Nicklaus Children's Hospital, formerly Miami Children's Hospital
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About the Curriculum

c. GME - Osteopathic Pediatric Residency Program

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The Nicklaus Children's Hospital Osteopathic Residency Program Course of Study

The Miami Children's Health System/Nicklaus Children's Hospital Osteopathic Pediatric Residency Training Program is designed in accordance with and approved by the American Osteopathic Association (AOA) and American College of Osteopathic Pediatricians (ACOP). The program is affiliated with the Consortium for Excellence in Medical Education (CEME) through Nova Southeastern University – College of Osteopathic Medicine.

First Year (OGME 1)

The first year of training emphasizes general pediatrics with supervision by senior residents and attending physicians. The PL1 resident performs the initial history and physical examination, writes the appropriate orders, performs required procedures and is responsible for conveying information to the patient's parents. The team of residents is supervised by a full-time geographic attending physician. The residents' rotations include experience in inpatient pediatrics, newborn nursery, emergency medicine, ambulatory clinic, and an elective rotation experience.

Second Year (OGME 2)

The residents are provided with progressively increased patient care responsibilities and structured exposure to specialties, including Pediatric and Neonatal Critical Care, Emergency Medicine, Adolescent Medicine, Neurodevelopmental Pediatrics, Cardiology, Endocrinology, Hematology/Oncology and Infectious Diseases. Elective rotations are also incorporated into the second year curriculum.

Third Year (OGME 3)

Senior residents have additional supervisory responsibilities in both the inpatient and outpatient setting and further integrate the knowledge and skills needed in general pediatric practice. Residents are offered approved electives during the third year as required. In addition, third year residents are given structured rotation exposure to Rheumatology and Procedures.

Primary Care Pediatrics & The Continuity Clinic Experience

The Pediatric Residency Program emphasizes primary care in general pediatrics. The program's curriculum focuses on the integration of the clinical, psychosocial, behavioral, developmental and community health skills needed in the preparation of general pediatric practitioners. The program's goal is to develop leaders in primary care pediatrics who will be qualified to provide comprehensive preventive care while managing the full spectrum of acute and chronic complex clinical problems encountered in pediatric medicine. This is achieved through lectures, conferences, seminars and other educational activities that complement bedside teaching and the practical experience gained by the residents during clinical rotations throughout their three years of training.

A major component of the training in primary care is the time the residents spend at the Nicklaus Children's Hospital Pediatric Care Center. The center focuses on recognition of the child as a whole, as well as the illness with which he or she presents. During their rotations in the ambulatory clinic setting, residents will gain experience with walk-in patients, acute medical conditions, have the opportunity to be involved in all of the subspecialty clinics that provide management to patients with specialized needs, and learn how to utilize pediatric consultants.  In addition, residents are exposed to patients of various socioeconomic backgrounds through participation with the Nicklaus Children's Hospital mobile health unit and local school health programs.

A valuable training experience offered during the residency program is its offered elective rotations in a primary care pediatrician's office (private practice) and in rural primary pediatrics. This assists residents in understanding how a private office is managed should they choose to open a private practice. Via the rural, community based health clinic rotation, residents experience the challenges of providing primary care to local, underserved and migrant populations. Additionally, a rotation in neurodevelopmental pediatrics is provided under the supervision of child development specialists at both the Nicklaus Children's Hospital main campus and the Nicklaus Children's Dan Marino Outpatient Center.

The Continuity Clinic experience is the cornerstone of our primary care educational experience, offering residents the opportunity to develop an understanding of and appreciation for the longitudinal care in general pediatrics. Each resident has one half-day per week when he or she is relieved of all other duties to attend their continuity clinic. Osteopathic residents are assigned to the hospital-based Pediatric Care Center for their continuity experience.  Residents follow their patients throughout the course of three years and learn about well / sick child care, developmental growth and assessment, and anticipatory guidance / preventive care.

Pediatric Rotation Schedule
OGME1 Weeks
Ambulatory Clinic 4
Emergency Medicine 4
Inpatient Pediatrics 24-28
Inpatient Pediatrics: Night-Shift 4-8
Newborn Nursery 4
Individualized Subspecialty Elective 4
Vacation 4
OGME2 Weeks
Emergency Medicine 4
Subspecialty Elective: Hematology - Oncology 8
Intensive Care Units: PICU 4
Intensive Care Units: NICU 4
Subspecialty Elective: Endocrinology 4
Subspecialty Elective: Cardiology/ Pulmonology 4
Subspecialty Elective: Surgery 4
Neurodevelopmental-Behavioral Pediatrics 4
Individualized Electives 8
Adolescent Medicine 4
Vacation 4
OGME3 Weeks
Ambulatory Clinic 4
Emergency Medicine 4
Procedure Rotation 2
Inpatient Pediatrics: Team Leader 8
Intensive Care Units: PICU 4
Intensive Care Units: NICU 8
Subspecialty Elective: Infectious Diseases 4
Subspecialty Elective: Rheumatology 4
Subspecialty Elective: Gastroenterology 4
Individualized Electives 6
Vacation 4