Resurrection and Peds experience

[JkGrocerz]

---

Members don't see this ad.

Hi,

I've heard some iffy things about their peds experience. They only do 1 EM month at U of C and then see peds at st. francis. I rotated at Res, and barely saw any peds at that hospital and am somewhat suspicious of the actual amount of Peds that is seen at St. Francis. Even EMRAMATCH.ORG had a blurb about their ped's experience ---saying that the residents wish they had more.

Are there any res residents/graduates out there that can comment on their peds experiecne? Is it really that bad? Regardless of whether you like peds or not, peds experience is important, and I don't wanna come out of residency feeling uncomfortable treating kids

Thanks!

 

[JkGrocerz]

nobody familiar with res?

 

[EctopicFetus]

I dont know much about this.. I know they do Mt Sinai as 2nd and 3rd yrs and there is *some* additional peds there but it isnt dedicated or anything..

 

[lateness]

Hi,

I've heard some iffy things about their peds experience. They only do 1 EM month at U of C and then see peds at st. francis. I rotated at Res, and barely saw any peds at that hospital and am somewhat suspicious of the actual amount of Peds that is seen at St. Francis. Even EMRAMATCH.ORG had a blurb about their ped's experience ---saying that the residents wish they had more.

Are there any res residents/graduates out there that can comment on their peds experiecne? Is it really that bad? Regardless of whether you like peds or not, peds experience is important, and I don't wanna come out of residency feeling uncomfortable treating kids

Thanks!

i have a friend who rotated at st. francis, and they get a pretty good amount of peds patients. i think u would be fine.

 

[Dr.MISHKA D.O.]

I spent a month at Res, and thought that the Pediatric Experience was quite sufficient and then some. You have to remember, that you see both peds and Adults every shift at both Res, St. Francis, and Our Lady. In addition you do approx. one month of Ped EM each year, and Either PICU or NICU each year. I think that is about as much as any program, and definitely more than is required. The only programs I interviewed at that I thought had more exposure were UTSW and Washington U.
I plan to do a peds EM fellowship (Yes, I do want to be George Clooney!) and have no worries about being prepared at Res, or at any other program I interviewed at this year.

Best Wishes

The Mish

 

[Dr.MISHKA D.O.]

Post pad

Best Wishes

The Mish

 

[Dr.MISHKA D.O.]

Enter button stuck. Count it as post pad
Best Wishes

The Mish

 

[EctopicFetus]

Wash U and Harbor had a ton of Peds stuff going on..

 

[Eidee]

i noticed that res had a NICU month as well...but how beneficial is a nicu month when the vast majority of your peds patients are NOT going to be newborns? What key skills required in EM are essential in a NICU month?

 

[JackBauERfan]

Enter button stuck. Count it as post pad
Best Wishes

The Mish

I like the attitude! Keep up the good work. We will continue our domination with posts such as this, and I encourage all to follow along with Mish's dedication.

 

[Dr.MISHKA D.O.]

I think that neonate ICU is good experience for the community ED any way you cut it, peds aren't just little adults and learning the procedures pertinant to that age range is essential, as I learned this month. Baby born in ED -respiratory code (woman came in crowning, no prenatal care and crack ***** - usual story), stay calm - remember peds training, get the tube down, get that umbilical vein cannulated, do the best you can with FP's until pediatrician arrives. Wish I had a nicu month under my belt at that moment! Baby lived, Thank God.

Best Wishes

The Mish

 

[Homunculus]

i noticed that res had a NICU month as well...but how beneficial is a nicu month when the vast majority of your peds patients are NOT going to be newborns? What key skills required in EM are essential in a NICU month?

the vast majority won't be, but for few that are your NICU time could make a difference in their outcomes. maybe not life or death, but definitely morbidity. and that's just regarding resuscitation. neonatal resuscitation isn't rocket science, but there are definitely a few quirks to it and a few unique situations (choanal atresia, gastroschisis, micrognathia etc) that need fairly straightword interventions that unless you're exposed to them you may not know.

procedure-wise, dropping UVC's is a good skill, but to be honest even the day-to-day IV starting will help your skill set tremendously. after doing an LP and starting IV's on a newborn when you go back to adults you'll be shocked how *huge* the interspaces and veins are. 🙂 threading an IV catheter into a vein that's only fractionally larger than the catheter takes some work, lol. same goes for intubations i imagine, though i haven't intubated an adult since medschool. and intubations jsut aren't for the premies-- in mec deliveries you'll get the opportunity to essentially intubate, suction, and extubate. it's a procedure and it's kinda cool do do to boot.

after the initial resuscitation and random procedures though i can see your point. the medical management of a 24-25wk preemie (other than learning more physiology) probably isn't going to help you that much. NEC, rickets, lung disease, vent weans, TPN, feeds, etc isn't exactly in the realm of day to day ED work. in the end most NICU kids become feeder/growers, which though good for them is dull as hell (to me) to follow as patients. A PICU block would probably serve you better in regards to the ED in my opinion. more variety. 🙂

--your friendly neighborhood workin the PICU now caveman