University of Hawai i Pediatrics Residency Program 2013-2014 Pediatric Co-Chief Residents: Justin Hino, MD Cherise Saito, MD
ALOHA! Welcome to Hawai`i and our program
Overview of Interview Day Morning Report Brief Overview Interviews Tour with Chiefs Lunch with Residents
Family Tree
University of Hawai`i John A. Burns School of Medicine New campus in Kaka`ako opened in 2005 Medical bookstore & library About 60 medical students per class 3rd year pediatric clerkship: 7-week rotation through wards, nursery, ED and outpatient clinics 4th year electives: ward sub-internship, Pediatric Emergency Medicine, outpatient clinic, NICU, sub-specialty rotations
Coordinates the administration of the university-directed residency training programs Acts as a liaison between the programs and the hospitals Employs more than 200 residents/fellows in the following accredited programs: - Pediatrics, Pediatrics/Adult & Child Psychiatry (Triple Board) - Ob/Gyn, Surgery (General & Orthopedic), Psychiatry (General, Geriatric, Child & Adolescent, Addiction), Internal Medicine (General, Geriatric), Pathology, Family Medicine, Transitional - Sports Medicine, Surgical Critical Care Website: http://www.hawaiiresidency.org
Department of Pediatrics Based at Kapi`olani Medical Center for Women & Children 75 full & part-time faculty, ~190 clinical faculty Active in research - Awarded more than $10 million in grants for 2010-2011 - More than 80 publications and 50 abstract presentations at national meetings Website: www.hawaiiresidency.org/pediatricresidency/pediatric-residency-home Dr. Kenneth Nakamura Department Chairperson
Department of Pediatrics Distinctions & Community Involvement Dr. Calvin Sia - Medical Home Dr. Jeffrey Okamoto - Joseph P. Kennedy Jr. Foundation Public Policy Fellowship for 2010-2011 Dr. Alson Inaba - Stayin Alive CPR method Dr. May Okihiro - HICORE, Hawaii 5210 Let s Go Dr. Jennifer King - Concussion Awareness
University of Hawai`i Pediatric Residency Program Our Mission: To educate and train pediatric physicians who will lead the community in advocacy and medical care for the children of Hawaii and the Pacific Basin. Dr. Shilpa Patel Program Director
University of Hawai`i Pediatric Residency Program The program is also committed to the promotion of an environment that nurtures fulfillment and quality research opportunities. Distinctive features of the program include a broad spectrum of pediatric pathology and cross-cultural experiences afforded by the multicultural population of Hawai`i, the close involvement of subspecialty and general pediatric faculty in the day to day training of residents and the emphasis on continuity of care.
Kapi`olani Medical Center for Women & Children Only civilian pediatric tertiary care center in the State of Hawaii Population: 1.3 million with ~27% children, ethnically diverse Only children s hospital within a 2500 mile radius Referral center for the Pacific - Polynesian islands (Samoa, Fiji, etc.) - Micronesia (estimated population of 500,000) - Also visitors from S.E. Asia and the Continental U.S. Electronic medical records (EPIC) instituted in 2008
Kapi`olani Medical Center Hawaiian Islands
2500 mile radius
KMCWC Facilities General Pediatric Ward 56 Beds Hematology/Oncology - About 40 new oncology cases each year - About 150 children on active treatment - Pediatric Ambulatory Unit Newborn Nursery - 66 bassinets - Nearly 6,000 births each year Newborn Special Care Unit - Average daily census 45 - ECMO capabilities
KMCWC Facilities Pediatric Intensive Care Unit - 14 Beds - About 500 admissions each year - Pediatric Transport Team - Cardiac Week Pediatric Outpatient Clinic - 20,000 patient encounters per year - Specialty Center Pediatric Emergency Department - 14 Beds - Over 37,000 pediatric visits per year - Sex Abuse Treatment Center
In the Works... Hospital renovations NICU-PICU changes - Larger, private rooms - Decentralized workspaces New learning spaces Updated dining room
Pediatric Subspecialties Allergy/Immunology Anesthesiology Cardiology Child Psychiatry Peds Critical Care Dermatology Endocrinology Peds Emergency ENT Gastroenterology Genetics Hematology/Oncology Infectious Disease Neonatology Nephrology Neurology Ophthalmology Peds Orthopedics Private Practice Pulmonology Radiology Rheumatology Sports Medicine Surgery
Pediatric Specialty Clinics Adolescent Allergy Behavioral-Developmental Cardiac Craniofacial & Cleft Feeding Genetics GI Immunology Kawasaki Lupus NICU Medical & Developmental Follow-up Rheumatology Surgery
KMCWC Awards & Distinctions Emphasis on quality healthcare - HPH - 2012 Enterprise HIMSS Davies Award of Excellence - KMCWC, HPH - Studer Group recognition, Post-Call Phone Calls: The Best 4 Minutes in Healthcare
Affiliated Locations Queen s Medical Center Kokua Kalihi Valley (KKV) Health Center Tripler Army Medical Center
Affiliated Locations Shriners Hospital for Children Hawai`i Youth Correctional Facility Hawai`i Juvenile Detention Facility Others available on elective
Salary (2013-2014) PGY 1: $ 52,388 PGY 2: $ 53,226 PGY 3: $ 54,166 Salary & Benefits Benefits Relocation reimbursement Vacation: 3 weeks per year, divided into a 2 week section and a 1 week section Leaves of absence (paid and unpaid) Paid sick leave: 12 days per year Meal Card for calls On-call sleep room Free hospital parking Insurance (Health, Vision, Dental, Malpractice, Disability, Life)
Educational Benefits Use of ipad provided by HRP Board Prep through Board review program Access to Pedialink & PREP Electronic resources through JABSOM, HPH Educational conference leave: up to 7 days during PGY3 Educational allotment for PGY3: - up to $2300 to attend conferences, board review, or - up to $1500 to purchase books
2014-2015 Rotation Schedule QI/V SSR SSR ID H/O NSY Ward Ward Ward DBP CP NICU ER PGY 1 QI/V IEU IEU SSR SSR SSR Adol Ward Ward PICU CP NICU ER PGY 2 QI/V IEU IEU IEU IEU Ward/NSY Ward Ward Ward PICU CP NICU ER PGY 3
Continuity Clinics Interns: 1 half-day/week Upper Level Residents: 2 half-days/week on outpatient rotation 1 half-day/week on inpatient rotations Locations Kapi`olani Medical Center for Women & Children Queen Emma Clinics Kokua Kalihi Valley (KKV) Health Center
One month call free Interns: - Two 2-week night shifts on wards and two 2-week night shifts on nursery - Ward guest intern call on electives- 0-1 night shifts per month Upper Level Residents: On Call - Wards: 2 calls/block + two 2 week night shift - PICU, NSCU, ED: 12 hour shifts - SSR s: L&D late shifts, 1-2 ward day shifts, 0-1 overnight call/month - Jeopardy: available by pager (home call)
Caps and Post-Call Wards Cap of 16 patients per 2 intern team (8 patients/intern) Patient redistributed to other teams if at cap or signed off to non-team care (not followed by residents) All Rotations No new patients post-call Continuity clinic cancelled postcall
Nursery/NSCU: Neonatologist or fellow in-house 24/7, neonatal hospitalist in-house 24/7 PICU: Intensivist in-house 24/7 ED: Pediatric ED attending in-house 24/7 Ward: Hospitalists in-house 24/7 Radiology: - Pediatric radiologist 7 days/week, available by pager for emergencies after hours. - On-call radiologist reads films at night. Ancillary Staff: Inpatient Support - 24 hrs/day: nurses, RT, pharmacists, ward clerks - 7 days/week (pager at night): SLP/OT/PT, SW, dieticians, lactation consultant, IT support, translation services
Educational Conferences Daily AM report Academic Half-Days General pediatrics & subspecialties Fireside chats, QI with COO Martha Smith, Dept. Chair Weekly Grand Rounds Bi-Monthly Board Review program Monthly resident-led M&M and Journal Club conferences Radiology rounds Yearly In-Training Exam
Resident Research and QI All residents participate in a research project and/or Quality Improvement project during their residency Research Week presentations during PGY3 year Residents are also encouraged to present at national meetings and conferences and they are reimbursed for travel by the program
Resident Presentations Grand Rounds - all PGY2 and PGY3 residents, under the guidance of a faculty advisor M&M Conferences - at least once during the PGY2 or PGY3 year, under guidance of Dr. Shilpa Patel or Dr. Lynn Iwamoto Journal Club - all residents, once a year
Mentorship Assigned advisor for all 3 years, able to switch based on interests Optional resident-selected mentor from faculty and clinical faculty volunteers
Retreats and Fun 2 mini retreats & 1 full weekend retreat/year - Mini-Retreats (1/2 day each) - Annual Weekend Retreat Monthly Social Events Annual Parties: - Intern Welcome Social - Holiday Party - Aloha Dinner
Resident Retreats
Resident Retreats
Alumni Career Paths 2005-2011
Fellowships 2005-2013 Cardiology Critical Care Emergency Medicine Hematology/Oncology Neonatology Neurodevelopmental Neurology Palliative Care Pulmonology Sports Medicine Case Medical Center UC San Diego University of Illinois Stanford UC San Francisco University of Chicago Children s Medical Center St. Christopher s Hospital for Children Baylor College of Medicine University of Utah University of Hawai i - JABSOM Johns Hopkins University of Alabama University of Texas - Southwestern UC San Diego UC San Diego UC San Francisco Atlantic Sports Health Rainbow Babies
Why Choose Hawai`i? Great weather year round Diverse population (Micronesian, Polynesian, Hawaiian, Asian, etc.) with wide variety of pathology Advanced subspecialty care Community health focus Active participation in hospital Quality Improvement initiatives Great patients and families Great attendings and residents
Life Outside of Residency
NOT Hawaii!!
Enjoy your interview day & enjoy your stay in Hawai`i! MAHALO!