Crozer-Chester Medical Center (CCMC) is a 371-bed not-for-profit tertiary-care teaching hospital that serves Delaware County, parts of northern Delaware, and southern New Jersey. Located on a beautiful 68-acre campus, the hospital is recognized for its regional burn center, its 40,000 square-foot Emergency Department, and its designation as a Level II trauma center. The patient population served includes a diverse mix of ethnic and socioeconomic backgrounds.
The Pediatric facilities at Crozer feature a 23-bed inpatient unit, an 18-bassinet Level-III neonatal intensive care unit, and an emergency department with a separate pediatric section that sees approximately 15,000 children and adolescents annually. Crozer’s maternity center delivers over 2,000 babies a year that are cared for in the well baby nursery. The Nathan Speare Regional Burn Treatment Center receives pediatric and adolescent burn patients from the tri-state area.
Residents do the majority of their rotations within the Crozer system. The Crozer system includes pediatric generalists, adolescent medicine physicians, an allergist, neonatologists, a developmental specialist, a cardiologist, a neurologist, a gastroenterologist, and an infectious disease specialist. In addition to caring for pediatric medical patients, residents are involved in the care of pediatric burn, trauma, ENT, psychiatry, and general surgery patients.
Residents devote 1-2 half-days per week in continuity clinic where they assume progressive responsibility for their own panel of patients over the course of 3 years. Our residents gain a unique perspective on their patient population through structured experiences in the community as part of their adolescent and development rotations.
Crozer has developed strong ties within the community and within the local school district. During the adolescent and development rotations, residents visit and learn about numerous community organizations dedicated to the needs of children and youth. Selected experiences within the community include work in detention centers, the local high school, and college health; visits with programs of the county health department; experience with the county intermediate unit and learning support programs of local schools; presentations within the community; and opportunities to become active participants in various community events.
Quality Improvement Block
Residents have time dedicated to developing their skills in analyzing, improving, and changing practice or patient care through mentored quality improvement projects using Plan, Do, Study, Act (PDSA) cycles. These projects are presented to all residents and faculty at the end of the year.
Residents have dedicated time to initiate a mentored, focused scholarly activity. Abstracts are submitted to the institution’s resident research day at the end of the year. Residents' projects have received accolades both within the Crozer-Keystone Health System and at national conferences.
Teaching Skills Retreat
A teaching skills retreat is held annually. This workshop covers various topics aimed at improving the residents’ ability to teach effectively. In addition, feedback and an evaluation are given to residents delivering formal presentations.
Morning Report – This is a case-based conference run by the chief resident and held daily. Emphasis is on differential diagnosis and management.
Noon conference – This is a didactic conference held daily that includes a mix of general and subspecialty topics.
Continuity pre-clinic conference – This conference reviews primary care topics weekly prior to seeing patients. An online case-based curriculum is incorporated into the conference schedule.
Evidence-based Medicine (EBM) conferences and Journal Club – Periodically, EBM conferences are incorporated into the noon conference schedule. The principles of evidence-based medicine are applied through the completion of educational prescriptions. Analysis and discussion of journal articles chosen from educational prescriptions are discussed at a monthly journal club.
Grand Rounds – This is a monthly conference on a topic of interest conducted by regional and national leaders in pediatric healthcare.
Morbidity & Mortality Conference – In this conference, a case is analyzed and presented quarterly with an emphasis on identifying system errors.
Professionalism Conference – This conference is held monthly and is incorporated into the noon conference schedule. Faculty-led discussions of cases and vignettes focus on the elements of professionalism and communication necessary in the practice of medicine.
Mock codes – Patient code simulations are regularly incorporated into the inpatient rotation experience. PL2 residents spend one-half day each year at a Simulation Center at Temple University School of Medicine.
CHOP Conferences – Residents are expected to attend all scheduled conferences pertinent to their rotation while rotating at CHOP.