Pediatric Residency Training
"We're it for this side of the earth."
James W. Bass, Col (R)
Pediatric residency training began at Tripler Army Medical Center 40 years ago with COL Ogden Bruton as the program director. More than 270 pediatricians have been trained and find themselves as leaders in military and civilian pediatrics today. The opportunity to evaluate and care for children with unusual tropical diseases and a close affiliation with an excellent children's hospital provide for a challenging, comprehensive pediatric training program.
The philosophy of the pediatric training program can be summarized simply:
"Person first, peers daily, patient always."
The resident in pediatrics must first attend to him/herself before he/she can be an effective pediatrician. This includes a continuation of the adult process of development during which time it is essential that successful, maturing adults know that they believe, live like they believe it, match their priorities with their principles and address their own physical, emotional, intellectual and spiritual needs. This involves careful attention to marriage/family responsibilities or other personal relationships. While residency is the time for developing progressively greater professional competence in the knowledge and practice of pediatrics, it is also essential to hone more basic areas such as reading in other disciplines, critical thinking, knowledge synthesis and communication skills.
The residents must see themselves as part of the Tripler Pediatric Team and as such they owe a measure of loyalty and commitment to their colleagues and to the successful functioning of that team. This involves consideration for the concerns and needs of peers, participation in the program's educational process and regular critical evaluation of the team's function and educational activities.
Finally, the measure of all of our efforts is to train pediatricians who have the ability to deliver excellent, efficient, cost-effective care to children. The care of our patients is the ultimate goal of all of our efforts. In the past, simply "producing" excellent pediatricians was enough. In recent years, it has become clear that we must also produce clinicians who are excellent "care managers." Instead of merely recognizing and treating disease, the pediatrician must be the champion of the health of children individually and as a group. Therefore, the training must include expertise in quality improvement, population medicine, utilization analysis and outcome measurement. Thus, clinical excellence includes not only the ability to care for individual patients but the ability to provide anticipatory guidance and promote health to prevent injury and illness on an individual and population basis.
Program Goals and Objectives
- To meet and exceed the requirements of the ACGME and the RRC for accredited pediatric training programs.
- To enable the trainee to become an expert pediatrician and primary care manager for pediatric patients.
- To have all residency trainees meet the general requirements for certification by the American Board of Pediatrics and to become board certified.
- To enable the trainee to practice pediatrics and military medicine in the unique environment of the United States Military.