Pediatric Curriculum at UCSF Fresno

Located at both CRMC and VCH, these rotations provide residents with experience in admitting a wide variety of pediatric patients, including rare and complex disorders as well as bread-and-butter pediatric conditions, with access to needed subspecialists for consultations. Team structure varies by location, but usually there are 1-2 interns and a senior resident, frequently with a medical student as well.

Ancillary services include pediatric case managers, medical social workers, child life specialists, pediatric therapy services, nurses and respiratory therapists.

Information regarding L&D at CRMC

We see a variety of normal well newborns as well as complex newborns including but not limited to those with HIV exposure, congenital syphilis, hypoglycemia, neonatal abstinence syndrome, congenital anomalies, and late preterm infants.

Primarily an intern-run service. Our interns are encouraged to take ownership of their patients and develop their clinical autonomy early on in their careers. Our residents also have the unique opportunity of following these infants from birth on as their primary care provider.

We have a Level III NICU with over 60 beds and wonderful nursing staff providing round-the-clock care. Our NICU serves as a high risk delivery center for numerous hospitals in the area, provides transport services 24/7, and gets roughly 1100 admissions a year. We also have a dedicated, state-of-the-art stabilization room where critically ill infants are received and resuscitation efforts including necessary procedures are performed. Our residents are included in these encounters as well as daily care of their service.

Our resident NICU team is one of 4 NICU teams staffed by neonatologists. The NICU team regularly has multidisciplinary rounds with the bedside RN, RT, and pediatric dietitians. We also have a dedicated NICU pharmacist and RN discharge coordinator.

Our 10-bed PICU is CCS-certified and staffed by a group of 5 core pediatric critical care physicians. Our senior residents are given the opportunity to directly care for these patients under close supervision and further develop their medical knowledge and hands-on skills. Rounds typically include the bedside RN, RT, PICU pharmacist, and other ancillary staff. This rotation often includes mock codes and simulations as well as one-on-one or small group didactic sessions with the attending.

We also have a comprehensive Burn Center and Trauma ICU where we frequently see pediatric patients as well.

This service is covered by one senior and one intern, and includes coverage of the following services: 5C/Peds, NICU, Newborn, pediatric ED consults and admissions, and overnight mommy/daddy calls (via the pager) from our clinic patients. Our senior residents are able to further develop their clinical autonomy in a supportive environment during this experience prior to graduating and entering independent practice.

Consists of both acute care visits, well child exams, complex care patients, and newborn follow up visits with the opportunity for formal teaching and management of the overall clinic workflow as a pediatric senior resident.

Primarily resident-run with attending supervision from faculty and experienced pediatric nurse practitioners. Our residents each have their own panel of continuity patients and quickly develop the skills and confidence needed to independently care for their patients

Enter content.

• Our mid-size program, and the absence of pediatric subspecialty fellows, allows a close working relationship between caring subspecialists and residents.
• All ACGME requirements can be fulfilled in the Central Valley. For those who wish to expand their experiences, electives also available at UCSF Benioff Children’s Hospital in San Francisco and Oakland
• Most will typically be a combination of inpatient consults and outpatient encounters depending on the service and individual interests of the resident. There are a myriad of opportunities available, and residents are encouraged to individualize their educational experiences based on their career goals.
• Available pediatric subspecialities: Cardiology, Endocrinology, Infectious Disease, Gastroenterology, Neurology, Nephrology, Pulmonology, Orthopedics, Psychiatry, Allergy, Anesthesia, and many others including opportunities at UCSF Benioff Children’s and Valley Children’s
• Other available subspecialties/electives: Dermatology, Toxicology, Outpatient General Pediatrics in the local community, rural pediatrics, Breastfeeding Medicine, Public Health at the local Public Health Department, Global Health opportunities, research, and more.

• Continuity Clinic at CHC
  • Each resident is assigned to a continuity clinic team/pod and sees a scheduled panel of their own patients 1 afternoon a week while on local rotations.
  • Residents can often see their own or their teams’ patients when they present for urgent care visits 
• Community Pediatrics Division 
• Research 

   

• Home to the only Level 1 Trauma Center and Comprehensive Burn Center in the Central Valley
• Busy level 3 NICU and high-risk birthing center
• Located in the heart of Downtown Fresno

• Primarily resident-run
• >22,000 patient encounters per year
• Staffed by General Pediatrics Faculty attendings and Pediatric Nurse Practitioners
• Separate pediatric urgent care (Station 3)
• Occasional pediatric specialty patients with select pediatric subspecialists
• Provides Regional Pediatric Special Services (HIV Care)
• Federally qualified health center that encounters a wide breadth of medical and psychosocial issues in a highly underserved area

• Here our subspecialists provide care to pediatric patients in the fields of cardiology, endocrinology, gastroenterology, cystic fibrosis, nephrology, hematology, high risk infant care, pulmonology, neurology, rheumatology, and developmental pediatrics.
• Located next to both the FHCN clinic and CRMC, this enables access to our subspecialists

• An alternative location for our subspecialists, based in Clovis near Clovis Community Medical Center

• Tertiary care freestanding Children’s Hospital affiliated with Stanford located in Madera, about 20 minutes from downtown Fresno.