UC Davis is the major tertiary referral center for a large geographic area including most of Northern California, Western Nevada, and Southern Oregon. Children, adolescents, and young adults are admitted to UC Davis Children's Hospital ward, located in the Davis Tower. In this setting, residents are exposed to patient problems ranging from common pediatric disorders, such as diarrhea and dehydration or respiratory illnesses, to complex problems requiring tertiary care management.
Coverage for all such patients, except hematology/oncology, is divided between two teams, each consisting of two PG-1 and one PG-2 or PG-3 residents. First year residents are responsible for the initial patient work-up, daily patient care, and writing all orders. Each team is supervised by a PG-2 or PG-3 resident and a faculty attending. Patients with cancer and blood disorders are admitted to a separate hematology/oncology service consisting of one PL-1 and one PL-2 resident.
Resident autonomy is encouraged and only residents may write orders on patients (except chemotherapy orders on the oncology service). The senior resident is responsible for leading morning work rounds and supervising PG-1 residents and medical students. The faculty attending, and subspecialty attending(s) if appropriate, supervise the ward teams. Residents also work closely with a dedicated nursing staff, as well as pharmacists, respiratory therapists, social workers and a very active child life program.
Normal Newborn Nursery
The Newborn Nursery averages 200 admissions per month and provides residents with an opportunity to manage the common problems of normal newborns. General pediatric faculty with expertise in newborn care, development, psychosocial assessments and nutrition provide supervision. The curriculum includes didactic sessions, case conferences, assigned readings and daily rounds with the faculty attending. First year residents spend four weeks in the NNN and then return for an additional four weeks in the PG-3 year in a supervisory role.
Neonatal Intensive Care Unit (NICU)
The UC Davis Children’s Hospital 49-bed Neonatal Intensive Care Unit (NICU) is the Level III nursery for the Sacramento region and cares for infants from throughout Northern California. The NICU averages more than 500 admissions per year. In the NICU, residents have the opportunity to care for critically ill neonates under the close supervision of NICU attendings and fellows. Residents spend four weeks in the NICU in each year of training.
Pediatric Intensive Care Unit (PICU)
The UC Davis Children’s Hospital Pediatric Intensive Care Unit (PICU) averages more than 1,000 admissions per year. In the PICU, residents have the opportunity to care for critically ill children under the close supervision of PICU attendings, who are available 24/7 in-house in the PICU. Residents spend eight weeks in the PICU in their PG-2 year and an additional four weeks in the PICU in their PG-3 year.