university of hawai‘i - hawaii residency€¦ · hawaii and the pacific basin.” dr. shilpa...
TRANSCRIPT
![Page 1: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/1.jpg)
Pediatric Co-Chief Residents:
Justin Hino, MD Cherise Saito, MD
University of Hawai‘i
Pediatrics Residency Program
2013-2014
![Page 2: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/2.jpg)
ALOHA!
Welcome to Hawai`i
and our program
![Page 3: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/3.jpg)
• Morning Report • Brief Overview • Interviews • Tour with Chiefs • Lunch with Residents
Overview of Interview Day
![Page 5: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/5.jpg)
• New campus in Kaka`ako opened in 2005 • Medical bookstore & library • About 60 medical students per class • 3rd year pediatric clerkship: 7-week rotation through wards,
nursery, ED and outpatient clinics • 4th year electives: ward sub-internship, Pediatric Emergency
Medicine, outpatient clinic, NICU, sub-specialty rotations
University of Hawai`i
John A. Burns
School of Medicine
![Page 6: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/6.jpg)
• Coordinates the administration of the university-directed
residency training programs • Acts as a liaison between the programs and the hospitals • Employs more than 200 residents/fellows in the following
accredited programs: - Pediatrics, Pediatrics/Adult & Child Psychiatry (Triple Board) - Ob/Gyn, Surgery (General & Orthopedic), Psychiatry (General, Geriatric,
Child & Adolescent, Addiction), Internal Medicine (General, Geriatric), Pathology, Family Medicine, Transitional
- Sports Medicine, Surgical Critical Care
• Website: http://www.hawaiiresidency.org
![Page 7: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/7.jpg)
• Based at Kapi`olani Medical Center for Women & Children
• 75 full & part-time faculty, ~190 clinical faculty
• Active in research - Awarded more than $10 million in
grants for 2010-2011 - More than 80 publications and 50
abstract presentations at national meetings
• Website: www.hawaiiresidency.org/pediatric-residency/pediatric-residency-home
Dr. Kenneth Nakamura
Department Chairperson
Department of Pediatrics
![Page 8: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/8.jpg)
• Dr. Calvin Sia - Medical Home
• Dr. Jeffrey Okamoto - Joseph P. Kennedy Jr. Foundation Public Policy Fellowship for 2010-2011
• Dr. Alson Inaba - “Stayin’ Alive CPR” method
• Dr. May Okihiro - HICORE, “Hawaii 5210 Let’s Go”
• Dr. Jennifer King - Concussion Awareness
Department of Pediatrics
Distinctions & Community Involvement
![Page 9: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/9.jpg)
Our Mission:
“To educate and train pediatric physicians who will lead the community in advocacy and
medical care for the children of Hawaii and the Pacific Basin.”
Dr. Shilpa Patel
Program Director
University of Hawai`i
Pediatric Residency Program
![Page 10: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/10.jpg)
• “The program is also committed to the promotion of an environment that nurtures fulfillment and quality research opportunities.”
• “Distinctive features of the program include a broad spectrum of pediatric pathology and cross-cultural experiences afforded by the multicultural population of Hawai`i, the close involvement of subspecialty and general pediatric faculty in the day to day training of residents and the emphasis on continuity of care.”
University of Hawai`i
Pediatric Residency Program
![Page 11: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/11.jpg)
• Only civilian pediatric tertiary care center in the State of Hawaii • Population: 1.3 million with ~27% children, ethnically diverse • Only children’s hospital within a 2500 mile radius • Referral center for the Pacific
- Polynesian islands (Samoa, Fiji, etc.) - Micronesia (estimated population of 500,000) - Also visitors from S.E. Asia and the Continental U.S.
• Electronic medical records (EPIC) instituted in 2008
Kapi`olani Medical
Center for Women
& Children
![Page 12: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/12.jpg)
Hawaiian Islands
Kapi`olani Medical Center
![Page 13: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/13.jpg)
2500 mile radius
![Page 14: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/14.jpg)
• General Pediatric Ward
• 56 Beds • Hematology/Oncology
- About 40 new oncology cases each year - About 150 children on active treatment - Pediatric Ambulatory Unit
• Newborn Nursery
- 66 bassinets - Nearly 6,000 births each year
• Newborn Special Care Unit
- Average daily census 45 - ECMO capabilities
KMCWC Facilities
![Page 15: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/15.jpg)
• Pediatric Intensive Care Unit
- 14 Beds - About 500 admissions each year - Pediatric Transport Team - Cardiac Week
• Pediatric Outpatient Clinic
- 20,000 patient encounters per year - Specialty Center
• Pediatric Emergency Department
- 14 Beds - Over 37,000 pediatric visits per year - Sex Abuse Treatment Center
KMCWC Facilities
![Page 16: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/16.jpg)
• Hospital renovations • NICU-PICU changes
- Larger, private rooms - Decentralized workspaces
• New learning spaces • Updated dining room
In the Works ...
![Page 17: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/17.jpg)
• Allergy/Immunology • Anesthesiology • Cardiology • Child Psychiatry • Peds Critical Care • Dermatology • Endocrinology • Peds Emergency • ENT • Gastroenterology • Genetics • Hematology/Oncology • Infectious Disease
• Neonatology • Nephrology • Neurology • Ophthalmology • Peds Orthopedics • Private Practice • Pulmonology • Radiology • Rheumatology • Sports Medicine • Surgery
Pediatric Subspecialties
![Page 18: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/18.jpg)
• Adolescent • Allergy • Behavioral-Developmental • Cardiac • Craniofacial & Cleft • Feeding • Genetics
• GI • Immunology • Kawasaki • Lupus • NICU Medical &
Developmental Follow-up • Rheumatology • Surgery
Pediatric
Specialty Clinics
![Page 19: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/19.jpg)
• Emphasis on quality healthcare
- HPH - 2012 Enterprise HIMSS Davies Award of Excellence
- KMCWC, HPH - Studer Group recognition, “Post-Call Phone Calls: The Best 4 Minutes in Healthcare”
KMCWC Awards
& Distinctions
![Page 20: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/20.jpg)
• Queen’s Medical Center
• Kokua Kalihi Valley (KKV) Health Center
• Tripler Army Medical Center
Affiliated Locations
![Page 21: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/21.jpg)
• Shriners Hospital for Children
• Hawai`i Youth Correctional Facility
• Hawai`i Juvenile Detention Facility
• Others available on elective
Affiliated Locations
![Page 22: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/22.jpg)
Salary (2013-2014) • PGY 1: $ 52,388 • PGY 2: $ 53,226 • PGY 3: $ 54,166
Benefits • Relocation reimbursement • Vacation: 3 weeks per year, divided into a 2 week section and a
1 week section • Leaves of absence (paid and unpaid) • Paid sick leave: 12 days per year • Meal Card for calls • On-call sleep room • Free hospital parking • Insurance (Health, Vision, Dental, Malpractice, Disability, Life)
Salary & Benefits
![Page 23: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/23.jpg)
• Use of iPad provided by HRP • Board Prep through Board review
program • Access to Pedialink & PREP • Electronic resources through
JABSOM, HPH • Educational conference leave: up to 7
days during PGY3 • Educational allotment for PGY3:
- up to $2300 to attend conferences, board review, or
- up to $1500 to purchase books
Educational Benefits
![Page 24: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/24.jpg)
2014-2015 Rotation Schedule
PG
Y 1
ER
NIC
U
CP
DBP
Ward
Ward
Ward
NSY
H/O
ID
SSR
SSR
QI/V
PG
Y 2
ER
NIC
U
CP
PIC
U
Ward
Ward
Adol
SSR
SSR
SSR
IEU
IEU
QI/V
PG
Y 3
ER
NIC
U
CP
PIC
U
Ward
Ward
Ward
Ward/N
SY
IEU
IEU
IEU
IEU
QI/V
![Page 25: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/25.jpg)
Interns: 1 half-day/week Upper Level Residents:
• 2 half-days/week on outpatient rotation • 1 half-day/week on inpatient rotations
Locations
• Kapi`olani Medical Center for Women & Children • Queen Emma Clinics • Kokua Kalihi Valley (KKV) Health Center
Continuity Clinics
![Page 26: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/26.jpg)
★ One month call free
• Interns: - Two 2-week night shifts on wards and two 2-week night shifts
on nursery - Ward guest intern call on electives- 0-1 night shifts per month
• Upper Level Residents:
- Wards: 2 calls/block + two 2 week night shift
- PICU, NSCU, ED: 12 hour shifts - SSR’s: L&D late shifts, 1-2 ward day
shifts, 0-1 overnight call/month - Jeopardy: available by pager (home
call)
On Call
![Page 27: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/27.jpg)
Wards
• Cap of 16 patients per 2 intern team (8 patients/intern) • Patient redistributed to other teams if at cap or signed off to
“non-team care” (not followed by residents)
All Rotations
• No new patients post-call • Continuity clinic cancelled post-
call
Caps and Post-Call
![Page 28: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/28.jpg)
• Nursery/NSCU: Neonatologist or fellow in-house 24/7, neonatal hospitalist in-house 24/7
• PICU: Intensivist in-house 24/7 • ED: Pediatric ED attending in-house 24/7 • Ward: Hospitalists in-house 24/7
• Radiology: - Pediatric radiologist 7 days/week, available by pager for emergencies
after hours. - On-call radiologist reads films at night.
• Ancillary Staff: - 24 hrs/day: nurses, RT, pharmacists, ward clerks - 7 days/week (pager at night): SLP/OT/PT, SW, dieticians, lactation
consultant, IT support, translation services
Inpatient Support
![Page 29: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/29.jpg)
• Daily AM report • Academic Half-Days
• General pediatrics & subspecialties • Fireside chats, QI with COO Martha Smith, Dept. Chair
• Weekly Grand Rounds • Bi-Monthly Board Review program • Monthly resident-led M&M and Journal Club conferences • Radiology rounds • Yearly In-Training Exam
Educational Conferences
![Page 30: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/30.jpg)
• All residents participate in a research project and/or Quality Improvement project during their residency
• Research Week presentations during PGY3 year • Residents are also encouraged to present at national
meetings and conferences and they are reimbursed for travel by the program
Resident Research and QI
![Page 31: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/31.jpg)
• Grand Rounds - all PGY2 and PGY3 residents, under the guidance of a faculty advisor
• M&M Conferences - at least once during the PGY2 or PGY3 year, under guidance of Dr. Shilpa Patel or Dr. Lynn Iwamoto
• Journal Club - all residents, once a year
Resident Presentations
![Page 32: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/32.jpg)
• Assigned advisor for all 3 years, able to switch based on interests
• Optional resident-selected mentor from faculty and clinical faculty volunteers
Mentorship
![Page 33: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/33.jpg)
• 2 mini retreats & 1 full weekend retreat/year - Mini-Retreats (1/2 day each) - Annual Weekend Retreat
• Monthly Social Events
• Annual Parties: - Intern Welcome Social - Holiday Party - Aloha Dinner
Retreats and Fun
![Page 34: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/34.jpg)
Resident Retreats
![Page 35: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/35.jpg)
Resident Retreats
![Page 36: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/36.jpg)
Alumni Career Paths
2005-2011
![Page 37: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/37.jpg)
Cardiology Case Medical Center UC San Diego University of Illinois
Critical Care Stanford UC San Francisco University of Chicago
Emergency Medicine Children’s Medical Center St. Christopher’s Hospital for Children
Hematology/Oncology Baylor College of Medicine University of Utah
Neonatology University of Hawai‘i - JABSOM
Neurodevelopmental Johns Hopkins
Neurology University of Alabama University of Texas - Southwestern
Palliative Care UC San Diego
Pulmonology UC San Diego UC San Francisco
Sports Medicine Atlantic Sports Health Rainbow Babies
Fellowships 2005-2013
![Page 38: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/38.jpg)
• Great weather year round • Diverse population
(Micronesian, Polynesian, Hawaiian, Asian, etc.) with wide variety of pathology
• Advanced subspecialty care • Community health focus • Active participation in hospital
Quality Improvement initiatives • Great patients and families • Great attendings and residents
Why Choose Hawai`i?
![Page 39: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/39.jpg)
Life Outside of Residency
![Page 40: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/40.jpg)
NOT Hawaii!!
![Page 41: University of Hawai‘i - Hawaii Residency€¦ · Hawaii and the Pacific Basin.” Dr. Shilpa Patel Program Director University of Hawai`i Pediatric Residency Program • “The](https://reader035.vdocument.in/reader035/viewer/2022071022/5fd65ca955cd8628d24bb315/html5/thumbnails/41.jpg)
Enjoy your interview
day & enjoy your stay
in Hawai`i!
MAHALO!