Every morning at 7:30, residents and faculty meet to discuss an interesting pediatric case seen on the inpatient services or electives. The first five minutes are dedicated to board prep questions. Then, the chief or senior resident leads an interactive case-based discussion, focusing on clinical reasoning skills with active participation from the residents and faculty.
Thursday morning reports are dedicated to intensive board preparation and run by a faculty member. Residents go through board prep questions under the guidance of faculty, who provide test-taking pearls and subspecialty expertise to help prepare residents for their pediatric board examinations.
Friday block didactic conferences
Each Friday, from 12-4 p.m., there is dedicated conference time to provide a primary didactic teaching forum for the training program. These sessions are primarily led by the diverse specialty and subspecialty divisions within the Department of Pediatrics as well as other pertinent clinical departments of UC Davis. These sessions are presented in a variety of formats, including interactive case-based seminars, formal didactics, multidisciplinary workshops, and simulations. The focus of these didactic sessions are all based on the content specifications from the American Board of Pediatrics Certification Examination and is structured on an 18-month repeating curriculum, allowing residents two opportunities during residency to solidify their medical knowledge in each of these areas. All residents are strongly encouraged to attend weekly didactics, including off-site rotating residents
In addition to the repeating 18 month curriculum, during the 12-1 p.m. hour, there are a variety of focus conferences sessions that provide addition framework for training our residents. These sessions include: Journal Club, Case Conference, Morbidity and Mortality Conference, as well as Multidisciplinary Conference.
The 3-4 p.m. is an interactive hour devoted to recurring monthly session that focus on interactive NICU procedure and simulations, as well as in-depth, hands-on review of specific clinical exam and patient encounter skills. In addition, there is a monthly session for each of the scholarly tracks, in which the residents are divided into one of two tracks (Academic Track or Community Track) focusing on their area of scholarly interest.
Once a month, the Program Director leads a case-based discussion of an interesting patient from the wards, PICU, NICU, or ambulatory setting. This conference serves as the major case review conference for the Department and is attended by residents, medical students, and faculty. The case and pertinent references are distributed the week prior to the conference and advanced preparation is expected. A chief resident presents the history and physical and then the finer points of the case are discussed in a very collegial atmosphere among residents and faculty. Faculty experts are present providing their expertise to the discussion. The issues may be basic or complex but are always interesting and this is consistently the most popular and well-attended conference.
The goal of journal club is for residents to develop the self-educational skills required for continuing medical education after formal training is complete, and more specifically, to facilitate the formulation of (answerable) clinical questions and increased each resident’s comfort and expertise in using and critically evaluating the primary medical literature.
Three residents are assigned to each journal club with the senior resident functioning as group leader. With the help of a faculty mentor, the group develops a specific PICO (patient/population, intervention, comparison, outcome) question related to a patient problem they have experienced. The group then conducts a thorough literature review and selects a high quality original research article that address the clinical question to aid in clinical decision-making. The article and Critical Appraisal Sheet are then distributed to residents and faculty in advance of the conference to allow for advanced preparation. At the conference, the group then leads a critical discussion of the articles and, hopefully, arrives at an answer to their original question based on the best available evidence from the primary medical literature. In addition, with the guidance of a faculty mentor or statistician, residents teach 1 evidence-based medicine topic related to their article (e.g. how to calculate NNT, interpret OR, RR, etc). This conference is a critical part of the program’s evidence-based medicine curriculum.
Every Friday morning, faculty, residents, as well as many community physicians gather at UC Davis Medical Center for Pediatric Grand Rounds, where a broad range of topics are presented by local, national, and international experts. This forum serves as a great opportunity to hear the latest from prominent experts in a given field.
Third-year residents develop a “state of the art” understanding of a specific topic or area of research and synthesize this information into a Grand Rounds presentation. Presentation of Grand Rounds allows residents, with the help of a faculty mentor, the opportunity to further develop their evidence-based medicine and presentation skills.