Training the Leaders in Pediatric Medicine

DEPARTMENT OF PEDIATRICS AND COMMUNICABLE DISEASES

Training the Leaders in Pediatric Medicine

UNIVERSITY OF MICHIGAN HEALTH SYSTEM

The University of MichiganDepartment of Pediatrics andCommunicable Diseaseswww.med.umich.edu/pediatrics/edu/res.htm

MissionTo graduate leaders in primary care, subspecialty or general academic pediatricswho will make a difference in the lives of children and in their communities.

Goals• To provide superb training in general pediatrics• To offer a balanced and comprehensive curriculum• To foster individual career development and choice• To graduate leaders in pediatrics

CONTENTSWelcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1

General Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2

Clinical Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

Resident Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

Professional Development . . . . . . . . . . . . . . . . . . . . . . . . .9

Experience Ann Arbor . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

How to Apply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

Pediatric Residencies 1

Why consider Michigan for your pediatricresidency? Quite simply: Because we providean exceptional opportunity, no matter whatyour career path — primary care pediatrics,

academic pediatrics, subspecialty pediatrics or pediatricresearch.

Our plan is for you to emerge from our program as acompetent, confident pediatrician, ready to assume aleadership role on behalf of children.

Pediatric training at the University of Michigan HealthSystem is a progressive experience that offers you moreindependence, more teaching opportunities and moresupervisory roles as you proceed through our program.

Our residents have gone on to do great things in pediatricmedicine. You can find our alumni all over the world —and right here in Michigan. But, whatever their path, onething is certain. Time and time again, they talk about theirexperiences here, and how well Michigan prepared themfor whatever their work is today.

We invite you to explore our programs further by visiting us on the Web. All of our Internet resources are listed onpage 12. But we would really like you to come for a visit!That is when you will get to see first-hand why we are one of the top-ranked pediatric programs in the country.

Welcome!

Valerie P. Castle, M.D. (U-M Fellowship, Pediatric Hematology/Oncology ’90)Chair, Department of Pediatrics and Communicable DiseasesRavitz Foundation Professor of Pediatrics andCommunicable Diseases

WelcomeAT THE UNIVERSITY OF MICHIGAN, OUR RESIDENTS BECOME COMPETENT, CONFIDENT PEDIATRICIANS

Premier Workplaces calls the University of MichiganHealth System one of thenation’s 10 Premier HealthCare Employers.

2 Pediatric Residencies

During your University of Michigan pediatricresidency, you will receive superb training ininpatient care, ambulatory care, critical care andemergency pediatrics. You also will develop

knowledge and skills in the critical evaluation of pediatricsliterature, evidence-based medicine, medical ethics, and

the sociocultural and legal aspects ofpediatric medicine.

We can guarantee one thing: Your time at Michigan will be a time you willcherish — with experiences and peopleyou will never forget.

The Crash CourseAs a new resident, your time at Michigan begins with ourpopular “Crash Course.” Held in July and August of yourincoming year, this program covers management ofpediatric emergencies, core pediatric skills, and thefundamentals of inpatient and primary care. With thiscomprehensive review under your belt, you will begin yourpediatrics training with confidence.

All handouts are available online for reference throughoutthe year.

General Pediatrics at the University of MichiganTHE START TO A GREAT CAREER

Your First YearDuring your first year of residency, you will be involved indirect patient care and will acquire the basic knowledge,technical skills and competencies that are essential for thecare of newborns, infants, children and adolescents. Youwill be the primary physician on all of the inpatient unitsand will mentor and work closely with our third-yearmedical students.

Under the guidance of senior residents and faculty, you willgain excellent experience in patient management.Rotations include:

• General inpatient pediatric services

• Neonatal Intensive Care Unit (NICU)

• Inpatient hematology-oncology

• Normal newborn nursery

• Behavioral/developmental pediatrics

• Pediatric Emergency Department

• The first month of your Pediatric Community Health sequence

“You’ll see pathology and allof the ‘bread and butter’pediatrics you need, whilebeing treated like a humanbeing by a department thatreally takes an interest in yourlife and career plans.”Elizabeth Bird, M.D., Chief Resident ’05-06


Your Second YearAs a result of the comprehensive training you received inyour first year of residency, you will function with increasingautonomy and begin to take on a supervisory role.

Under the guidance of fellows and attendings, you will actas a senior resident in the Neonatal Intensive Care Unitand on the inpatient hematology-oncology service, whereyou will manage teams of interns and students in the careof ill patients. With backup from in-house third-yearresidents and attending hospitalists, you will admit patientsas a resident on the night team.

You also will rotate through our Pediatric Intensive CareUnit (PICU) and work more independently in our award-winning Pediatric Emergency Department. Yourambulatory care experience will include a one-monthrotation in adolescent medicine and the second month ofPediatric Community Health.

As you continue to explore your career interests, you willselect from a large number of subspecialty electives thatcombine inpatient consultation with the ambulatorymanagement of pediatric problems.

“University of Michigan’spediatrics program is stellar. I received excellent generalpediatrics training coupledwith very rigorous subspecialtytraining and exposure to bothinpatient and outpatientmedicine. And, I was able tocraft a program that fit myinterests.”Tracy Richmond, M.D. (U-M Residency ’03)Division of Adolescent MedicineChildren’s Hospital, Boston

CHILD MAGAZINE TWICE NAMED C.S. MOTT CHILDREN’S HOSPITAL ONE OF

THE BEST CHILDREN’S HOSPITALS IN THE NATION!


Your Third Year You will function in a supervisory capacity and pursue anindividually arranged schedule that complements yourpersonal career goals. Your third year will have severalrotations on the generalinpatient wards as thesupervising senior resident in charge of the service. Youwill strengthen your intensivecare training in the NICU and PICU.

Other assignments includecontinuing autonomy andresponsibility in the PediatricEmergency Department, amonth of exposure topediatric surgery and acting asthe most senior member of the night team. You will be regarded as a central part of our instructional program — sharing responsibility forteaching rounds and providing consultation to juniorresidents and medical students.

You will have a great deal of flexibility in scheduling yourremaining electives. A variety of individualized and off-siteelectives will help you round out your third-year experienceand enable you to tailor your training to your careerinterests. These include opportunities to pursue childadvocacy, international experiences and to learn moreabout the business of primary care.

We encourage you to visit the University of MichiganHospitals and meet our residents, faculty and staff.

THE MICHIGANDIFFERENCE

On all of our inpatientservices, Resident Assistants

obtain patient records,schedule tests and

procedures, and assist withdischarge planning —

maximizing the time youspend directly with

patients and families.

“What I like best about myresidency is the exposure tomany different specialtieswithin pediatrics, the funworking environment, andthe good relationships withthe attendings and staff. Weget to work with the expertsin their fields. And I feel thatI’m getting experience in somany diseases and specialtiesthat when I see them in myown practice, I’ll be ready tohandle them.”Patrick R. Gordon, M.D., House Officer III

DURING YOUR RESIDENCY, WE WILL CERTIFY YOU IN NEONATAL RESUSCITATION,PEDIATRIC ADVANCED LIFE SUPPORT (PALS)

AND ADVANCED CARDIAC LIFE SUPPORT (ACLS).AND, WE WILL SUPPORT YOU IN MAINTAINING

YOUR CERTIFICATIONS THROUGHOUT YOUR TRAINING.

Four-Year Combined InternalMedicine-Pediatrics ProgramWe offer one of the nation’sfirst combined InternalMedicine-Pediatrics Programs. The combinedprogram allows you theopportunity to completecertification requirements inboth areas within four years.More information can befound at the Web address onpage 12.


97% of our residents pass their Pediatrics Board examination — one of the

highest pass rates in the nation!


State-of-the-Art Pediatric Care

We are one of only two academic medicalcenters in Michigan that trains specialists inpediatric emergency medicine. And our Level 1 Trauma Certification makes us the

care destination for the most critically ill and injuredchildren in Michigan. In 2005 alone, there were more than 20,220 emergency visits by infants and children under18 to U-M Children’s Emergency Services. More than 5,380of these cases were serious trauma cases. We also are anational center for Pediatric Emergency Medicine Research.

Survival FlightOur air medical service, Survival Flight, has transportedmore than 20,000 critically ill newborns and children to theU-M via helicopter, airplane and specially equippedambulance. Both Elmo and ECMO are on board.

ClinicalSimulationCenterOur infant, child andadult “human patientsimulators” reproduceamazingly accuratephysiologicalresponses to diseasestates and medicalinterventions —providing you with anexcellent, risk-free,hands-on education incritical care, trauma management and procedure skills.

The simulators are programmable and can re-create amultitude of patient scenarios, while you learn valuable

clinical and decision-making skills in areas suchas airway and ventilatormanagement, andintubation.

Faculty and clinicalresearchers also use theClinical Simulation Centerto conduct scientific andoutcomes-related research.

The Clinical EnvironmentTHE BEST DOCTORS AND THE BEST TRAINING ARE AT MICHIGAN


Our Pediatric Mock CodeProgram emphasizes the facets

of team leadership that arecritical for successful

resuscitation. We also use theProgram to evaluate any

system changes (includingpersonnel), resuscitation

protocols and equipment beforeuse in actual codes — ensuring

optimal patient safety.

294 UNIVERSITY OF MICHIGAN PHYSICIANSNAMED BEST DOCTORS IN AMERICA, 2005-2006

Standardized PatientInstructor ProgramWe were one of the first medical schools in the country toput into practice a formal Standardized Patient Instructor(SPI) program, and we now incorporate SPIs in residencytraining as well. We train our SPIs to accurately portray aspecific patient role, assess the resident’s clinical skills andprovide performance feedback. You will learn to obtaininformed consent, break bad news, and cope with difficultor dangerous situations — skills critical to your future career.

Votes of Confidence for New HospitalDemand for our services is so high that we are building anew state-of-the-art hospital. The $523 million, 1.1 millionsquare foot children’s hospital and women’s hospital facilitywill answer these demands, while anticipating advancementsin pediatric care for the 21st century.


C.S. MOTT CHILDREN’S HOSPITAL WAS ONE OF THE FIRST HOSPITALS IN THE NATION

TO PROVIDE CHILD LIFE SERVICES AND TO HAVE A HOSPITAL SCHOOL.

TODAY THE HOSPITAL IS LEADING THE NATIONBY PROVIDING PATIENTS WITH BEDSIDE

COMPUTERS. PATIENTS AND FAMILY CANACCESS THE INTERNET, USE E-MAIL, WATCHDVDS, PLAY GAMES AND USE EDUCATIONAL

SOFTWARE TO KEEP UP WITH SCHOOL.

PEDIATRIC STATISTICS8,117 Discharges

C.S. Mott Children’s Hospital and Holden NICU

384 Discharges — Child Psychiatry

257,900 Clinic Visits — Pediatric and Subspecialty

8,404 Total Operating Room Cases(3,699 Inpatient and

4,705 Outpatient)

Rendering of new C.S. Mott Children’s and Women’s Hospital – expected completion 2011.

“During my third year, I had a research month where I conducted a meta-analysis of a method to preventventilator-acquiredpneumonia. My work fromthat month resulted in twofirst-author publications andvaluable connections. Mymentors at Michigan wereknowledgeable, experiencedand very helpful.”Cameron Dezfulian, M.D. (U-M Residency ’03)Clinical Fellow, Critical Care Medicine Dept.National Institutes of HealthPediatric Anesthesia and Critical Care

Medicine DivisionJohns Hopkins Hospital, Baltimore


While we do not require our residents toparticipate in research, we will provide youwith great opportunities to participatesubstantively in cutting-edge research if you

are interested. We offer:

• Individual research electives

• Competitively awarded research grants

• Nationally recognizedfaculty mentors

The Department encouragesyou to submit abstractsresulting from workconducted during yourresidency, and will providefinancial support for travelto present your work if yourabstract is accepted.

We also support residentattendance at AmericanAcademy of Pediatricsconferences and otherprofessional organizationssuch as the Pediatric Academic Societies, the NationalMedical Society and the Student National MedicalAssociation.

Research PathwaysIf you already have a strong background in research andwant to continue your career in pediatric research, specialpathways are available to provide training options andflexibility.

Resident Research at MichiganINTERESTED RESIDENTS HAVE UNLIMITED OPPORTUNITIES


At $775 million a year, theUniversity of Michigan hasone of the largest annual

research expenditures of anyuniversity in the country. OurMedical School receives thelargest portion of funding —$300 million each year. The

University of Michigan HealthSystem ranks 11th in the

nation in National Institutesof Health funding.

NINETY-SEVEN U-M FACULTY CURRENTLYCONDUCT PEDIATRIC RESEARCH WITH MORE

THAN $84 MILLION IN GRANT FUNDING.


“After having interviewed at several institutions forfellowship, I now realize howwell respected U-M is in the academic world. From the availability of mentorship,to the opportunity to beginan academic career, U-Mprovides all the necessarytools to assist residents infollowing their career path.”Peter Aziz, M.D., House Officer IIIFuture Pediatric Cardiology Fellow

The Child Health Evaluationand Research (CHEAR) UnitCHEAR is the largest child health services research unit inthe United States and is an official research arm of theAmerican Board of Pediatrics. Since 1999, CHEAR hasreceived more than $25 million in research grants, andCHEAR has the first and only NIH-funded pediatric healthservices research fellowship in the country.

On average,approximatelyone-third of ourgraduatingresidents entersubspecialtytraining each yearand an additionalone-third choosecareers in primarycare practice. Inrecent years,many of our graduating residents have chosen positions as pediatric hospitalists. Other residents have enteredacademic general pediatrics, become Robert Wood JohnsonClinical Scholars, joined the Public Health Service, becomeinvolved in international health or returned to basicscience research. The various directions our graduates havetaken highlight our commitment to helping each residentidentify the career path that is right for them.

Our training will not only prepare you to be abetter resident — it will prepare you for themost important time of all: your career afterresidency.

Our comprehensiveprofessional developmentcurriculum will span all yearsof your residency. And one ofthe best things about ourprogram is its flexibility. Wedesign our program to meetyour needs.

Here are a few highlights ofthe Michigan program:

• Assisting you in considering, choosing and achievingyour individual career goals

• Developing your teaching skills

• Training you to be a competent, ethical leader

• Teaching you about health care finance, managed careand quality improvement

Residents as TeachersThrough the Residents as Teachers Programseries, you will learn adult learning strategies,hands-on teaching tools and the skillsnecessary to provide effective feedback andevaluation. The program highlightsstraightforward, time-efficient methods toenhance learning interactions among medical students, residents and faculty. The Program is especially valuable as you take on greater supervisory and training roles.

Life After ResidencyOur workshops prepare you for life afterresidency — and address the specific skillsrequired to secure the right position for you.You will learn how to prepare a stellarcurriculum vitae, interview with ease,understand and effectively manage financialissues, and negotiate a contract you can livewith.


Professional Development PREPARED FOR LIFE AFTER MICHIGAN


We offer a core curriculum inmanaged care, leadership,

quality improvement, practicemanagement, teaching skillsand attention to many issues

that are not often a majorfocus in pediatric education.

WHERE THEY ARE NOW2003-2005 GRADUATES*

*Represents locations for nearly 70 residents


Experience Ann Arbor SMALL CITY WITH COSMOPOLITAN APPEAL

Some call Ann Arbor one of America’s best keptsecrets. Others call it the Paris of the Midwest. Whilewe might not go that far, we do like to acknowledgethat this city of 114,000 residents and 39,000

students has a great deal to offer — and many surprises.

We like the fact that it’s as easy to get tickets to see pianistMurray Perahia perform Bach’s English Suites in themarvelous Hill Auditorium as it is to stroll any of AnnArbor’s 200 parks, take the kids to the Hands-On Museum,shop with your mother-in-law at Gap for Kids, or enjoy aventi double-caf latte at one of our 40 coffee bars.

And if you’re single, you’ll love Ann Arbor. Every night,you can enjoy live music at the Cavern Club, the Ark or theBlind Pig, or go to one of Detroit’s jazz, techno or urbanmusic clubs. Join the Ann Arbor Ski Club, where you don’teven have to ski but get to enjoy the group’s many singles’events. Sperling’s Best Places ranks Ann Arbor as one ofthe Top 10 Best Cities for Dating.

14,000 GRADUATE AND PROFESSIONALSTUDENTS CALL ANN ARBOR HOME.

STUDENTS IN MEDICINE, LAW, BUSINESS,NURSING, SOCIAL WORK AND U-M’S OTHERGRADUATE AND PROFESSIONAL PROGRAMS

FIND A LOT TO DO IN OUR CITY.

The beauty of Ann Arbor is that one minute you can beenjoying a chocolate-chip cookie-dough ice cream cone atthe non-franchise Washtenaw Dairy, and the next, youcould be sitting in the grand Michigan Theatre watchingthe Royal Shakespeare Company’s Julius Caesar. And traffic

isn’t all that bad,either.

There are about200 restaurants of every ethnicvariety, hundredsof bike paths andparks, an award-winning publicschool system, atleast 20 major artsand music festivals

and 100 places to worship.Well, you get the picture.

Whether you’re single,married or partnered, withor without children, AnnArbor is a great place to liveand work. But don’t takeour word for it. Visit us!


VIVE LA DIFFÉRENCE, ANN ARBOR!

MONEY Magazine 2006 15th Best Place for Singles

25th Best Place to Live

CNNMoney.com Best Places to Live 2005

BestJobsUSA.com ranks Ann Arbor #10

Ladies’ Home Journal#3 Best Cities for Women

(Small Cities category)

ReliaStar Financial Corp. 2002 #3 Best City to Earn and Save Money

Zagat’s 2006 America’s Top Restaurantsnames Zingerman’s Delicatessen and the

nearby Common Grill as two of the top restaurants in the country

Area Companies/Real OpportunitiesIf your significant other works in education, biotechnologyor a high-tech field, Ann Arbor just could be the place!And keep in mind the University of Michigan itself — we’re the area’s largest employer. Others include:

• Borders Books Group

• Domino’s Pizza Corporate Offices

• Eastern Michigan University plus 10 other area collegesand universities

• Google Corporation

• Pfizer Pharmaceuticals Research and Development

• St. Joseph Mercy Health System

• Many large and small high-tech firms


This is the University of Michigan PediatricsResidency: Great faculty and fellow residents; top-notch research; state-of-the-art facilities; morethan 8,000 hospital admissions, 3,800 births, and

257,000 pediatric and subspecialty visits per year; and agreat mix of primary and tertiary cases. The only thingmissing is you!

Come and be a part of the Michigan Difference!

During your interview, you will tour the University ofMichigan Health System and our Department of Pediatrics,and meet with several of our faculty and current residents.We do not schedule interviews during the Decemberholiday break, and we complete our interviewing season inlate January.

Visit Us Online• Learn about our program and department at

www.med.umich.edu/pediatrics/edu/res.htm

• Learn more about the Clinical Simulation Center atwww.med.umich.edu/umcsc/

• There’s more about the Child Health Evaluation andResearch Unit (CHEAR) atwww.med.umich.edu/mott/research/chear.html

• More about Survival Flight is available atwww.med.umich.edu/survival_flight

• Check out our combined Internal Medicine-PediatricsProgram and the opportunity to complete certificationrequirements in both areas within four years atwww.med.umich.edu/intmed/med-peds/

• Visit Ann Arbor online at www.annarbor.org/Better yet, visit in person!

How To ApplyTAKING YOUR RESIDENCY SEARCH TO THE NEXT LEVEL

TO BE CONSIDERED FOR A U-M PEDIATRIC RESIDENCY BY OUR SELECTION

COMMITTEE, PLEASE MAKE SURE THAT YOUMEET OUR ELIGIBILITY CRITERIA.

Read our policy on Resident Eligibility and Selection at www.med.umich.edu/pediatrics/edu/apply.htm

Executive Officers of the University of Michigan Health System: Robert P. Kelch, Executive Vice President for Medical Affairs;James O. Woolliscroft, M.D., Interim Dean, U-M Medical School; Douglas Strong, Chief Executive Officer, U-M Hospitals andHealth Centers; Zelda Geyer-Sylvia, Executive Director and CEO, M-CARE

The Regents of the University of Michigan: David A. Brandon, Laurence B. Deitch, Olivia P. Maynard, Rebecca McGowan,Andrea Fischer Newman, Andrew C. Richner, S. Martin Taylor, Katherine E. White, Mary Sue Coleman (ex officio)

The University of Michigan, as an equal opportunity/affirmative action employer, complies with all applicable federal and statelaws regarding nondiscrimination and affirmative action, including Title IX of the Education Amendments of 1972 and Section504 of the Rehabilitation Act of 1973. The University of Michigan is committed to a policy of nondiscrimination and equalopportunity for all persons regardless of race, sex*, color, religion, creed, national origin or ancestry, age, marital status, sexualorientation, disability, or Vietnam-era veteran status in employment, educational programs and activities, and admissions.Inquiries or complaints may be addressed to the Senior Director for Institutional Equity and Title IX/Section 504 Coordinator,Office for Institutional Equity, 2072 Administrative Services Building, Ann Arbor, Michigan 48109-1432, 734-763-0235, TTY 734-647-1388. For other University of Michigan information call 734-764-1817.

*Includes discrimination based on gender identity and gender expression.

Copyright ©2006 The Regents of the University of Michigan, Ann Arbor, Michigan 48109

Produced by the Department of Public Relations and Marketing Communications

08-06/1800

“What I like best about the Pediatric Residency Program is that it's an academic program with faculty and staffwho are very knowledgeable in not only their fields ofspecialty, but also in general pediatrics. But moreimportantly, they are approachable and willing to workthrough cases and concepts with the residents, studentsand fellows. I also like the fact that all of my fellowresidents are colleagues and friends.”Yaa Ohene-Fianko, M.D., House Officer III

“Take an opportunity to visit the University of Michigan.Michigan is a place where you will see all patients andfind supportive faculty who truly care about your future.” Kristen M. Snyder, M.D. (U-M Residency ’03)Clinical Fellow, Pediatric Hematology/OncologyJohns Hopkins Hospital, BaltimorePediatric Oncology BranchNational Cancer Institute

University of Michigan Health System Department of Pediatrics and Communicable Diseases

734-764-1258www.med.umich.edu/pediatrics/edu/res.htm

Documents

Training the Leaders in Pediatric Medicine