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Children's Hospital, Boston sponsors three one-year junior resident positions to be taken at the PGY2/PGY3 level. These involve extensive exposure to Pediatric Surgery for individuals considering a career in Pediatric Surgery or wishing to augment their Pediatric Surgical exposure with the intention of having a special interest in pediatric surgery in their general surgical practice. It is a 12-month rotation and residents must have completed one or two years of their general surgical training prior to applying.
The responsibilities of the resident during that year include the clinical care of patients on the inpatient units. Residents are responsible primarily for one unit at a time, including the Neonatal Intensive Care Unit, the Pediatric Intensive Care Unit, the Solid Organ Transplant Unit and three, age-based, postoperative units. When covering each unit, they are responsible for the order writing and notes of patients under their care. This is done in consultation with the chief pediatric surgical resident and the attending surgeon of each patient. Patients in the Neonatal Intensive Care Unit and the Pediatric Intensive Care Unit are on the surgical service and are the primary responsibility of the residents on that service. Residents will be assigned surgical cases daily, upon which they are to participate in the operating room involving both inpatient care as well as the busy ambulatory care unit. For the ambulatory care unit, residents are responsible for performing the history and physical examination prior to the surgical procedure and following the patients through discharge from the recovery room. Residents will scrub not only on the "bread and butter" routine pediatric surgical cases, but will also be expected to assist on the "index cases" of a very complex nature. The residents will also be responsible for performing the history and physical examination for patients admitted to the floors as well as the discharge summary.
A broad variety of conferences occur during the week at which attendance is expected. These include: Tumor Board and Trauma Rounds on Monday; Morbidity and Mortality Conference on Tuesday; Surgical Grand Rounds on Wednesday; Dr. Folkman Walk-Rounds on Wednesday; and a didactic teaching conference presented by one of the attending staff on Monday.
This experience can be counted as one year of the initial three years for certification in general surgery. It cannot count as one of the final two years in the general surgery training, nor as one of the two years required for pediatric surgical training.
Supervision
A very close working relationsip exists between the senior surgical staff and the resident staff. All senior staff members have offices within the hospital, facilitating close case-by-case and day-to-day interactions between the senior staff and the residents. Senior staff members are assigned on a daily basis as the "on call" surgeon and are expected to participate in the decision making and the conduct of surgery in all major cases and in the care of critically ill patients.
Please direct correspondence to:
Robert Shamberger, M.D.
Phone: 617-355-8326
Fax: 617-730-0299
E-mail Robert Shamburger
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