UC Davis Children's Hospital
UC Davis is the major tertiary referral center for a large geographic area covering over 65,000 miles and 33 counties that includes most of Northern California, Western Nevada, and Southern Oregon. Children, adolescents, and young adults are admitted to UC Davis Children's Hospital ward, located in the Davis Tower. In this setting, residents are exposed to patient problems ranging from common pediatric disorders, such as diarrhea and dehydration or respiratory illnesses, to complex problems requiring tertiary care management.
Coverage for all general pediatric ward patients is divided between two teams, each consisting of two PG-1 residents and one PG-2 or PG-3 resident. First year residents are responsible for the initial patient work-up, daily patient care, and writing all orders. Each team is supervised by a PG-2 or PG-3 resident and a pediatric hospitalist attending. Patients with cancer and blood disorders are admitted to a separate Hematology/Oncology service consisting of one PG-1, one PG-2 resident, and a pediatric Hematology/Oncology attending. Patients with primary gastrointestinal or renal issues are admitted to the GI-Nephro service, which is managed by one PG-1, one PG-3 resident, a pediatric gastroenterologist faculty and a pediatric nephrologist faculty.
Resident autonomy is encouraged and only residents may write orders on patients (except
chemotherapy orders on the oncology serv ice). The senior resident is responsible for leading morning work rounds and supervising PG-1 residents and medical students. The faculty attending, and subspecialty attending(s) if appropriate, supervise the ward teams. Residents also work closely with a dedicated nursing staff, as well as pharmacists, respiratory therapists, physical/ occupational/ speech therapists, nutritionists, social workers, care coordinators, interpreters, and a very active child life program.
Pediatric hospitalists are available 24/7 in-house on the wards to teach residents, balancing resident autonomy and appropriate supervision to allow residents graduated responsibility to develop a safe plan for patients using evidence-based medicine.
Normal Newborn Nursery
The Newborn Nursery averages 200 admissions per month and provides residents with an opportunity to manage the common problems of normal newborns. General pediatric faculty with expertise in newborn care, development, psychosocial assessments and nutrition provide supervision. First year residents spend four weeks in the NNN and then may return for an additional four weeks in the PG-3 year in a supervisory role. UC Davis is a baby-friendly hospital and all residents receive education on breastfeeding.
Neonatal Intensive Care Unit (NICU)
The UC Davis Children’s Hospital 49-bed Neonatal Intensive Care Unit (NICU) is the region's only nationally ranked Level 4 nursery, and cares for infants from throughout Northern California. The NICU averages more than 500 admissions per year. In the NICU, residents have the opportunity to care for critically ill neonates under the close supervision of NICU attendings and fellows, and learn to perform procedures that include placing umbilical lines, neonatal intubation, and circumcision. Residents spend four weeks in the NICU in each year of training.
Pediatric Intensive Care Unit (PICU)
The UC Davis Children’s Hospital Pediatric Intensive Care Unit (PICU) and Cardiac Intensive Care Units average more than 1,500 admissions per year. UC Davis is the only Level 1 trauma center in the region and only center in the region offering extra-corporeal life support (ECLS), In the PICU, residents have the opportunity to care for critically ill children under the close supervision of PICU attendings, who are available 24/7 in-house in the PICU. Residents spend eight weeks in the PICU in their PG-2 year and an additional four weeks in the PICU in their PG-3 year.