Frequently asked questions regarding the Pediatric Residency Program at Goryeb Children’s Hospital:
Schedule and On Call
How many months of floor do residents work in the first year?
Interns typically spend four months on the inpatient unit.
How many months do residents work in the Neonatal Intensive Care Unit (NICU)?
There are two months of NICU in the first year and one month in the PGY-2 year. Our NICU is Level III with 44 beds and a busy labor and delivery service, as well as a high-risk perinatal service. The NICU serves as a regional referral center for critically ill neonates, especially those requiring surgery.
How many months do residents work in the Pediatric Intensive Care Unit (PICU)?
There are three months of service in the PICU, one in each year of training. In addition, you will take call in the PICU for one month during the PGY-2 and PGY-3 years.
Is scheduling flexible?
The chief residents make every attempt to honor requests and are as flexible as possible. They also make the schedule several months in advance. Residents are permitted to make switches but need to get approval from the chiefs (to avoid work duty hour violations).
How often is an intern on call in the first year?
Interns do several weeks of night shift during their floor and NICU rotations. In addition, they provide floor coverage during their first year subspecialty experiences.
How often are senior (second and third year) residents on call?
Depending on the rotation, senior residents are on call approximately every fourth to sixth night. On call for senior residents is 24 hours of continuous duty. Senior residents take call on the Goryeb Children’s Center at Overlook Medical Center inpatient floor, the Goryeb Children’s Hospital at Morristown Medical Center inpatient floor and PICU. During NICU rotations, senior residents will spend three weeks on the day shift and one week on the night shift. Second- and third-year residents also participate in the night float system on the inpatient unit.
How does night shift work?
During your floor and NICU month, you will spend three weeks on the day shift and one week on the night shift. You will come in at 7:00pm and round with the team. In the morning you will sign out to the day shift teams at 7:00am and then go home. Time is allotted for the completion of notes.
How does night float work?
During certain electives, both the second and third year residents will spend a one-week block doing night float. Night float covers the inpatient unit and includes a full 24-hour Saturday call followed by a 7:00pm to 8:00am shift, Monday through Thursday.
How does weekend call work?
Weekends are divided into 12-hour shifts, either 7:00am to 7:00pm or 7:00pm to 7:00am. PGY-2s and 3s complete traditional 24-hour calls from 7:00am to 7:00am the following day.
How does the jeopardy system work?
Every day there are one to two residents designated for “back-up” call if needed in case of emergency. Although the jeopardy system is rarely used, residents should be available to come to work within one hour’s notice.
How is the floor team organized?
The floor team consists of two senior residents (usually a second and a third year) who supervise and manage four pediatric interns, a sub-intern and several third-year medical students. Each week, three interns work during the day shift and one works the night shift. The interns are responsible for the care of six to 10 patients, as well as teaching and providing feedback to the medical students. They are expected to formulate a differential diagnosis and treatment or management plan for each one of their patients. The senior resident manages the team and provides direct supervision of the interns, sub-interns and medical students. The residents care for all patients admitted to the inpatient service. There are no non-teaching cases.
What is the size of the program?
We have 12 residents per year, as well as two PGY-4 chief residents. We think this is the perfect size – it’s small enough that it gives our residents, faculty and nursing staff the chance to get to know everyone well, but large enough to provide adequate coverage for planned and unanticipated absences.
What is the skills rotation?
You have two weeks to accomplish a list of tasks, including phlebotomy, intubations, LPs, etc. Time is spent in the outpatient simulation lab, anesthesia, Valerie Fund Children's Center and emergency department. This rotation is based on adult learning theory and gives you flexibility as well as experience in procedures.
Do you have continuity clinic?
All of the residents maintain a panel of patients in either the Family Health Center or the HealthStart Clinic. Clinic is one-half day per week with great emphasis on general ambulatory pediatrics, anticipatory guidance, care of acute and chronic illnesses, and behavioral and developmental pediatrics. Continuity clinic is protected time for residents, even during intensive care and floor rotations.
Do you have outpatient pediatric experiences in addition to continuity clinic?
During ambulatory/community pediatrics and private practice experience rotations, residents rotate through a variety of settings, including private offices in the community. This is to expose residents to different populations of patients, as well as different styles of practicing medicine.
Is there a research requirement?
All of our residents are required to do a scholarly activity, which includes clinical research, quality improvement and curriculum development. With the abundance of ongoing clinical research at the institution, finding an interesting project or a research mentor is easy.
What kind of ancillary services do you have?
Phlebotomy is available 24 hours per day. IVs are done by the nurses and residents. Transport services are available 24/7 to take patients to radiology and various other departments for testing. Our expert child life staff provides art, music and play therapy, distraction therapy during procedures, as well as fun and games while children are in the hospital. Our pediatric integrative medicine staff performs guided imagery, massage and other holistic treatments for the patients and their families.
What is the relationship between the nursing staff and the residents?
Goryeb Children’s Hospital at Morristown Medical Center has a truly excellent nursing staff that has been awarded with Magnet Hospital for Excellence in Nursing Service. The residents work in a collegial way with the nurses and consistently report a positive working relationship with them.
What is the patient population like?
Goryeb Children's Hospital is a regional referral center. Morristown Medical Center’s trauma center verified as a Level I Regional Trauma Center by the American College of Surgeons, and was designated a Level II by the state of New Jersey. Our patient population represents true diversity of cultural, religious, socioeconomic and ethnic backgrounds. We see it all – urban, suburban, recent immigrant, disadvantaged and privileged families of many varied backgrounds. Each group brings its own set of challenges, diseases and opportunities for learning in an atmosphere of true cultural diversity.
Over their three years, residents will be exposed to a diversity of pathology as well. From the common to the rare, residents will gain experience with the diagnosis and management of a wide variety of pediatric entities.
Do you have electronic medical records (EMR)?
Yes. Atlantic Health System has been moving towards a system of total EMR; however, it is being phased in gradually. The outpatient clinic, outpatient subspecialties and NICU have EMR. On the inpatient unit, all patient orders are computerized and medical records are accessible electronically, as are radiology images and reports. In the near future, all charting will be done with an EMR system.
Where do we park and how much is parking?
Free parking is available for all staff members at Goryeb Children’s Hospital at Morristown Medical Center and Goryeb Children’s Center at Overlook Medical Center.
Is there a stipend for food?
Yes. Meal cards are distributed for Goryeb Children’s Hospital at Morristown Medical Center and Goryeb Children’s Center at Overlook Medical Center.
Is housing available for residents?
Yes. Hospital-subsidized housing is available for residents within a short walking distance at Goryeb Children’s Hospital at Morristown Medical Center and Goryeb Children’s Center at Overlook Medical Center.
Is there funding for educational expenses?
Yes. Residents receive $500 for year one and $1,000 for each subsequent year of training. This money can be used for books, educational tools, board review courses or materials, attendance at conferences and dues for professional memberships.
Is there funding for research presentations?
Yes. If your work is selected as a research poster, presentation or workshop, your expenses to the conference will be covered by the Department of Pediatrics.
Is there funding for global health?
Yes. Residents in approved electives can be funded through the Benjamin H. Josephson, MD Fund for international health experiences.