Our program features a curriculum structured to provide residents with increasing levels of responsibility for patient care, clinical supervision, and teaching of junior residents and medical students. The curriculum is designed to help foster the development of skills and competencies set by the Accreditation Council of Graduate Medical Education (ACGME) for the training of excellent pediatricians prepared for contemporary practice. The program maintains a strong focus on primary care education while providing excellent exposure to the pediatric specialties and the care of medically complex children in a tertiary care setting. The program also provides experiences in inpatient, outpatient, and community settings and provides excellent exposure to a highly diverse patient population. Patient safety, evidence based medicine, and continuous quality improvement are additional areas of focus. Our curriculum is developed and continually improved through active participation and feedback from faculty and residents. The academic year consists of 13 blocks. Each block consists of 4 weeks.
|Year 1||Year 2||Year 3|
|Inpatient (General)||Inpatient (Subspecialty)||Inpatient (General)|
|Inpatient (General)||Pediatric Intensive Care Unit||Inpatient (General) Night Float|
|Inpatient (General) Night Float||Pediatric Special Care Unit||Pediatric Intensive Care Unit|
|Pediatric Special Care Unit||Pediatric Special Care Unit Night Float||Pediatric Intensive Care Unit Night Float|
|Neonatal Intensive Care Unit||Neonatal Intensive Care Unit||Hematology / Oncology Consults and Clinic|
|Newborn Nursery||Newborn Nursery||Medical Education Teaching Rotation|
|Emergency Medicine||Emergency Medicine||Acute Clinic|
|Hematology / Oncology||Community Outpatient||Elective|
|Acute Clinic||Child Protection Team / Behavior and Development / Adolescent||Elective|
|Behavior and Development||Individualized Learning Curriculum||Individualized Learning Curriculum|
|Advocacy / Procedures||Individualized Learning Curriculum||Individualized Learning Curriculum|
|Elective||Individualized Learning Curriculum||Individualized Learning Curriculum|
Residents gain skills in the care of acutely ill and hospitalized pediatric patients during their Inpatient Pediatrics rotations.
Hematology / Oncology
Residents rotate on the Hematology/Oncology service. The Center for Children’s Cancer and Blood Disorders is housed within Arnold Palmer Hospital for Children and comprises a 20-bed inpatient unit, an outpatient clinic with a chemotherapy infusion center and a radiation oncology department. The senior resident is responsible for managing pediatric Hematology/Oncology consults and attending clinic. An intern averages five to eight patients.
Pediatric Intensive Care and Special Care
Residents participate in the care of critically ill children in the 17-bed Pediatric Intensive Care Unit (PICU). Board certified pediatric critical care attendings manage and oversee the care of all children admitted to the unit. The unit is staffed by dedicated nurses, respiratory therapists, pharmacists, social workers, chaplains, nutritionists, and child-life specialists. Current critical care technologies such as extracorporeal membrane oxygenation, hemodialysis, and high-frequency oscillatory ventilation are offered. The unit supports a dedicated pediatric critical transport service and serves as a major referral center for critically ill pediatric patients from all over Central Florida. The PICU provides residents with valuable experience in invasive cardiovascular monitoring, complex fluid management, mechanical ventilation, and postoperative management. Senior residents average five to eight patients while on service.
The Pediatric Special Care Unit (PSCU) is a stepdown unit that cares for children that require monitoring and close observation. The PSCU has a capacity of 26 beds and averages near 2,000 admissions a year. Residents average eight to ten patients while on service.
Neonatal Intensive Care
Residents are exposed to the full range of medical and surgical disorders of premature and term newborns as well as to the latest technological modalities including extracorporeal membrane oxygenation (ECMO) at the neonatal intensive care unit (NICU). The 142-bed NICU is the largest in the country under one roof, and cares for more than 1,600 babies every year. Residents work alongside Neonatal ICU attendings, nurse practitioners, dedicated nurses, respiratory therapists, pharmacists, social workers, chaplains, nutritionists, and child-life specialists. Residents attend high-risk deliveries daily and care for patients on a dedicated teaching service. They average five to eight patients daily.
Residents are responsible for caring for newborns in the Well Baby Nursery, as well as a Transitional Nursery. Residents are exposed to a wide variety of normal and abnormal newborn conditions. They also perform procedures such as circumcisions and frenotomies. Residents average seven to ten patients per day.
Residents have their Continuity Clinic at the Orlando Health Pediatric Primary Care Practice, located within walking distance of Arnold Palmer Hospital.Residents provide general health maintenance and supervision for a diverse, largely underserved population of patients from the community of Orlando.Clinical experiences are supplemented with lectures and small group discussions.
Residents have their Acute Clinic at the Orlando Health Pediatric Primary Care Practice, located within walking distance of Arnold Palmer Hospital.Here they receive exposure to the acute health conditions most encountered in the office setting and the care of acutely ill children and adolescents. Clinical experiences are supplemented with lectures and small group discussions.
The Bert Martin's Champion for Children Pediatric Emergency Department & Trauma Center at Arnold Palmer Hospital is a 33-bed, 23,500-square-foot facility. The center is the only Level 1 Pediatric Trauma Center in Central Florida and provides care for over 55,000 patients each year. Residents do 8-12 hour shifts under the supervision of board-certified pediatric emergency medicine physicians during their rotation.
Behavior and Development
During this rotation residents learn the basic concepts of normal child development and screening; disorders of cognition/ language; and behavior and mental health issues. Residents spend time in various sites including the Howard Phillips Center for Children and Families, Prescribed Pediatric Extended Care and several special needs schools. They also work with specialists in Physical Therapy, Occupational Therapy, Speech Therapy, Physical Medicine and Rehabilitation, Neurology, Neuropsychology, Genetics and Adolescent Medicine. The resident’s continuity clinics during the rotation are focused on performing full developmental screens for patients scheduled for well-child checks. This experience is facilitated by our general pediatrics outpatient faculty.
The advocacy rotation includes a 2-week experience with Child Protection Team through which residents learn about child abuse prevention and intervention and the child protective services system in Central Florida. Co-located within the Orange and Osceola Children's Advocacy Centers, the multidisciplinary Child Protection Team assesses risk factors and provides recommendations for interventions to protect children. During the remainder of the advocacy rotation, residents are exposed to the In the Zone Community Pediatrics program. This program gives residents a chance to enter the community where they can see first-hand the many factors that impact a child's health. Residents also have the opportunity to spend time with local agencies, including the Ronald McDonald House, Second Harvest Food Bank, Coalition for the Homeless, and a nearby charter school. The program is designed to help prepare residents to act as effective leaders and agents of change within the community.
Electives and Individualized Learning Curriculum Rotations
Elective / ILC rotations include: Allergy/Immunology, Cardiology, Dermatology, Developmental Pediatrics, Endocrinology, Gastroenterology, Genetics, Infectious Disease, Nephrology, Neurology, Pulmonology, Rheumatology, Anesthesiology, Emergency Medicine, Otolaryngology, Heme-Onc Clinic, Lactation, Neurosurgery, Newborn Resuscitation, Nutrition, Orthopedic Surgery, Palliative Care Medicine, Pediatric Surgery, Pediatric Hospitalist Service (private hospitalist group), Procedures, Radiology, Scholarly Activity, Sports Medicine, and Transport Team.
We take the General Pediatrics Certifying Exam (the Boards) very seriously. Our Board Preparation Curriculum comprises the following:
Weekly PREP Questions
Residents complete weekly PREP questions through a web-based test-taking platform. These PREP questions are reviewed each month by an attending during a dedicated conference.
Faculty base their didactics based on ABP Board Content Specifications throughout the year.
During May and June each academic year, we run our Board Review. Conferences are dedicated to reviewing PREP questions and discussing test-taking strategies. Residents answer questions in real-time using polling software, and faculty discuss the answers.
Data has shown that the more patients a resident sees, the more likely they are to pass the boards. We have an excellent patient volume that fosters experiential learning at the bedside.
Morning report occurs 2 to 3 times a week and allows residents to present cases and think critically to form differential diagnoses and management plans for patients in clinic, the newborn nursery, and the hospital.
Senior report occurs once a week.A PL-3 resident presents a challenging case and foster a high-level discussion of diagnostic and management dilemmas among senior residents and faculty from different specialties.
Grand Rounds features a variety of state-of-the-art topics presented by our own expert faculty, visiting professors, national, and international speakers.
These lectures are given by general pediatric attendings, sub-specialists and guest speakers on specific topics. The curriculum is based on the American Board of Pediatrics Content Specifications and is used as an adjunct to board preparation. Lectures also cover professionalism, residents as teachers, adult learning theory, ethics in pediatrics, billing and coding, and other interesting topics. The curriculum is structured around a carefully designed block schedule. Each 4-week period covers a specific subspecialty or organ system to help focus resident study. Many conferences promote resident participation using an audience response system.
Evidence-Based Medicine is a monthly conference that is facilitated by the program director, an expert in EBM. A pre-designated group of residents select a recent paper from the pediatric literature, present it, and encourage audience discussion. The conference promotes a critical review of pediatric medical literature. Faculty who are content experts are invited to participate and provide clinical context.
Clinical Pathology Conference (Professor’s Rounds)
A resident favorite. Once the diagnosis is established, specialists from Pathology, Radiology, or special guests from the health department or medical examiner’s office present their perspectives.
To improve resident response, comfort level and competency with commonly encountered scenarios in the critical care setting, residents are involved in simulated codes while on the in-patient units. The multidisciplinary code team includes nursing, respiratory therapy, pharmacy, physician, and allied health staff members.
The series includes the Breaking Bad News (BBN) workshop, which incorporates actors as standardized patients to prepare residents to effectively engage in difficult conversations with patients and families.
Individualized Learning Curriculum
The Individualized Learning Curriculum allows residents to tailor their elective rotations to their career goals. Possible ILCs include General Pediatrics, General Pediatrics with an Ambulatory focus, General Pediatrics with a Hospitalist focus, and Subspecialty Tracks. Examples of subspecialty tracks include Emergency Medicine, Gastroenterology, Adolescent Medicine, Pulmonology, Infectious Disease, Heme-Onc, Cardiology, Neonatology and Critical Care. To create their ILC, residents enlist the help of their faculty advisor and Program Directors.
The Wellness Curriculum addresses resident fatigue, morale, work-life balance, and burnout. It is composed of class retreats, meetings with our physician coach, special didactic sessions, group activities outside of the hospital, and a Humanism Curriculum. The goal is for residents to monitor their well-being, develop resiliency, and realize their full potential as pediatricians.