Committee (RIC) – monthly meetings attended by residents and program leadership to discuss new concerns and provide follow-up on previously discussed issues.

Chill with Phyll – a monthly meeting led by our Chair, Phyllis Dennery, and attended by residents to discuss concerns and questions trainees have for Departmental Leadership

Program Evaluation Committee (PEC) – quarterly meetings to review our program mission and goals and how well they are aligning with our current practice. Also an opportunity to review progress on our Program Improvement Plan (PIP) a living document meant to operationalize large scale change within the program. PEC members include our residents, program leadership, departmental leadership and key stakeholders.

Graduate Medical Education Committee (GMEC) – monthly meeting led by the Designated Institutional Officer (DIO) attended by all program directors from across the institution and resident representatives. We are proud to say we have always had a pediatric representative from the housestaff as a member of the GMEC.