Primary Care Pediatrics
Children's Hospital Oakland is a major primary care resource for a large, diverse urban population, allowing each resident to gain an extensive experience in primary care pediatrics. The Primary Care Division includes a full time physician director and twelve attendings with special interests and training.
Resident involvement consists of both month-long rotations and weekly continuity clinics both of which represent important parts of the curriculum.
On average, residents spend about 6 weeks per year on rotations in primary care pediatrics. This comprehensive experience includes three main areas: community, advocacy and primary care (CAP).
During the CAP rotation, residents take care of both their own continuity patients and patients in the division’s special primary care clinics, including the Foster Care Clinic, International Clinic, Healthy Eating Active Living Clinic, Asthma Clinic and the TB Clinic.
Residents have been instrumental in developing the Community Outreach and Advocacy Program, and under the supervision of Primary Care faculty, they serve the neediest children in our community, visiting over 20 community sites during the CAP rotation.
The advocacy curriculum’s goal is to familiarize residents with their role as advocates for the good of all children. By the end of the CAP rotation, residents are prepared to collaborate with elected representatives and community leaders to effect social change.
Continuity clinics are composed of a group of PL-1s, PL-2s and PL-3s, supervised by the same two primary care attendings throughout the year. Each resident's weekly continuity clinic is "protected" time, free from other clinical responsibilities, so each resident can develop a panel of personal patients for whom that resident is the main provider of care during residency.
Elective rotations in private offices, other urban clinics such as La Clinica de la Raza or the Asian Health Center, and rural areas of California, are also available at the PL-2 and PL-3 level.
The Primary Care Division has started several innovative programs. The clinic houses the Reach Out and Read Literacy Program, encouraging parents to read to their children (in part by giving free children's books to clinic families). In addition, there is a child safety program that provides free education, car seats and bicycle helmets and a Medical Legal Clinic where needy families have on site access to pro-bono legal services.
With the only Pediatric Emergency Medicine Division in northern California and the busiest facility for pediatric emergencies, Children's provides an outstanding educational opportunity for residents.
Almost 50,000 patients visit our newly renovated Emergency Department per year. As the designated level 1 trauma center for Alameda County, we also have a helicopter-landing site for critical pediatric transfers from outlying areas. Each year, approximately 5,500 admissions to Children's Hospital come through our Emergency Department, often without a prior diagnosis.
The department faculty consists of 14 attendings, board certified in Pediatric Emergency Medicine. They provide 24-hour in-house coverage and supervision of residents and medical students assigned to the department.
Our intensive care unit is an outstanding educational experience for residents where they gain exposure to the most common pediatric critical care problems, such as meningitis, septic shock, acute respiratory failure, and head trauma, as well as exposure to post-op cardiac surgery patients, and a mix of rarer diseases. With an experienced pediatric critical care attending in the ICU 24 hours a day, this is a superb setting for generalist training.
Our general inpatient wards also offer a great educational experience for the generalist, with a lot of "bread-and-butter" pediatric cases, such as asthma, bronchiolitis, pneumonia, pyelonephritis and gastroenteritis with dehydration, as well as a variety of diagnostic dilemmas and subspecialty cases.
We have two general ward teams at our main hospital, Purple and Orange, except in busy winter months when we “flex up” to three teams by adding Silver Team. Residents also rotate through an off-site general ward at a nearby community hospital, Summit, where the focus is family-centered rounds and care of bread-and-butter cases referred for admission by community pediatricians.
Interns and residents rotate through each of these four teams and receive outstanding teaching from the hospitalists and chief residents on service and from subspecialty consultants and community pediatricians.
In the course of training, residents gain exposure to our broad group of subspecialists — on inpatient rotations and on elective rotations, which include outpatient specialty clinics.
In addition to our Neonatal Intensive Care Unit and Pediatric Critical Care Unit, we have three inpatient ward subspecialty teams, two in Hematology/Oncology and one in Pediatric Rehabilitation Medicine, on which our residents gain a comprehensive experience in those specialties.
The following list includes Children's Hospital-based divisions and the number of faculty in each division:
|Division||Number of Faculty|
|Primary Care Services||13|
|Division||Number of Faculty|
|Plastic and Reconstructive||4|