Pediatric Co-Chief Residents:

Justin Hino, MD Cherise Saito, MD

University of Hawai‘i

Pediatrics Residency Program

2013-2014

ALOHA!

Welcome to Hawai`i

and our program

• Morning Report • Brief Overview • Interviews • Tour with Chiefs • Lunch with Residents

Overview of Interview Day

Family Tree

• New campus in Kaka`ako opened in 2005 • Medical bookstore & library • About 60 medical students per class • 3rd year pediatric clerkship: 7-week rotation through wards,

nursery, ED and outpatient clinics • 4th year electives: ward sub-internship, Pediatric Emergency

Medicine, outpatient clinic, NICU, sub-specialty rotations

University of Hawai`i

John A. Burns

School of Medicine

• Coordinates the administration of the university-directed

residency training programs • Acts as a liaison between the programs and the hospitals • Employs more than 200 residents/fellows in the following

accredited programs: - Pediatrics, Pediatrics/Adult & Child Psychiatry (Triple Board) - Ob/Gyn, Surgery (General & Orthopedic), Psychiatry (General, Geriatric,

Child & Adolescent, Addiction), Internal Medicine (General, Geriatric), Pathology, Family Medicine, Transitional

- Sports Medicine, Surgical Critical Care

• Website: http://www.hawaiiresidency.org

• Based at Kapi`olani Medical Center for Women & Children

• 75 full & part-time faculty, ~190 clinical faculty

• Active in research - Awarded more than $10 million in

grants for 2010-2011 - More than 80 publications and 50

abstract presentations at national meetings

• Website: www.hawaiiresidency.org/pediatric-residency/pediatric-residency-home

Dr. Kenneth Nakamura

Department Chairperson

Department of Pediatrics

• Dr. Calvin Sia - Medical Home

• Dr. Jeffrey Okamoto - Joseph P. Kennedy Jr. Foundation Public Policy Fellowship for 2010-2011

• Dr. Alson Inaba - “Stayin’ Alive CPR” method

• Dr. May Okihiro - HICORE, “Hawaii 5210 Let’s Go”

• Dr. Jennifer King - Concussion Awareness

Department of Pediatrics

Distinctions & Community Involvement

Our Mission:

“To educate and train pediatric physicians who will lead the community in advocacy and

medical care for the children of Hawaii and the Pacific Basin.”

Dr. Shilpa Patel

Program Director

University of Hawai`i

Pediatric Residency Program

• “The program is also committed to the promotion of an environment that nurtures fulfillment and quality research opportunities.”

• “Distinctive features of the program include a broad spectrum of pediatric pathology and cross-cultural experiences afforded by the multicultural population of Hawai`i, the close involvement of subspecialty and general pediatric faculty in the day to day training of residents and the emphasis on continuity of care.”

University of Hawai`i

Pediatric Residency Program

• Only civilian pediatric tertiary care center in the State of Hawaii • Population: 1.3 million with ~27% children, ethnically diverse • Only children’s hospital within a 2500 mile radius • Referral center for the Pacific

- Polynesian islands (Samoa, Fiji, etc.) - Micronesia (estimated population of 500,000) - Also visitors from S.E. Asia and the Continental U.S.

• Electronic medical records (EPIC) instituted in 2008

Kapi`olani Medical

Center for Women

& Children

Hawaiian Islands

Kapi`olani Medical Center

2500 mile radius

• General Pediatric Ward

• 56 Beds • Hematology/Oncology

- About 40 new oncology cases each year - About 150 children on active treatment - Pediatric Ambulatory Unit

• Newborn Nursery

- 66 bassinets - Nearly 6,000 births each year

• Newborn Special Care Unit

- Average daily census 45 - ECMO capabilities

KMCWC Facilities

• Pediatric Intensive Care Unit

- 14 Beds - About 500 admissions each year - Pediatric Transport Team - Cardiac Week

• Pediatric Outpatient Clinic

- 20,000 patient encounters per year - Specialty Center

• Pediatric Emergency Department

- 14 Beds - Over 37,000 pediatric visits per year - Sex Abuse Treatment Center

KMCWC Facilities

• Hospital renovations • NICU-PICU changes

- Larger, private rooms - Decentralized workspaces

• New learning spaces • Updated dining room

In the Works ...

• Allergy/Immunology • Anesthesiology • Cardiology • Child Psychiatry • Peds Critical Care • Dermatology • Endocrinology • Peds Emergency • ENT • Gastroenterology • Genetics • Hematology/Oncology • Infectious Disease

• Neonatology • Nephrology • Neurology • Ophthalmology • Peds Orthopedics • Private Practice • Pulmonology • Radiology • Rheumatology • Sports Medicine • Surgery

Pediatric Subspecialties

• Adolescent • Allergy • Behavioral-Developmental • Cardiac • Craniofacial & Cleft • Feeding • Genetics

• GI • Immunology • Kawasaki • Lupus • NICU Medical &

Developmental Follow-up • Rheumatology • Surgery

Pediatric

Specialty Clinics

• Emphasis on quality healthcare

- HPH - 2012 Enterprise HIMSS Davies Award of Excellence

- KMCWC, HPH - Studer Group recognition, “Post-Call Phone Calls: The Best 4 Minutes in Healthcare”

KMCWC Awards

& Distinctions

• Queen’s Medical Center

• Kokua Kalihi Valley (KKV) Health Center

• Tripler Army Medical Center

Affiliated Locations

• Shriners Hospital for Children

• Hawai`i Youth Correctional Facility

• Hawai`i Juvenile Detention Facility

• Others available on elective

Affiliated Locations

Salary (2013-2014) • PGY 1: $ 52,388 • PGY 2: $ 53,226 • PGY 3: $ 54,166

Benefits • Relocation reimbursement • Vacation: 3 weeks per year, divided into a 2 week section and a

1 week section • Leaves of absence (paid and unpaid) • Paid sick leave: 12 days per year • Meal Card for calls • On-call sleep room • Free hospital parking • Insurance (Health, Vision, Dental, Malpractice, Disability, Life)

Salary & Benefits

• Use of iPad provided by HRP • Board Prep through Board review

program • Access to Pedialink & PREP • Electronic resources through

JABSOM, HPH • Educational conference leave: up to 7

days during PGY3 • Educational allotment for PGY3:

- up to $2300 to attend conferences, board review, or

- up to $1500 to purchase books

Educational Benefits

2014-2015 Rotation Schedule

PG

Y 1

ER

NIC

U

CP

DBP

Ward

Ward

Ward

NSY

H/O

ID

SSR

SSR

QI/V

PG

Y 2

ER

NIC

U

CP

PIC

U

Ward

Ward

Adol

SSR

SSR

SSR

IEU

IEU

QI/V

PG

Y 3

ER

NIC

U

CP

PIC

U

Ward

Ward

Ward

Ward/N

SY

IEU

IEU

IEU

IEU

QI/V

Interns: 1 half-day/week Upper Level Residents:

• 2 half-days/week on outpatient rotation • 1 half-day/week on inpatient rotations

Locations

• Kapi`olani Medical Center for Women & Children • Queen Emma Clinics • Kokua Kalihi Valley (KKV) Health Center

Continuity Clinics

★ One month call free

• Interns: - Two 2-week night shifts on wards and two 2-week night shifts

on nursery - Ward guest intern call on electives- 0-1 night shifts per month

• Upper Level Residents:

- Wards: 2 calls/block + two 2 week night shift

- PICU, NSCU, ED: 12 hour shifts - SSR’s: L&D late shifts, 1-2 ward day

shifts, 0-1 overnight call/month - Jeopardy: available by pager (home

call)

On Call

Wards

• Cap of 16 patients per 2 intern team (8 patients/intern) • Patient redistributed to other teams if at cap or signed off to

“non-team care” (not followed by residents)

All Rotations

• No new patients post-call • Continuity clinic cancelled post-

call

Caps and Post-Call

• Nursery/NSCU: Neonatologist or fellow in-house 24/7, neonatal hospitalist in-house 24/7

• PICU: Intensivist in-house 24/7 • ED: Pediatric ED attending in-house 24/7 • Ward: Hospitalists in-house 24/7

• Radiology: - Pediatric radiologist 7 days/week, available by pager for emergencies

after hours. - On-call radiologist reads films at night.

• Ancillary Staff: - 24 hrs/day: nurses, RT, pharmacists, ward clerks - 7 days/week (pager at night): SLP/OT/PT, SW, dieticians, lactation

consultant, IT support, translation services

Inpatient Support

• Daily AM report • Academic Half-Days

• General pediatrics & subspecialties • Fireside chats, QI with COO Martha Smith, Dept. Chair

• Weekly Grand Rounds • Bi-Monthly Board Review program • Monthly resident-led M&M and Journal Club conferences • Radiology rounds • Yearly In-Training Exam

Educational Conferences

• All residents participate in a research project and/or Quality Improvement project during their residency

• Research Week presentations during PGY3 year • Residents are also encouraged to present at national

meetings and conferences and they are reimbursed for travel by the program

Resident Research and QI

• Grand Rounds - all PGY2 and PGY3 residents, under the guidance of a faculty advisor

• M&M Conferences - at least once during the PGY2 or PGY3 year, under guidance of Dr. Shilpa Patel or Dr. Lynn Iwamoto

• Journal Club - all residents, once a year

Resident Presentations

• Assigned advisor for all 3 years, able to switch based on interests

• Optional resident-selected mentor from faculty and clinical faculty volunteers

Mentorship

• 2 mini retreats & 1 full weekend retreat/year - Mini-Retreats (1/2 day each) - Annual Weekend Retreat

• Monthly Social Events

• Annual Parties: - Intern Welcome Social - Holiday Party - Aloha Dinner

Retreats and Fun

Resident Retreats

Resident Retreats

Alumni Career Paths

2005-2011

Cardiology Case Medical Center UC San Diego University of Illinois

Critical Care Stanford UC San Francisco University of Chicago

Emergency Medicine Children’s Medical Center St. Christopher’s Hospital for Children

Hematology/Oncology Baylor College of Medicine University of Utah

Neonatology University of Hawai‘i - JABSOM

Neurodevelopmental Johns Hopkins

Neurology University of Alabama University of Texas - Southwestern

Palliative Care UC San Diego

Pulmonology UC San Diego UC San Francisco

Sports Medicine Atlantic Sports Health Rainbow Babies

Fellowships 2005-2013

• Great weather year round • Diverse population

(Micronesian, Polynesian, Hawaiian, Asian, etc.) with wide variety of pathology

• Advanced subspecialty care • Community health focus • Active participation in hospital

Quality Improvement initiatives • Great patients and families • Great attendings and residents

Why Choose Hawai`i?

Life Outside of Residency

NOT Hawaii!!

Enjoy your interview

day & enjoy your stay

in Hawai`i!

MAHALO!