Pediatric emergency department
Every resident completes several rotations in the Pediatric Emergency Department (ED). Residents, under pediatric emergency medicine faculty supervision, see approximately 1,100 patients each month with a wide range of emergency medical problems, including major and minor trauma, acute medical illnesses, poisonings, obstetrical and gynecologic emergencies, and community referrals. Many of the general ward and PICU admissions originate in the ED. Pediatric residents play an indispensable role in providing high quality, prompt emergency care to the children of Sacramento and Northern California. The quality of this experience is outstanding, with residents having the opportunity to manage an extraordinary range of problems, perform many procedures and supervise medical students.
Urgent care clinics
While assigned to urgent care, residents see patients for same-day sick visit appointments. Most patients come from the resident continuity clinic or faculty practice clinic population and the problems encountered are similar to that seen in general pediatric practice. During this rotation residents also have an opportunity to participate in telephone triage, a vital component of pediatric training.
Resident practice clinics (continuity clinic)
Residents have the choice of having their continuity clinic experience at one of three sites. All residents spend one afternoon per week in their resident practice where they provide "longitudinal" primary care for their own panel of patients. In this role, residents develop the skills necessary to deliver well-child care including developmental screening and health promotion, as well as continuing care for children with chronic illnesses or disabling conditions. This experience takes priority over other assignments.
Resident Group Practice: The Resident Group Practice is a continuity clinic two blocks from the hospital. Clinic patients are from diverse cultural, ethnic, and socio-economic backgrounds, ranging from low-income families to children of university faculty and staff. Many patients are recruited from the UC Davis newborn nursery as infants, allowing the resident to develop a relationship with the family from birth. General pediatric faculty and volunteer clinical faculty from the community provide supervision in the clinic. Residents participate in the management of continuity clinic through the Resident Group Practice Committee, which undertakes continuous quality improvement projects related to clinic management and education.
The Effort: In July 2010, we launched a new continuity clinic site for our residents at The Effort, focused on providing medical care for underserved populations. “The Effort” is a continuity clinic experience at a Federally Qualified Health Center (FQHC) close to the hospital in the neighborhood of Oak Park. The clinic focuses on Medi-Cal patients, the working poor and other uninsured/underinsured populations. The clinic’s philosophy is to provide quality medical care to every client regardless of gender, race, age, lifestyle, or social status. They also offer co-located behavioral health services – including mental health counseling and substance abuse treatment.
The experience at The Effort involves intensive teaching from UCD Pediatrics faculty, with an emphasis on understanding the social determinants of health, developing skills in caring for the underserved, delivering culturally and linguistically effective care and engaging in continuous systems-based practice improvements.
As a new clinic with many patients who have complex social situations, working at the clinic will require commitment and patience. To that end, we request incoming interns who have a strong interest in community health and care for the underserved to request that their continuity clinic be at The Effort. We are able to accommodate about 2-3 residents each year.
Dr. Albina Gogo is the Pediatric Medical Director there and, together with a team of dedicated faculty, is involved in developing a core curriculum in community health, advocacy, and care for the underserved, precepting, and ensuring that there is a continuous feedback loop and communication among the residents and The Effort staff. Please contact her with any questions.
Kaiser: In July 2011, we launched a new continuity clinic site for our residents at Kaiser. Kaiser is one of the largest Health Maintenance Organizations (HMO) on the west coast. We currently have a Kaiser Davis and a Kaiser Rancho Cordova continuity clinic site. Residents at these continuity clinic site have their own panel of patients and learn how to practice pediatrics in a busy community HMO setting. We select one intern/year to have Kaiser for their continuity clinic experience. We request incoming interns with a strong interest in general outpatient pediatrics in a HMO to request that their continuity clinic be at Kaiser.
Kaiser Permanente Medical Center
Kaiser Permanente is one of the largest and most established Health Maintenance Organizations in the United States. During the last two years of residency, senior residents will have the opportunity to spend two 4-week rotations practicing general pediatrics in one of three Kaiser outpatient clinics in the Sacramento region: Kaiser South Sacramento , Kaiser Point West, and Kaiser Roseville. This rotation provides a unique opportunity for residents to experience the "cutting-edge" of managed care and to function in an environment providing significant autonomy. It is among the most popular of all rotations with the residents.
Shriners Hospitals for Children
In June 1997, Shriners Hospitals for Children, which focuses on crippling diseases in children, opened the largest and most complete of its 22 hospitals next to the UC Davis Medical Center campus. All residents spend four weeks at Shriners during their second or third year, where they gain a unique exposure to pediatric orthopedics, genetics, rehabilitation medicine and outpatient burn management.