Every morning at 7:30, residents and faculty meet to discuss an interesting pediatric case seen on the wards, PICU, NICU, ED or electives. The chief resident or senior resident leads a discussion of the differential diagnosis and management decision-making.
Friday block didactic conferences
This conference occurs Fridays from 12-3 p.m. and serves as the primary didactic teaching forum for the training program. Residents return from off-site rotations in order to attend these conferences. Faculty from the Department of Pediatrics and other clinical departments lead these interactive case-based seminars, formal didactics, multidisciplinary workshops, and simulations. Topics form an 18-month curriculum based on topics from the American Board of Pediatric Exam, allowing residents 2 opportunities during residency to solidify their medical knowledge in each area.
Once a month, the Program Director leads a case-based discussion of an interesting patient from the wards, PICU, NICU, or ambulatory setting. This conference serves as the major case review conference for the Department and is attended by residents, medical students, and faculty. The case and pertinent references are distributed the week prior to the conference and advanced preparation is expected. A chief resident presents the history and physical and then the finer points of the case are discussed in a very collegial atmosphere among residents and faculty. Faculty experts are present providing their expertise to the discussion. The issues may be basic or complex but are always interesting and this is consistently the most popular and well-attended conference.
The goal of journal club is for residents to develop the self-educational skills required for continuing medical education after formal training is complete, and more specifically, to facilitate the formulation of (answerable) clinical questions and increased each resident’s comfort and expertise in using and critically evaluating the primary medical literature.
Three residents are assigned to each journal club with the senior resident functioning as group leader. With the help of a faculty mentor, the group develops a specific PICO (patient/population, intervention, comparison, outcome) question related to a patient problem they have experienced. The group then conducts a thorough literature review and selects a high quality original research article that address the clinical question to aid in clinical decision-making. The article and Critical Appraisal Sheet are then distributed to residents and faculty in advance of the conference to allow for advanced preparation. At the conference, the group then leads a critical discussion of the articles and, hopefully, arrives at an answer to their original question based on the best available evidence from the primary medical literature. In addition, with the guidance of a faculty mentor or statistician, residents teach 1 evidence-based medicine topic related to their article (e.g. how to calculate NNT, interpret OR, RR, etc). This conference is a critical part of the program’s evidence-based medicine curriculum.
Every Friday morning, faculty, residents, as well as many community physicians gather at UC Davis Medical Center for Pediatric Grand Rounds, where a broad range of topics are presented by local, national, and international experts. This forum serves as a great opportunity to hear the latest from prominent experts in a given field.
Third-year residents develop a “state of the art” understanding of a specific topic or area of research and synthesize this information into a Grand Rounds presentation. Presentation of Grand Rounds allows residents, with the help of a faculty mentor, the opportunity to further develop their evidence-based medicine and presentation skills.