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Department of Pediatrics and Adolescent Medicine
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RESIDENCY PROGRAM

The rotations of residents in the Department of Pediatrics and Adolescent Medicine at AUBMC are distributed as follows:



CCCL Inpatient unit/ Outpatient unit:

The CCCL provides outpatient and inpatient services to children and adolescents with cancer or blood disorders. It is affiliated with St Jude Children's Research Hospital in Memphis and is directed by Dr. Hassan El Solh. The outpatient service is located in the first floor of building 56 and the inpatient service which consists of 16 beds on the 4th floor of building 56.

The team consists of a resident (PLII or PLIII) and 3 interns, along with a group of medical students (Med IV). It is supervised by a fellow and an attending.

The team will round at 7 AM daily to go over the patientsí overnight problems and new admissions in preparation for the attending round at 9:30 AM. Thereafter the teams will go to the patient management tasks.

The unit nurse manager will help solve any problem you may face with the staff or the patients.

The goals and objectives of this rotation will be provided at the beginning of the rotation.



For the goals and objectives of this rotation please click here (pdf format)
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Emergency Department:

The Emergency Department is on the first floor of the building (C).  Its entrance is just opposite to the main lobby.

The team in the pediatric service is composed of 3 residents (junior or senior) and 3 interns. These share the duty on the bases of 12 hours shifts (day, day, night, night, off, off).

All patients should be checked by the fellow/attending on call. All non urgent cases are referred either to the (outpatient) private clinics or OPD.

The ED team will take care of all patients aged 0 to 19 years except married patients (these will be referred directly to the medicine service in ED).

The ED at AUBMC cares for all patients regardless of their financial status. If a patient is judged to require an urgent intervention but does not have the financial means for it, the ED director shall be contacted for financial support. The admissions are directed to the admission office in ED. In case a patient is deemed to require hospitalization but cannot be admitted for financial or logistic reasons, the ED director or the department chairman will be contacted.

 The ED team is not expected to leave the ED area for any reason. At least one team member should remain in the ED when other members attend academic activities.

The unit nurse manager will help solve any problem you may face with the staff or the patients.

The goals and objectives of this rotation will be provided at the beginning of the rotation.

For the goals and objectives of this rotation please click here (pdf format)
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Epilepsy Monitoring Unit (EMU):

The EMU is on the south section of the 6th floor.

It is a computer assisted unit where long term extensive video EEG recording and other testing is performed to allow for the proper diagnosis and management of difficult cases of epilepsy. It is also used to rule out epilepsy in patients presenting with syncope, migraine, staring spells, etc.

It is the responsibility of the first year resident on the ward team to check the patient both pre and post procedure for any contraindication for sedation or any complications prohibiting the patient form discharge home. The pediatric team will take care of patients less than 13 years of age and the internal medicine team will take care of those who are ≥ 13 years. 

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Neonatal Intensive Care Unit (NICU):

The neonatal intensive care unit is on the 7th floor of the hospital building just next to the delivery suite.

 The team consists of a PLIII, a PLII and 3 interns. It is supervised by a fellow and an attending.

The team will round at 7 AM daily to go over the patientsí overnight problems and admissions in preparation for the attending round at 9:30 AM. Thereafter the teams will go to the patient management tasks.

Both the PLIII and PLII residents will attend every single delivery considered at risk by the obstetric team until the beginning of October. After October the PLII will attend the deliveries, with the senior resident and/or fellow as back-up. The fellow will have to be informed of any high risk pregnancy or delivery.

A PLI is assigned to the term newborn unit but he/she attends the rounds of the NICU as he/she shares the duties on this unit with the NICU interns.

The unit nurse manager will help solve any problem you may face with the staff or the patients.

For the goals and objectives of this rotation please click here (pdf format)
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OPD (Outpatient department) and Adolescent Clinic:

These clinics are located on the 6th floor of the building. The resident and medical students are expected to be at OPD Monday through Friday, from 7:30am to 5pm daily.

The clerk will admit the patients for screening on a first come first served basis. The senior resident will screen the patients and decide whom to admit. Every effort will be made to accommodate all patients, but priority will be given to sick patients, patients coming from far, patients with complicated problems not resolved outside and patients with unusual complaints or findings.

The senior resident is responsible to assign cases to students, PGY1and PGY2. General pediatrics walk-in cases presenting until 12 pm should be seen and examined; Med 3 students can be assigned new cases until 10:00 am. Any patient admitted after 10:00 am should be seen by the residents and finalized with the attending or clinical associates on call

Patients shall not be seen, have tests ordered, have vaccines administered or prescriptions renewed without proper documentation in their records. Documentation deficiencies will be taken very seriously.

The Adolescent Clinic functions by the same rules as the OPD, except that the patients are seen by the residents and not by the students.

The unit nurse manager will help solve any problem you may face with the staff or the patients.

For the goals and objectives of this rotation please click here (pdf format)
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Pediatric Intensive Care Unit and Step Down Unit (PICU/SDU):

The PICU and SDU are on the 6th floor of the hospital floor.

The PICU is the place where the most acutely sick children are admitted until stabilization. The SDU is the area where patients requiring continuous care and close follow up but not sick enough to require intensive care are admitted.

The team in PICU/SDU consists of a resident (PLII or PLIII) and 2 or 3 interns (PLI). The team will round at 7 am daily to go over the patientsí overnight problems and admissions in preparation for the attending round at 8 am. The round is usually followed by a teaching activity prepared by a member of the team.

The PLI is the first call to the PICU and SDU. The second on call will be the PLII or PLIII.

The unit nurse manager will help solve any problem you may face with the staff or the patients.

For the goals and objectives please click here (pdf format)
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The Pediatric Ward (6N):

The pediatric ward is on the 6th floor (north section) of the hospital building. The ward team is led by a senior resident (PLIII) and includes a junior resident (PLII) and 2-3 interns (PLI), along with a team of medical students (Med IV), under supervision of the ward attending assigned on a monthly basis and the attendings and fellows of the various services.

The team will round at 7 am daily to go over the patientsí overnight problems and new admissions. Nurses are expected to attend the round on their individual patients.

The unit nurse manager will help solve any problem you may face with the staff or the patients.

It is important to emphasize that the transfer of patients from a unit to another should never be delayed by administrative procedures. If the condition of the patient requires his transfer to a higher acuity service or if the patient should be transferred to release the bed for another admission, the resident is encouraged to proceed with the transfer without waiting for the official paper work. The resident will be supported by the chief resident in case of any conflict with the nurses.

To read the goals and objectives of this rotation click here (pdf format)
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Pediatrics Ward (Makassed General Hospital (MGH) and Rafic Hariri University Hospital (RHUH))
There is an agreement between the three institutions for exchange of residents. The AUBMC resident rotating in any of the above mentioned institutions will work according to the rules and regulations of the host institution.

Any absenteeism during the rotation has to be reported to both chief residents of the AUBMC and host institution.

During the rotation at RHUH, the resident is supposed to rotate on the ward. The resident will attend the teaching, morning round with the assigned physician, and then, s/he will go to the management of patients. When the resident is on call, s/he is supposed to cover both the ward and the Neonatal and Pediatric Intensive Care Units. They are the first on call and should get a senior resident involved all the time. The residents are expected to write admission, progress and procedure notes when they are rotating at RHUH exactly according to the same rules mentioned for the Pediatric Ward at AUBMC. The teaching staff at RHUH will be giving daily didactic lectures at noon. All the residents, including those who are post-call, are expected to attend the lecture.

For goals and objectives of this rotation please click here (pdf format)
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Department of Pediatrics and Adolescent Medicine American University of Beirut Medical Center