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Diversity in Training

The UCLA Pediatric Residency Training Program provides a rich and diverse training experience in a wide spectrum of venues. Throughout their three years of training, residents have the opportunity to train in a broad network of community-based settings and major Los Angeles medical centers including:

The combination of each of these complementary experiences provides for an unparalleled education which is truly rigorous, well-rounded, and unsurpassed for diversity of clinical, economic, and cultural experiences.  In all settings in which they rotate, interns are the primary care providers for their patients.


Mattel Children's Hospital UCLA

There is an amazing spectrum of illness to which residents are exposed at the 100-bed Mattel Children's Hospital UCLA.  In addition to the tremendous breadth of pathology, there is great socioeconomic diversity among our inpatients.

Ward residents care for patients on either a hospitalist or subspecialty team, with an average of 6-7 patients per intern. As a major referral center, both the Pediatric and Neonatal ICUs offer state-of-the-art advanced critical care services.  With faculty and fellows from all disciplines, residents are exposed to cutting-edge tertiary and quaternary pediatric care. 

 

Inpatient Wards (50-beds): Residents rotate on all four day teams throughout their training.  The night team, made of 1 senior resident and 2 interns, covers all ward patients overnight.

Team Supervisor Patient Mix Resident Mix Typical Census
GI GI fellow/attending GI patients 2 senior residents 14
H/O H/O fellow/attending H/O patients 2 senior residents 14
Gold Renal and Neurology fellow/attending Renal & Neuro  patients

1 senior resident, 2 interns

10
Silver Hospitalist attending General Pediatric Consultation, Cardiology, Pulmonology, Genetics, Infectious Disease, A&I, Rheumatology

1 senior resident, 2 interns

14


 Pediatric Intensive Care Unit (24-beds): With an average of 4 patients per resident per rotation, and 1,100 admissions per year residents have opportunity to care for patients with a wide spectrum of general pediatric and subspecialty critical care problems, including patients receiving heart, liver, small bowel, and renal transplants. 



Neonatal Intensive Care Unit (22 beds): Second and third year residents train in the UCLA NICU, a major referral center caring for the highest acuity patients, including those requiring ECMO.

 

Newborn Nursery (30 beds): Residents perform newborn examinations, manage general newborn issues, and counsel new parents in preparation for discharge home with guidance and teaching from general pediatric and neonatology faculty.

Mattel Children's Hospital UCLA Official webpage 

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Cedars-Sinai Medical Center

Residents receive training in inpatient general pediatrics, neonatology and newborn nursery/neonatal resuscitation in this academically-affiliated hospital which is based in a community setting. Rotations at Cedars-Sinai provide a tremendous complement to the UCLA-based inpatient experiences. Both pediatric and neonatal experiences provide tremendous exposure to patients with general pediatric and neonatal problems. In addition to the core rotations, many residents spend time at Cedars-Sinai doing inpatient/outpatient elective rotations.

Inpatient Ward (24 beds): At Cedars-Sinai the inpatient ward service has a tremendous mix of high-yield and relevant general pediatric, subspecialty and surgical patients. On average, about half of the inpatients are admitted with general pediatric problems, and half are admitted with more tertiary problems. The average number of patients per resident is 6-8. The patients admitted to the inpatient pediatric ward reflect the cultural, socio-economic and ethnic diversity of the entire region including a large underserved patient population.

Team

Supervisor

Patient Mix

Resident Mix

Typical Census

Cedars Wards

  • Academic Hospitalist
  • Community Pediatrician
  • General Pediatrics
  • Subspecialty
  • Surgical
  • 1 Ward Senior
  • 1 Teaching Senior
  • 1 Night Senior
  • 3 Day Interns
  • 1 Night Intern

6-8 patients per intern

Newborn Nursery (~70 beds): Residents receive an exceptionally strong neonatal resuscitation and routine newborn care experience in this setting. The delivery room at Cedars-Sinai is one of the busiest in the nation, with over 7,500 deliveries per year - a significant percentage of which are high-risk deliveries.

Neonatal Intensive Care Unit (45 beds): Interns and PL-2s train at the Cedars-Sinai NICU, with Level 2 and Level 3 patients, fed by a tremendously busy delivery room unit, as noted above. The resident teaching service (~15 patients) provides great exposure to both general and tertiary neonatal problems. 

Cedars-Sinai Medical Center Official webpage

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Mattel Children's Hospital at Santa Monica Hospital UCLA

With a 26-bed general pediatrics inpatient unit floor and 4-bed PICU, Mattel Children's Hospital UCLA at Santa Monica Hospital, provides an excellent environment to care for general pediatric patients.  The experience combines a rich blend of common pediatric illnesses: including patients with chronic illnesses, those with no previous medical problems, and patients admitted for orthopedic and general surgery.

Pediatrics is thrilled to move into a beautiful, newly built state-of-the-art tower opening January 2012. 

 

Team Supervisor Patient Mix Resident Mix Typical Census
Santa Monica Ward
  • Academic Hospitalist
  • Community Pediatricians
  • General pediatrics
  • Surgery consultation
  • 1 Ward Senior
  • 1 Night Senior
  • 1 Intern
  • 2 Family Practice Interns
10-12 patients

Santa Monica UCLA Medical Center and Orthopedic Hospital Official webpage

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Olive View Medical Center

Residents learn about urgent and emergency pediatrics in this Los Angeles county facility at Olive View. The spectrum of pathology is phenomenal, with excellent teaching from a variety of attending physicians, including academic general pediatricians, community physicians, emergency medicine attendings, and subspecialists while the education and focus is primarily on caring for the urgently or emergently ill child, at this "safety net" hospital residents also have the opportunity to provide comprehensive care to underserved patients including participation in some subspecialty care clinics in addition to managing a small general inpatient ward.  Two residents per training year have their continuity clinic site at Olive View. 

Los Angeles County Olive View Medical Center Official webpage

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Community Sites & Partnerships

Resident education in Community Pediatrics is rooted in the required training blocks in Community Medicine, Developmental Pediatrics, Adolescent Medicine, Child Advocacy, Ambulatory Pediatricsand Urgent Care

In addition, residents may elect experiences in general community practice as well as child abuse and neglect. Overall, this robust curriculum reflects our commitment to providing residents with the tools necessary to becoming community providers and leaders for the 21st century.

CHAT Intern Year

Didactics cover topics such as cultural competency, child health policy, QI/PI, parent training, behavioral management, and oral health. The rotation includes experiences at Venice Family Clinic (providing care to impoverished and homeless children in West Los Angeles), WIC, St. John's Child and Family Center, Healthy Start/Braddock Elementary School, Mar Vista Family Center, and Mar Vista Garden. Residents will also work on an asset-mapping project. Those residents interested in community medicine can take the CHAT electives offered during their second and third years of training.

              

Developmental Pediatrics

This experience includes hands-on training in both outpatient developmental assessments and inpatient consultations. In addition, residents rotate through a variety of community settings, gaining clinical experience with a developmental focus. These experiences include visits to rehabilitation facilities such as the Blind Children's Center and the John Tracy Center for the Deaf and Hard of Hearing, speech therapy sites, schools for children with disabilities, specialized developmental clinics in learning and attention disorders, autism, and educational advocacy, and a local Regional Center.

Adolescent Medicine includes great experiences in multiple venues including the Adolescent Medicine Clinic at UCLA, multiple school-based clinics, the Robert Levine Teen Center at the Venice Family Clinic, and the Student Health Center at California State University at Northridge.

Child Advocacy

Residents act as consultants to lawyers and judges handling foster care cases at the Los Angeles County Children's Superior Courthouse. Residents gain exposure to forensic pediatrics, Medical Home issues for children in foster care, and working with children with special health care needs. Residents also have the opportunity to participate in court hearings as well as visits to the Juvenile Halls and Residential Camps.

   

Ambulatory Pediatrics

In this rotation residents refine their ambulatory pediatrics skills in community-based settings. Most of the clinical experiences occur at the Simms-Mann Health and Wellness Center and the Rose site of the Venice Family Clinic. Residents are also exposed to a busy managed-care practice at a Kaiser Permanente facility in Torrance.

 

      

 

UCLA Primary Care Clinic, Ugent Care (next door to Mattel Children's Hospital)

Residents gain experience with both urgent and well child care.  Interns and residents are responsible for evaluating all pediatric admissions from the Emergency Department. Interns also have a terrific learning experience fielding parent calls from the community.

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Continuity Clinic Sites

In each continuity clinic, residents provide comprehensive care to their panel of pediatric patients. As part of the continuity clinic training experience, residents have the opportunity to develop a continuous quality improvement project to enhance patient care in their unique clinic setting. Residents also participate in small group learning on general pediatric topics and best practices in their weekly clinic sessions. Current sites include:

  • The Primary Care Center at UCLA: In addition to being the primary care continuity site for 75% of the residency program, first and second year residents also rotate through urgent care at the UCLA outpatient Children's Health Center. 
  • Venice Family Clinic
  • Simms-Mann Health and Wellness Center
  • UCLA West L.A. Pediatrics Clinic in Santa Monica
  • OV Continuity Clinic (an LA County clinic located at Olive View Medical Center)

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