Department of Pediatrics Biannual Report 2008-2009

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6 • Department of Pediatrics • Developmental Pediatrics – This rotation takes advantage of some of the outstanding community resources in child development, as well as those at our Center for Neurodevelopmental Pediatrics. The Center is home to services for children with developmental and behavioral problems, including the autistic spectrum disorders, as well as those with complex medical conditions, such as spina bifida, cerebral palsy, and genetic disorders. • Inpatient – Dedicated hospitalists provide oversight and direct care for the inpatients at the Golisano Children’s Hospital. They also provide consultative care to other medical and surgical patients. A great deal of the education of residents and medical students is provided by these inpatient specialists. In addition, a separate attending, the Teaching Attending, provides hands-on and didactic teaching to complement the learning on the wards. • Pediatric surgery rotation – In 2009 our secondyear residents began taking a required onemonth rotation with the pediatric surgery team. This allows the pediatric residents to gain a better understanding of diagnosis, treatment and management of common pediatric surgical problems and allows them to teach the surgery team basic pediatric examination and communication skills. • Subspecialties – The curriculum continues to provide comprehensive training in the pediatric subspecialties. Clinical instruction is available in virtually all the major pediatric medical and surgical subspecialties. Residents have elective time that allows them to create additional experiences in focused areas of the subspecialties. In the third year, residents are able to spend a clinical rotation away from the medical center as an “away elective.” • Systems Based Care – A program of learning advocacy, established in 1995 as the Community Oriented Advocacy Training program, was one of the first such advocacy training programs nationally. The curriculum now includes experiences in systems based care and educates residents on a wide range of advocacy skills and community related topics. Using a case based approach, residents identify a system issue affecting a patient and research community resources. Throughout this experience, the residents develop advocacy skills and then present their experience at an educational conference. • Teaching Skills for Housestaff – This monthly seminar series is in its 13th year and is designed to meet the needs of residents as teachers. The series addresses topics such as: delivering effective lectures, teaching at the bedside, providing feedback, evaluating students and serving as a role model. • Evidence Based Medicine – The housestaff present and participate in a series of workshops designed to analyze recent literature and demonstrate possible effects on practice. These workshops are held twice each month and utilize a curriculum in evidence based medicine. • Residents and students have the opportunity to participate in international health activities including electives in Central America such as the Rural Health, Adolescent Mentoring and Medical Spanish elective in El Salvador and the STI/HIV Education elective in Panama. • Many of our residents participate in active research with faculty. The underlined authors of the manuscripts in the sections below identify our residents or students. PEDIATRIC CLERKSHIP Medical students rotating through our pediatric clerkship are assigned for three weeks to an “outpatient program” at either on-site (general pediatrics and subspecialty clinics) or in the community. They are also assigned for three weeks to one of two inpatient services. A teaching attending is assigned to them during their in-patient rotation. Her or his role is to work closely with the students, mostly providing bed-side teaching (communicating with patients and families, taking medical histories, performing physical examinations, evaluation laboratory findings, interpreting x-rays, etc.) The students actively participate in patient care, morning report, teaching rounds, evidence based medicine conferences, adolescent conferences and on-line cases. They attend 30 core lectures given by the faculty and are required to study CLIPP (Computer Learning in Pediatric Project; www.clippcases.org) cases. EDUCATION OUTCOMES Graduates of the Residency program go on to careers in both primary care practice and in academic medicine, in the subspecialties and in general pediatrics. In the past five years, 62% of our residents have pursued academic fellowship programs. These have included: Hematology/ Oncology, Endocrinology, Critical Care, Infectious Diseases, Gastroenterology, Pediatric Emergency Medicine, Neonatology, Allergy/Immunology and General Academic Pediatrics. In addition, 35% of our residents have joined primary care practices in the Syracuse area as well as various communities in New York State, North Carolina, California, Ohio, Louisiana, New Hampshire, Pennsylvania, and Washington. Another 2% have joined academic faculties directly upon completion of the residency. Nine percent have stayed on to become our chief residents. Of these, 100% entered fellowships upon completion of their chief year. In 2008, 89% of our residents passed the American Board of Pediatrics Certifying Examination on the first attempt with a mean score well above the national average. On the NBME subject exam in pediatrics, our medical students’ scores for the years 2006-2007 average above the 50 th percentile nationally.
Bi-Annual Report • 7 EDUCATION PUBLICATIONS Book Chapters Koszalka T, Olson B. Transforming a Pediatrics Lecture Series to Online Instruction. Handbook of research on distributed medical informatics and e-health. Hershey, PA. Medical Information Science Ref, Aug 2008. PUBLICATIONS WITH RESIDENTS, FELLOWS, OR STUDENTS Anbar RD and Zoughbi GG. Relationship of headache associated stressors and hypnosis therapy outcome in children: a retrospective chart review. Am J of Clin Hypnosis. 2008; 50:335-341 Bennett N - E-Medicine: “HIV Disease” http://www. emedicine.com/MED/topic24.htm (Oct 22, 2008) Bennett N, Domachowske D. Rocky Mountain Spotted Fever. Emedicine, 9/10/09 Bennett, N – Emedicine Mononucleosis and Epstein-Barr Virus Infection (10/20/09) http://emedicine.medscape.com/article/963894-overview Nocardiosis and Gonorrhea. http://emedicine.medscape.com/article/966919-overview http://emedicine.medscape.com/article/964220-overview Bern RA, van Woensel JBM, Bos AP, Koski A, Farnand A, Domachowske JB, Rosenberg HF, Martin TR, and Matute-Bello G. Mechanical ventilation enhances lung inflammation and caspase activity in a model of mouse pneumovirus infection. AJP Lung 2009; 296; L46-56. Dardas M, Abboud M, Salti I, et al. Thyroid cancer in Lebanese children and adolescents: a 15-year experience at a single institution. Pediatr Hematol Oncol. 2009 Sep 26(6):439-47 de Waal Malefyt D, Pecha M, Domachowske J. Poster, “Bacterial Meningitis in Children with Mondini Dysplasia” Poster, PAS, 5/09, Baltimore, MD Henderson JF, Anbar RD. Care for Amish and Mennonite children with cystic fibrosis: a case series. BMC Pediatrics 2009, 9:4. Kobayaa H, Souki RR, Trust S and Domachowske JB. Pastuerella multocida meningitis in newborns after incidental animal exposure. Pediatr Infect Dis J 2009; in press Mallick D, Thapa R. An 11-year-old boy with dark skin, swallowing difficulty and absence of tears. Indian Journal of Dermatology, 2009; 54(1) Mallick D, Thapa R. ‘Molar tooth’ sign in Joubert syndrome. Pediatr Radiol. 7/7/09. Maniscalco J, Dryer AL, Marks A, Yunghans M, Pierson SB, Sgarlat CM, Sveen AR, Blanch LE. Index of suspicion. Pediatr Rev. 2008 Sep;29(9):321-8. Moro M, Suryadevara M, Kiska D, Ridell S and Shaw J. Incidence of invasive community-onset (CO) Staphylococcus aureus infections in children in central New York - The Journal of Pediatrics. Accepted for publication. 2009. Moro R, Contello K, Holz W, Weiner L, Shaw J. “Subcutaneous (SCIG) Versus Intravenous (IVIG) Immunoglobulin Replacement Therapy in a Pediatric Population with Primary Immunodeficiencies (PID)” Poster, PAS, 5/09, Baltimore, MD. Moro MR, Bonville CA, Suryadevara, M, Cummings E, Faddoul D, Kobayaa H., Branigan P, Domachowske JB. Clinical features, adenovirus types, and local production of inflammatory mediators in adenovirus infections. Pediatric Infectious Disease Journal. 28(5):376-380, May 2009. Samkari A, Kiska D, Riddell et al. Dipylidium Caninum Mimicking Recurrent Enterobius Vermicularis (Pinworm) Infection. Clinical Pediatrics, In Press, 2008. Samkari A, Sveen A. Pityriasis Rosea. Consultant for Pediatrics, February 2008 Samkari A, Sveen A. Localized Schleroderma. Consult for Pediatricians, June 2008:258-259. Samkari A. “Dipylidium caninum mimicking recurrent Enterobius vermicularis (pinworm) infection.” Poster presented at the Medical Society of the State New York (MSSNY) Resident and Fellow Research Poster Symposium. April 11, 2008. Sgarlat C and Sveen A. Case presentation on hyperimmunoglobulin E syndrome. Pediatr in ev. 2008;29:322-7 Sgarlat CM, Sveen AR. Case Presentation. Pediatrics in Review. Sept 2008. 324-327. Suryadevara M, Schurman S, Landas S, et al. BRIEF REPORT: Systemic Calciphylaxis. Pediatr Blood Cancer 2008; 100:1-2. Tabarani CM, Bennett NJ, Kiska DL, Riddell SW, Botash AS and Domachowske JB. Empyema of pre-existing subdural hemorrhage caused by a rare Salmonella species after exposure to bearded dragons in a foster home. J Pediatr 2009. Thapa R, Biswas B, Mallick D. Classic Hemorrhagic Disease of the Newborn Presenting with Bilateral Vitreous Hemorrhage. To The Editor. J of Emerg Med. 2009. Thapa R, Ganguly D, Dhar S, Banerjee P. Short Communication: Pachyonychia congenital Type 1 (Jadassohn-Lewandowky Type): Report of four cases. Indian Journal of Dermatology, 2009; 54(2). Thapa R. Scientific Letters to the Editor: Discordance for Congenital Toxoplasmosis in Twins. Indian Journal of Pediatrics, Vol 26, October, 2009.Thapa R. Letter: Bilateral Subconjunctival Haemorrhage in Childhood Enteric Fever. Singapore Med J 2009 50(10):1038. Thapa R, Ghosh A, Mallick D, Biswajit B. Letter: Lung Abscess Secondary to Non-Typhoidal Salmonellosis in an Immunocompetent Girl. Singapore Med J 2009 50(10):1033-5.
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Department of Pediatrics Biannual Report 2008-2009

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