Training Sites - Affiliated Medicine-Pediatrics Residency
Our residency training program utilizes five hospitals. As indicated below, the strengths of each institution complement the others, maximizing the outstanding educational experiences available for our residents. The Department of Medicine and Department of Pediatrics faculty members participate in resident training at all training sites. Collectively, there are more than 400 full-time faculty members who participate in patient care, resident and medical student education, and/or clinical and basic science research.
All teaching hospitals are characterized by an extraordinarily collegial environment, which allows excellent integration and cooperation of all specialties with an absolute commitment to quality resident education. Rotations occur at Primary Children's Medical Center, University Hospital, Huntsman Cancer Hospital, the Salt Lake City Veterans Affairs Medical Center, and Intermountain Medical Center.
100 North Medical Drive, Salt Lake City, Utah 84113-110, 801-662-1000
Wards: Residents participate in patient care on oen of four general ward teams during their intern year. Each team is made up of a supervising pediatric hospitalist from the Division of Inpatient Pediatric Medicine, a senior pediatric resident and two interns. The ward teams are named in honor of past pediatricians and pediatric subspecialists who practiced and touched those at PCMC. General pediatric and subspecialty patients make up the mixture of cases seen by the pediatric interns and residents on each team. The pediatric teams are named as follows: Veasy, Anderson, Green, and Osborn. A fifth team, team Glasgow, is designed to meet the needs of our third year medical students and is made up exclusively of third year rotating through pediatric medicine during their pediatric clerkship. Glasgow Team is similarly supervised by a pediatric hospitalist and second year pediatric, med peds or triple board resident. The focus of all teams is to provide excellent, evidence-based care of the general pediatric and sub-specialty patients.
The second year marks the beginning of supervisory responsibilities for our residents. During the second year, the med-peds residents are the supervising resident for one of the general pediatric ward teams or the Glasgow team. Opportunities for teaching and autonomy in patient care are abound. During the second year the med-peds resident will also have a wonderful degree of autonomy as the primary house-staff on the hematology-oncology ward service under the supervision of the hematology-oncology faculty. During the third year and fourth years, residents gain extensive experience as a supervisor on the five pediatric ward teams. The Division of Inpatient Pediatric Medicine has brought together a group of excellent staff to serve as full time hospitalists to attend on all ward teams during the year. They are committed to teaching, to providing excellent evidence-based patient care and to establishing progressively more independent patient care responsibilities for our residents during their training.
Intensive Care Experiences: PCMC Pediatric Intensive Care Unit is a busy unit supporting the medical, surgical and cardiac patients. The unit is staffed with critical care fellows and full time critical care staff 24 hours a day and allows the residents a great opportunity for performing procedures, resuscitating the critically ill child and managing complicated medical patients as well as post operative patients with a wide variety of problems. The PCMC Newborn Intensive Care Unit, with an exclusively out-born patient base, draws infants from throughout the Intermountain West. The patients consist of an eclectic array of metabolic, infectious, respiratory and surgical disease. Like the PICU, the NICU has a faculty attending in-house 24 hours a day, along with a cadre of neonatal nurse practitioners.
Pediatric Emergency Medicine: The PCMC ED is a busy place year round with over 38,000 visits annually. Residents play an integral role in the management of patients in the ED and the educational experience is invaluable. As one of the favored experiences of our training program, our residents spend one month during each of the second, third and fourth years in the emergency department and approximately two weeks in December-January during the intern year as a bridge between their internal medicine and pediatric blocks. From trauma to complex medical problems to primary care concerns, this is one of the most highly acclaimed rotations for all of our med peds and pediatric residents.
PCMC has extraordinary support personnel and associated resources. The residents on PCMC rotations enjoy a virtual absence of non-physician tasks for residents.
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University Hospital is a 425-bed tertiary and primary care center situated at the foot of the Wasatch Mountains in Salt Lake City, and averages 26,000 inpatient admits per year. The hospital is a major referral center for complex and often unusual medical cases from throughout the Intermountain West. It also maintains a large primary care base supplied from the Division of General Internal Medicine and the ten satellite clinics of the University of Utah Health Network. All patients have private rooms with fantastic views of the Salt Lake mountains and valleys.
The medical services are divided among 8 ward housestaff teams (4 general medicine teams as well as pulmonary, cardiology, hematology, and oncology teams) and 3 ICU teams. The general medicine teams are supervised by full-time teaching hospitalist physicians and the others by their respective teaching specialists. The cardiology team includes instruction from electrophysiologist, interventionalist, and heart failure specialists.
ICU: The twelve bed Medical Intensive Care Unit is jointly supervised by a critical care specialist and a general cardiologist.
ER: The University Hospital Emergency Room is located in the new Eccles Critical Care Pavilion. It is a Level 1 trauma center with roughly 36,000 visits per year. Residents are supervised by full-time faculty from the Division of Emergency Medicine.
University Hospital has substantial support personnel and services, which greatly minimize non-physician tasks for residents (eg., phlebotomy, intravenous access, discharge planning, etc.). University Hospital is connected to Huntsman Cancer Hospital and Huntsman Cancer Insitute by a covered walkway.
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Mission:
The mission of Huntsman Cancer Institute combines groundbreaking research and state-of-the art patient care with the offering of hope and support for cancer patients and their families. Our teams of research scientists, medical professionals, and cancer educators are working to understand cancer, improve treatments, and help patients fight their disease. Former Huntsman Cancer Foundation President, Jon Huntsman, Jr., explains, "It is the goal of Huntsman Cancer Institute to become a symbol of hope and optimism. We want those carrying the heavy burden of cancer to feel strengthened and hopeful."
History:
Salt Lake has become one of the foremost regions in the world for genetic and medical research due to its unique resource of large and close families with detailed genealogical records living in a relatively small area. These families, have provided physicians and researchers at Huntsman Cancer Institute with the tools they need to investigate the genetic pathways of cancer and to create new ways to prevent, diagnose, treat, and cure cancer.
Huntsman Cancer Institute has become a reality thanks to the generous support of the Jon M. Huntsman family, which pledged $151 million in 1995 to create a world-class cancer center. This institute bears their name and their vision of hope for all who are burdened with cancer.
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This hospital, which opened in 1995, is a 121 bed tertiary and primary care medical center located about a mile south of University Hospital. It is the major tertiary referral center for the Department of Veterans Affairs for a 5 state region and has a diverse inpatient and outpatient population. The VA Salt Lake City Medical Center provides an outstanding opportunity for residents to have graded responsibility and the necessary autonomy to develop individual responsibility for patient management. The facility is excellent with spacious team rooms and call rooms. The hospital utilizes a fully electronic medical record.
Medicine: The VA Salt Lake City Medical Center ward medical service utilizes approximately 40 beds divided among 4 general medicine teams. Each team is supervised by a full-time academic faculty attending from the Department of Medicine.
ICU: The 8 bed medical ICU is supervised jointly by a critical care specialist and a general cardiologist.
There are substantial support services at the VA Salt Lake City Medical Center, which greatly minimize non-physician tasks for residents (eg., phlebotomy, intravenous access, discharge planning, etc.)
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Intermountain Medical Center replaced LDS Hospital as Intermountain Health Care's (IHC) flagship hospital when it opened in October 2007. The new campus serves as home base for Intermountain Life Flight and other major programs such as organ transplantation, artificial heart research, trauma care, and many other programs previously housed at LDS Hospital.
Intermountain Medical Center (IMC) is built on a 100-acre campus that is centrally located in the Salt Lake Valley. The three components of IMC's mission - the science of medicine, the spirit of caring, and the miracle of healing -are delivered in state-of-the-art facilities surrounded by an environment of beauty.
IMC is the largest hospital in the Intermountain West and is a major adult referral center for six surrounding states and more than 75 regional health care institutions. Medical education and research facilities and clinics are also on the campus, as well as physician office space. Intermountain Medical Center is a teaching hospital - working in conjunction with the University of Utah School of Medicine and area nursing colleges.
Medicine Wards: IMC has four general medicine ward teams, all of which are supervised by full-time teaching hospitalists.
Shock-Trauma ICU: The 24-bed STICU consists of three housestaff teams, supervised by a pulmonary/critical care fellow as well as full-time academic faculty who take in-house call along with the residents.
ER: The IMC Emergency Room has 54 beds with an estimated 70,000 patient visits per year, servicing high level of acuity and trauma.
IHC has extraordinary support personnel and associated resources and is an international leader in using computers to improve health care. Featured in the NEJM (338(4);1998), the computerized medical records system was first started in the 1950’s and provides unmatched patient information to assist in both clinical and research capacities.
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