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 more than 40 years ago with COL (Dr) Ogden Bruton as the program director. Since then, hundreds of pediatricians have been trained and find themselves as leaders in military and civilian pediatrics today. Tripler is the referral center for military facilities ranging from Guam to Japan and also has Global Health Engagement Opportunities via partnerships throughout the Pacific. 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.
Continuity Clinic: This is a longitudinal experience in which residents will spend one half day per week (on most rotations, for at least 36 weeks per year) caring for their own panel of patients in our PCMH with a breadth of medical issues including well children, and children and adolescents with acute and chronic disease. Quality Improvement/Patient Safety (QI/PS): Tripler is committed to continually improving patient safety and empowering individual departments to improve processes in their environment of care, ideally in support of the hospital quality priorities. In addition to monthly discussions, required educational modules, and participation in record review and risk management case reviews, all residents are expected to participate in a QI/PS project during their training. This project should be mentored by a faculty member with a team approach that includes other residents, staff physicians, nursing, and ancillary staff members. Scholarly Activity: Before graduation, each resident is required to complete a scholarly activity requirement. We have defined this as a work product (presentation, paper, or poster, most commonly) related to a line of academic inquiry. Examples include abstract submission to a national meeting, poster presentation, submission of an article or case report to a peer reviewed journal for publication, or presentation at a local or national meeting. At the discretion of the program director, significant QI/PS projects may count for this requirement. Residents as Teachers: Residents have many opportunities to teach others throughout their three years of training. We recognize that teaching is an essential skill for a physician and involves multiple learners to include parents/patients, support staff, medical students, peers, and colleagues from other specialties. Residents teach across the spectrum of learners on clinical rotations in addition to formally providing a didactic lecture on a topic of their choice once a year. Military Unique Curriculum: Military specific training occurs throughout residency training to familiarize residents with the care of patients within our military setting and the responsibilities of a military medical officer. Military unique training includes, but is not limited to, attendance at the Combat Casualty Care Course (C4) for non-USU trainees, elective opportunities for other formal military courses and overseas rotations, monthly didactics, and military readiness training. The Transition to Practice rotation during the PGY-3 year also includes a Military Unique module providing more in-depth training on being an Army physician.