Ambulatory Pediatrics

If you are unable to attend any of the clinics due to illness or other problem, you must contact each site to notify them of your absence--contact info in the descriptions below. The sick call system may need to be used if you miss the Monday morning session at Broadway or the Thursday morning session at Audubon as they have a tally that needs to be covered.  Please look over the schedule now and let me know if you have any anticipated absences. 

Please contact the chiefs and Dr. Berenyi. Please send an email to the following email addresses noting your absence as well.

ACNSCHEDULECHANGES@nyp.org

pp2841@cumc.columbia.edu

anv9118@nyp.org

inf9002@nyp.org

lomihei@nyp.org

ani9016@nyp.org

lui9007@nyp.org

mml2@cumc.columbia.edu

chk11@cumc.columbia.edu

Adolescent Clinic:  You will receive an email from Martha Bolivar prior to the rotation with instructions.  She will also let you know of other adol lectures or learning activities scheduled during your rotation, but please don't skip other scheduled activities to attend those--she is coordinating an adol med rotation for peds residents, so there will be activities for them that don't work for your schedule. Tip: take time to review your H.E.A.D.S assessment. 

Young Men's Clinic: Arrive 8:15am. The clinic is located at 21 Audubon Avenue, first floor, phone is 342-3209.  The director is Dr. David Bell, but you will also be working with Dr. Silvia Amesty.  Introduce yourself to both Dr. Bell and Dr. Amesty when you arrive. 

Peds @ Audubon: Arrive 9am. Address: 21 Audubon: the second floor, phone 342-3218.  Your preceptor is Dr. Connie Kostacos.  Her email is chk11@columbia.edu and her cell is 917-733-5347.  

Peds @ Broadway: Arrive 9am. Address: 4781/83 Broadway, Peds is located in the basement, ask for the resident office. Your preceptor is Dr. Nan Salamon. Her email is ns6@cumc.columbia.edu. You can also contact Mariellen Lane, MD (site director) at 917-747-7187 if needed. 

[Not currently in the R1 rotation]

COLUMBIA UNIVERSITY EARLY HEAD START is located at 4467 Broadway, (192nd Street and Broadway) Phone:2129235237.  You can take the 1 train to 191st or the A to 190th and plan to arrive at 9:00 am.  You will work with Kristina Satchell (ks2198@cumc.columbia.edu) who will orient you and help supervise the experience.  You will observe young children (ages 0-3), some with normal development and some with delays, and use the resources on this page to become familiar with normal and abnormal development in the children you will observe.  The most useful resources for starters will be the Bright Futures Handbook and the AAFP article.  You will go to Early Head Start for 3 of the 4 Tuesdays, and use the other Tuesday to visit Peds 2000, which is a private community-based primary care pediatric practice.

PEDS 2000:  

http://www.pediatrics2000.com: is located at 3332 Broadway at 135th Street, with the entrance on the corner.  The site looks like an art gallery with large windows and visible art displays, so don't be confused when you arrive!  You can ask for the administrator Carolina Delgado to introduce you to your preceptor.  She can be reached at Carolina@pediatrics2000.com or by phone at 212-694-2000.  The medical director is Dr. Robert Perello and the founder is Dr. Juan Tapia.  This will mostly be a shadowing experience, to get a sense of how a private but community-based practice works, and will take place just once during the block.

Adolescent clinic at 21 Audobon

21 Audubon, second floor, phone is 342-3215.  You will be working with Dr. Betsy Pfeffer  at bp35@columbia.edu.  You will be getting an email before the block begins from Martha Bolivar, the peds residency administrator which will let you know of any schedule changes. eg if Dr. Pfeffer will be out.

ABFM Well Child Care Module : go to ABFM site, and search for the "Knowledge Self Assessment (KSA)" options and choose Well Child care.  Completion will also count for your certification exam at the end of residency. 

Links to useful resources:

• Bright Futures (AAP)

• Milestones: quick reference is listed in the Bright Futures Handbook pages 54-55 of the book, pages 74-75 of the pdf

• Other resources for common peds issues are available on the Bright Futures Guidelines Page 

Handouts for parents at Well Child Checks (available in English and Spanish)

Bright Futures: https://brightfutures.aap.org/families/Pages/Resources-for-Families.aspx

AAP:  https://patiented.solutions.aap.org/Patient-Education.aspx

CDC, focusing on developmental milestones: http://www.cdc.gov/ncbddd/actearly/milestones/index.html

CHAMP well child handouts in English and Spanish: http://champsonline.org/tools-products/clinical-resources/patient-education-tools/well-child-patient-education-handouts

Developmental Screening: 

The AAFP article on developmental screening:  https://www.aafp.org/afp/2017/0701/p36.html  is a good overall review of screening with various tools

 Autism screen:  https://m-chat.org/

Pathways has many helpful resources for both providers and parents:  https://pathways.org/topics-of-development/motor-skills/ 

Please check in with the rotation liaison during the last week to discuss any concerns and or changes in the rotation.

Residents are expected to complete rotation evaluations on Mehhub which are anonymous and will be reviewed every 6 months.

Your site preceptors will be sent evaluations via Med Hub as well.

Ambulatory Pediatrics Learning Objectives

Medical Knowledge:  Residents will learn a basic fund of knowledge and tools to access appropriate information about routine well-child care, acute pediatric complaints, and outpatient management of chronic childhood illnesses.

Patient Care:  Residents will become proficient with the routine evaluation of the well child, the assessment and treatment of acute complaints in the pediatric patient, and the management of chronic childhood disease. 

Interpersonal and Communication Skills:  

Residents will learn to communicate effectively and sensitively with children and their parents or guardians, including learning age-appropriate techniques for interacting with children and adolescents.  Residents will learn how to communicate with specialists, community organizations, and other outside agencies as needed to advocate for their pediatric patients.

Professionalism:  Residents will be expected to carry themselves in a manner befitting the profession that shows respect for faculty, staff, patients, and co-workers.

Practice-Based Learning and Improvement: Residents will seek evidence-based answers to clinical questions and be expected to share new information with members of the team for the benefit of their own learning.

Systems-Based Practice: Residents will become familiar with important resources for children and their families in the community.