The Department of Pediatrics offers a fully accredited, three-year categorical Pediatric residency program with five positions in each year (PGY-1 to PGY-3).  One fourth-year (PGY-4) position is allocated for the Chief Resident.  The Department also offers a four-year Medicine-Pediatric residency program with four residents.  There are a total of 32 Pediatric residents with 24 rotating in Pediatrics at any point in time.  Residents are exposed to a wide variety of medical and surgical pediatric disorders in patients from birth through adolescence.  The patient population of St. Vincent�s Hospital, Manhattan is medically, socially and demographically diverse, providing the house staff with a variety of unique training opportunities.

Inpatient facilities include a 15-bed pediatric ward, with a 4-bed Pediatric Intensive Care Unit (PICU).  There is a 15-bed Level-3 Neonatal Intensive Care Unit (NICU).   The inpatient Pediatric Unit averages 800 admissions per year.   There are over 1,400 admissions to the Newborn Nursery annually.  Pediatric outpatient services are provided in our Ambulatory Care Center and in our Pediatric Emergency Room.  There are approximately 12,000 outpatient visits and over 6,000 ER visits annually.

PGY-1 residents spend four months on the inpatient service, two months on the newborn service, three months in Ambulatory Care, one month in the NICU and one month in the ER.  As part of the nursery experience, PGY-1 residents accompany neonatologists and senior pediatric residents to the delivery room in order to develop skills in resuscitation of the newborn under close supervision.  On the inpatient service, the PGY-1 functions as primary physician for between 5-7 assigned patients and is responsible for their daily management.

The PGY-2 and PGY-3 years are divided into 13 four-week block assignments.  The PGY-2 resident is responsible for the immediate supervision of the PGY-1 residents and for coordinating the diagnostic and treatment plans for the patients on all services.  Rotations in the second year include two months on the inpatient service, two months in Ambulatory Care, one month in the NICU, one month in the pediatric ER and one month in the PICU at Westchester Medical Center. 

PGY-3 residents serve as team leaders and supervise the activities of the junior residents and medical students.  They function as pediatric consultants to other hospital services and fulfill important administrative and teaching functions in the Department.  Rotations as a PGY-3 resident include three months in Ambulatory Care, two months on the inpatient service, one month in the PICU at Westchester Medical Center and two months in the NICU.

During the PGY-2/3 years all residents have one 4-week block rotation in Adolescent Medicine and one 4-week block rotation in Behavioral-Developmental Pediatrics.  All categorical residents have an additional 6-7 four-week block subspecialty rotations chosen from the following list: Allergy/Immunology, Cardiology, Endocrinology, Gastroenterology, Hematology-Oncology, Infectious Disease, Neurology and Genetics.  Two of the subspecialty rotations may be taken in Child Psychiatry, Pediatric Surgery or Anesthesia. 

The PGY-4 Chief Resident provides overall supervision of the pediatric house staff and medical students, arranges all duty assignments, assists in planning portions of the teaching program, guides the residents in the acquisition of technical and organizational skills, and evaluates the day-to-day performance of the house staff.

The schedule of the pediatric residents conforms to New York State 405 Regulations (Bell Commission) and ACGME work hour regulations.  On average residents are on call every four to five nights.  All residents have four weeks of vacation per academic year.  Pediatric residents are not permitted to moonlight.

There are numerous teaching forums throughout the day for the pediatric residents.  Morning Report takes place three days a week and allows for presentation and discussion of selected cases admitted to the inpatient service.  Daily teaching conferences cover a wide variety of general and subspecialty topics.  In addition, the department holds weekly Grand Rounds as well as Journal Clubs and Board Review sessions. 

The pediatric faculty combines a strong core of general pediatricians with a wide variety of subspecialists.  All pediatric subspecialties are represented within the department.  St. Vincent�s Manhattan faculty hold academic appointments at New York Medical College.

Residents are assigned to continuity clinic for one half-day session per week.  During Ambulatory Care block rotations, residents have extra continuity sessions.  Residents spend at least 10% of their total training time in a primary care continuity experience.  It is during these continuity experiences that the residents develop a panel of patients that they will follow for the duration of their training.  Off-site General Pediatric Practices provide additional settings for resident education, increasing the variety of patients, families and practice types that the residents are exposed to during their training.  Attendings from the Section of General Pediatrics supervise the residents for all patient encounters.

In addition, the Ambulatory Care Center accommodates general pediatric walk-ins and has specialty services for adolescents and neonatal high-risk follow-ups.  Pediatric subspecialty clinics are run by pediatric subspecialists in each of the following disciplines: adolescent medicine, allergy/immunology, cardiology, developmental pediatrics, endocrinology, gastroenterology, genetics, hematology, infectious disease, nephrology, neurology and rheumatology.  Residents rotate through these clinics during both their Ambulatory Care and subspecialty rotations.  The surgical subspecialties are also represented, and residents attend the pediatric sessions for such clinics as orthopedics, ophthalmology, ENT and dermatology.  Several other facilities affiliated with the St. Vincent�s Manhattan provide additional experiences for the pediatric residents.  The Cystic Fibrosis Center, one of the largest centers for patients with cystic fibrosis in the region, provides both inpatient and outpatient training for the pediatric house staff.  The Elizabeth Seton Pediatric Center, which houses a skilled nursing facility for infants and children with chronic handicapping conditions, provides exposure to a diverse spectrum of patients with a wide variety of developmental needs.

St. Vincent�s Manhattan is an academic medical center of New York Medical College (NYMC) and provides pediatric clinical clerkships for third year NYMC medical students.  Pediatric electives and sub-internships are available to interested fourth-year students.