Community
and outpatient
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OVERVIEW
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We base
the teaching of management of common illnesses in community
settings. We emphasize the importance of continuity of care in
smaller, community hospitals associated with Partners
Healthcare and the MassGeneral Hospital for
Children. These rotations represent the continuum of
practice from a pediatrician's office, through urgent care
management, and on smaller inpatient units that reflect the
epidemiology of illness in the community. Four months of
ambulatory care rotations complete the teaching of outpatient
pediatrics. |
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The
pediatricians at Cambridge Hospital, a Harvard teaching
hospital, are members of our Pediatric
Service staff. Pediatric facilities at Cambridge Hospital
include a busy emergency room, primary care and subspecialty
ambulatory clinics, a small inpatient facility, and a 15-bed
nursery. Junior residents at Cambridge Hospital provide medical
coverage for an inpatient adolescent and childhood psychiatric
unit. The Pediatric Department of Cambridge Hospital runs several
neighborhood clinics in the City of Cambridge seeing more
than 83,000 ambulatory visits each year. Residents rotating at
Cambridge experience an excellent range of outpatient issues
critical to the general pediatrician practicing in the
community. The rotation at Cambridge will therefore focus on
general outpatient pediatrics in the community.
Cambridge
rotation goals.
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| NORTH
SHORE CHILDREN’S HOSPITAL |
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MGH
pediatric house officers provide care to children at the North
Shore Children’s Hospital in Salem, Massachusetts. The service
includes a busy urgent care clinic which sees nearly 20,000
patients annually and a 20-bed inpatient ward serving children
with a variety of common medical diagnoses. The care team is
supervised by a junior resident and works closely with the
pediatric staff of North Shore Children’s Hospital and community
pediatricians to coordinate patient care. Extensive Developmental
Pediatric Consultative Services provide care to patients
throughout the northern Boston suburbs. Residents rotating at
North Shore experience a broad range of inpatient issues critical
to the general pediatrician practicing in the community. The
rotation at North Shore therefore focuses on general inpatient
pediatrics in the community.
North
Shore rotation goals.
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This
community hospital provides a base for the MassGeneral Hospital
for Children in the western Boston suburbs. Residents experience several outpatient
subspecialty clinics, consult in the emergency room and manage a small
associated inpatient unit. Residents rotating at NWH experience a
range of both inpatient and outpatient issues focusing on
subspecialty pediatrics as practiced in a community setting with
our MGH faculty members.
Newton-Wellesley
Rotation Goals
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Residents
deepen their experience in primary care by acting as primary care
physicians one-half day per week for patients in a continuity
clinic. During the four ACR rotations, residents attend their
continuity clinic for at least five half-day sessions. We base our
continuity sites at community health centers associated with MGH
or Cambridge Hospital, or at practices affiliated with MGH,
Newton-Wellesley Hospital or North Shore Children’s Hospital.
This provides residents a unique opportunity to function as
primary care pediatricians in their patients’ communities.
Residents develop their own panel of patients and function as
their patients’ primary caregiver.
Continuity
Clinic Goals
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