Rotations

General Pediatric Rotations

  • 8 East: General Pediatrics with an emphasis on care of patients with hematologic, rheumatologic, and infectious diseases
  • 8 West: General Pediatrics with an emphasis on care of patients with gastrointestinal, endocrine and renal diseases
  • 7 East: General Pediatrics and pulmonology
  • 7 West: Cardiology
  • 9 East and West: Oncology including care of patients in the Bone Marrow Transplant Unit
  • 12 East and West: General Pediatrics with an emphasis on neurology, neurosurgery and neurorehabilitation

Critical Care Rotations

  • Neonatal ICU (NICU): Diagnosis and management of critically ill and premature neonates
  • Pediatric ICU (PICU): Diagnosis and management of critically ill children (medicine, surgical, trauma)
  • Cardiac ICU (CICU): Diagnosis and management of critically ill children with heart disease as well as patients after complex congenital heart repair and heart and lung transplantation

Emergency Medicine Unit

While working in the ER, residents evaluate, diagnose, and manage a wide spectrum of patients and diseases as well as surgical emergencies and traumas.

Labor and Delivery

On Labor and Delivery, residents care for neonates in the Newborn Nursery as well as infants in our Level 2 Special Care Nursery. They provide initial resuscitation and stabilization at the time of delivery, care for healthy newborns, and care for complicated, sick, multiple gestation and premature infants.

Developmental and Behavioral Pediatrics

This rotation is a multidisciplinary clinical program designed to teach residents skills in providing assessment and follow-up for children with developmental, behavioral and/or learning problems. Patients range in age from newborns to teenagers. Experiences on this rotation include spending time in a developmental pediatrics clinic, working with therapy services, and attending multidisciplinary community events.

Adolescent Medicine

The adolescent rotation is a unique clinical experience where residents learn to take care of the unique needs of teen patients. Knowledge of the physical, cognitive, emotional and social changes that adolescents undergo, as well as disease processes that occur during adolescence, is vital when caring for patients in this age group. In our Adolescent Center, residents work with a multidisciplinary team to treat teens for a variety of concerns including reproductive healthcare, issues of sexual identity, eating disorders, and mental health concerns. Residents also see teens and young adults at the SPOT, a community drop-in center and free clinic focused on reproductive health care which is staffed by our Adolescent Medicine faculty

Child Advocacy/Pediatricians in Community

The goal of this rotation is to cultivate a greater understanding of the role that social determinants play in the health of children and families. Residents visit with community agencies that care for vulnerable children and families through full-day or half-day visits. Each year residents also attend the state-wide Advocacy Day in Jefferson City to learn first-hand how a pediatrician can be a powerful voice for change on local, state, and national levels. Poverty and chronic medical conditions greatly impact children and families’ lives, and we see advocacy as a skill central to the development of committed pediatricians who will serve children and families for a lifetime.

Child Protection Program

We are one of a few pediatric residency programs in the United States that provides a child protection/child maltreatment experience for pediatric residents. Basic goals are to provide residents with information about child maltreatment in all its forms, increase awareness of child protection services available at St. Louis Children’s Hospital and the state of Missouri, and how to access these services effectively.

Continuity Clinic Rotation

Residents spend four weeks per year in their continuity clinic in addition to a regularly scheduled weekly half-day. Unique to our residency program, this experience occurs in the offices of primary care pediatricians in the community, offering not only three years of continuity with patients but also the opportunity to learn about how a practice is maintained. During this time, residents also participate in a continuity clinic curriculum designed to provide both basic and high-level instruction regarding medical issues commonly encountered in outpatient clinics.

Teaching Resident

This rotation offers residents an opportunity to spend a concentrated amount of time developing and practicing teaching skills. With guidance from a faculty mentor, residents undertake a self-directed teaching curriculum before putting their skills into practice. They provide didactics as well as physical diagnosis instruction to third-year medical students. They also play a pivotal role in the continuity clinic curriculum for residents as well as prepare talks for morning report. Faculty instruction and feedback is given throughout the month to enhance and support the development of teaching skills and to provide opportunities for self-reflection.

Pediatric Surgery

As part of the Pediatric Surgery team at St. Louis Children’s Hospital, our pediatric residents gain a unique and specific skill set regarding management of surgical patients on the floors, in the ER, and in the NICU, PICU, and CICU. Residents routinely participate in daily care of these patients as well as surgical consults and trauma care.

Individualized Curriculum

Individualized curriculum for each resident that consists of 6 months of resident-selected rotations. These rotations are chosen by each resident to enhance their own educational experience with specific future career goals in mind. Many of these rotations will be subspecialty rotations of the resident’s choice, but the individualized curriculum can also include unique experiences such as sedation training, advocacy or community projects, research, rotations abroad, or scholarly projects with a faculty mentor, among others.

Subspecialty/Elective Rotations

Our residency program offers a wide variety of subspecialty rotation experiences including Allergy/Immunology, Cardiac ICU, Cardiology, Child Psychiatry, Dermatology, Endocrinology, ENT, Gastroenterology, Genetics, Hematology/Oncology, Infectious Diseases, Nephrology, Neonatal Neurology, Neurology, Ophthalmology, Orthopedics, Palliative Care, Pulmonology, Radiology, Rheumatology, Sedation, Toxicology. Also, there is opportunity for expansion of this list with resident interest.

A month of elective time is offered in each of the 2nd and 3rd years of our residency program. This time can be used for any scholarly project of interest to the resident. Past residents have spent time doing research, working with ancillary services, and doing service trips abroad among many other activities.

International Medicine

During your elective time you may choose to travel internationally. Grants are available to cover travel expenses. Two well established international trips include electives in Honduras and Malawi, Africa. In Honduras, residents spend two weeks at the only children's hospital in Honduras, one week at a rural clinic, and one week traveling. In Malawi, residents participate in the care of children in a hospital setting as well as assist in the research.

Wash U School of Medicine
Children's Hospital St. Louis
Children's Discovery Institute
© 2017 by Washington University in St. Louis
One Brookings Drive, St. Louis, MO 63130