General Pediatric Service
The General Pediatric Service (GPS) houses weekly continuity clinics in which residents build and follow a panel of patients for general ambulatory pediatric care. Each resident has clinic one 1/2 day per week, typically between the hours of 1-5:30 pm.
New patient appointments are one hour long, and 30-40 minutes are provided for follow-up and well-child care visits. Residents learn to provide comprehensive well-child care for healthy children from infancy to adolescence, as well as how to care for children with special health care needs. In addition, residents see patients with common acute ambulatory issues and complaints.
Teaching in continuity clinic is provided by board-certified general pediatric faculty, and occurs through both individual patient case discussions and formal didactics. Once per month, a senior resident leads a case-based discussion of an ambulatory topic of his/her choice, taken from their patient panel. The faculty and chief residents provide lectures on additional topics chosen from the general pediatric ambulatory curriculum two times per month.
The clinic is staffed by a full complement of personnel who work together to ensure family centered care. In addition to the physicians, there are clerical support staff, nursing staff, nursing case managers, a social worker, a dietitian, a child psychologist and Spanish language interpreters. Residents learn to apply a multidisciplinary team approach to patient care where appropriate.
During the second and third year, residents develop their telephone triage skills by answering after-hours patient phone calls under the supervision of a faculty member.
Each resident is paired with a GPS faculty advisor for their three years of training here at our hospital. Advisors serve as resources for the residents and are also responsible for reviewing feedback on the residents' performance in the ambulatory setting. Advisors and residents are expected to meet at least twice per year to review progress in continuity clinic and set goals for continued improvement.