Outpatient

Continuity Care Clinic

The Continuity Care Clinic is the cornerstone of our primary care educational experience. The program offers residents the opportunity to follow their own patients throughout their three years of residency training. Residents learn about well and sick child care, nutrition, normal development, and anticipatory guidance.

Each resident has one half-day per week when he or she is relieved of all other duties to care for his or her patients in the clinic. Supervision is provided at all times by one or two of the faculty of the division of General Pediatrics. Primary care is provided to a patient population that includes healthy children from the local community, follow-up of previously hospitalized patients, and children with complex medical problems. During their three years, each resident establishes his or her own practice that encompasses a broad patient base. Residents also have the opportunity to add an additional half day of continuity clinic in a different site to further broaden their general pediatric experience.

Currently, residents have their continuity clinics at one of three locations:

Gerold L. Schiebler Children’s Medical Services
Eastside Community Practice
Pediatric Primary Care at Haile Plantation

Pediatric After Hours

Pediatric After Hours is an acute care clinic available to children from our Continuity Care Clinic and from local, private practices on nights and weekends. The clinic is staffed by affiliated faculty from the community who teach and supervise the residents. The clinic serves as an excellent avenue for learning general acute pediatric care and acquiring triage skills for handling patient call at night. Each resident takes phone calls from parents of continuity patients as well as private patients during their time on the Pediatric After Hours portion. The phone calls are supervised by the faculty on call for Pediatric After Hours.

Acute Clinic

The Acute Clinic is the daytime counterpart to Pediatric After Hours. It supplies acute care to sick children from our continuity clinic panels. It is supervised by faculty from the General Pediatric Division. Second and third year residents staff both clinics.

Emergency Medicine

The emergency department at Shands UF is a Level I Trauma center. Currently residents are involved with all pediatric patients in the emergency department at Shands UF, including both medical and surgical patients and major and minor trauma. Twenty-three percent of pediatric admissions to Shands Hospital are initially seen in the emergency department where there are over 13,000 pediatric visits per year. Residents do 12-hour shifts. An emergency room attending is present at all times and a board certified pediatric emergency medicine attending is present from 1pm-1am 7 days a week. The chief residents and general pediatric or subspecialty faculty members are available for consultation. The emergency room has easy access to radiology facilities as well as having full ancillary support.

Developmental Pediatrics

During this rotation residents learn basic concepts of normal child development and screening, gain knowledge of handicapping conditions, and learn the basic skills involved in the medical evaluation of the developmentally delayed child. This is accomplished under the direction of a full-time Pediatric Developmental faculty member. Time is spent in the newborn nursery with a Developmental Specialist, as well as in a variety of clinics including a multi-disciplinary clinic for special needs children, a neuro-developmental clinic, an ADHD clinic, OT, PT, and speech therapy.

Adolescent Pediatrics

The adolescent medicine rotation allows the resident to learn the specialized needs of the young teen and young adult. Residents spend time in a daily clinic devoted to the complex issues of these patients supervised by adolescent faculty. Spending time in UF student health, the local Job Corps, and the health department clinic as well as giving talks at local high schools and detention centers enhances their education.

Advocacy and Community Pediatrics Rotation

The Pediatric Advocacy Rotation comprises a three year, longitudinal project as well as a more intensive four week block devoted solely to advocacy activities during the PL2 resident year. This curriculum builds upon and enhances the previously existing advocacy curriculum which consisted of a one month rotation only.

The longitudinal project is based on community or legislative advocacy and is designed to give residents the skills necessary to develop, implement and evaluate an advocacy activity from beginning to end. This year, with the intern (2009) class we will launch an inaugural three year, longitudinal, school-based program. Residents' current longitudinal project are based on community or legislative advocacy and are designed to give residents the skills necessary to develop, implement and evaluate an advocacy activity from beginning to end. The Schools’ Program will incorporate a multidisciplinary approach to providing health in the schools.

The second year rotation includes elements of legislative advocacy, health policy, public awareness/use of media, teaching, and community pediatrics. During the rotation month, residents participate in a number of community-based activities designed to increase their exposure to the social and environmental determinants of health. They also have the opportunity to travel to Tallahassee and work with the UF Governmental Affairs Liason. The purpose of the rotation is to train residents to develop a tool kit of advocacy skills that can be applied in any community.

Outpatient

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