Program Overview - Crozer-Keystone Health System - PA

Program Overview

The Crozer Pediatric Residency is a three-year program with six residents per year of training. Our mission is to give residents a strong foundation in pediatrics on which they can build a career in primary care or in a pediatric subspecialty. Our program includes experiences at Crozer Chester Medical Center, the surrounding community, and at Nemours/Alfred I. duPont Hospital for Children.

The Crozer Experience

Crozer-Chester Medical Center (CCMC) is a tertiary-care teaching hospital with more than 300 beds that serves Delaware County, Pa., as well as parts of northern Delaware and southern New Jersey. Located on a beautiful, historic 68-acre campus, the hospital is nationally recognized for its regional burn center.

CCMC has an Emergency Department with 40,000 square feet of space, and a robust trauma service. The patient population served includes a diverse mix of ethnic and socioeconomic backgrounds.

The Pediatric facilities at Crozer-Chester feature a 23-bed inpatient unit, an 18-bed 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-Chester has a full service maternity center with an OB/GYN residency and an active maternal fetal medicine practice. 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 in combination with an extensive experience at Nemours/Alfred I. DuPont Hospital for Children.

The Crozer system features:

  • Pediatric generalists
  • Adolescent medicine
  • Allergy/Immunology
  • Developmental medicine
  • Pediatric pulmonary and sleep medicine
  • Neonatology

On-site Nemours (A.I. duPont) specialists at Crozer include:

  • Pediatric neurology
  • Gastroenterology
  • Hematology/oncology
  • Cardiology
  • Nephrology

In addition to caring for pediatric medical patients, residents are involved in caring for:

  • Pediatric burn
  • Trauma
  • Ears, nose and throat
  • Psychiatry
  • General surgery

Residents devote one to two half-days per week in continuity clinic, where they assume progressive responsibility for their own panel of patients over the course of three years. Our residents gain a unique perspective on their patient population through structured experiences in the community as part of their adolescent, development, community, and advocacy rotations.

The Nemours/Alfred I. duPont Hospital for Children Experience

The pediatric residency program is a proud affiliate of Nemours/A.I. duPont Hospital for Children. The duPont Hospital for Children is a 195-bed pediatric tertiary care hospital in Wilmington, Del. that offers advanced inpatient and outpatient care in more than 30 specialties, and is Delaware’s only pediatric trauma center.

A.I. duPont is among the elite children’s hospitals in the nation, nationally ranked in seven specialties by U.S. News & World Report. Those specialties are:

  • Diabetes and endocrinology
  • Gastroenterology and GI surgery
  • Nephrology
  • Neurology and neurosurgery
  • Orthopedics
  • Oncology
  • Urology

Our residents are fully integrated into the duPont schedule and are supervised by duPont attending physicians. Rotations include:

  • Inpatient sub-specialty/general pediatrics
  • Pediatric intensive care
  • Emergency medicine
  • Outpatient subspecialties.

Nemours duPont Pediatrics offers the expertise of nationally renowned specialists from one of the nation’s best pediatric hospitals, Nemours/Alfred I. duPont Hospital for Children, here on the Crozer-Chester Medical Center campus. Our family-centered model of care includes parents and providers working together to develop a highly personalized plan to best meet the needs of each child.

Additional Program Features

Community Medicine and Advocacy

Crozer has strong ties to the local community. Community experiences and advocacy are cornerstones of the Crozer pediatric residency experience. Structured experiences during the adolescent and developmental pediatrics rotations introduce residents to a variety of community-based resources in addition to work in schools, detention centers, public health and advocacy events.

During the community pediatrics rotation, these experiences are expanded, with a combination of core experiences shared by all residents and individual experiences according to each resident’s personal interests.

Advocacy is at the heart of Crozer Pediatrics as we have partnered with the Pennsylvania chapter of the American Academy of Pediatrics (AAP) to advocate for the health and welfare of children in the Crozer-Chester community and beyond.

Individualized Curriculum

Many programs have developed tracks within their residency to meet the requirements for individualized curriculum. Here at Crozer-Chester, we take advantage of the flexibility allowed by our smaller program size, in combination with our partnership with Nemours/Alfred I. DuPont Hospital for Children, to develop a unique experience for each resident.

Wellness Curriculum

Our pediatric program initiated a robust wellness program for pediatric residents in the spring of 2016, a year before the recommendations by the American Council for Graduate Medical Education (ACGME). Every resident completes an Individualized Wellness and Learning Plan with their faculty advisor.

The innovative Wellness Curriculum is run by Frances Zappalla, D.O. All residents receive a free membership to the Healthplex, a top tier wellness and fitness facility, that adds to our residents’ ability to maintain a healthy lifestyle. There are traditionally six basic competencies for any residency training program. We consider wellness the seventh competency

Research and Quality Improvement

Residents are required to participate in a quality improvement project and/or research during their three years. Research and quality improvement projects are worked on throughout the residency with faculty guidance. There is one block in the PL-2 year reserved for research/quality activities, with significant flexibility depending on the nature of each resident’s project.

We encourage each resident to engage in work that is personally meaningful to them. We work with each resident to identify their areas of interest and potential research or quality issues within their personal interests. Abstracts are submitted to both national and regional meetings, as well as Crozer’s Resident Research Day. Our department has won Blue Ribbons at the Research Day for the in seven of the past eight years (2010-2018).

Didactic and Active Learning

  • Morning Report (daily). A participatory case-based conference organized by the Chief Resident in collaboration with the Program Director, which is held each weekday. Emphasis is on diagnosis and management and boards preparation.
  • Noon Conference (daily). A faculty-run didactic conference held each weekday that covers a mix of general and sub-specialty topics.
  • Journal Club (monthly). A monthly discussion group in which residents mentored by sub-specialty faculty present analysis of current journal articles using principles of evidence-based medicine.
  • Mock Codes. Patient code simulations are regularly incorporated into the inpatient, NICU, and PICU rotations as well as the noon conference schedule.
  • Grand Rounds (twice-monthly). A conference for residents, faculty, and community pediatricians taught by regional and national leaders in pediatric health care.
  • Quality/Process Improvement Conference. A monthly conference organized by faculty and residents with an emphasis on quality improvement and root cause analysis.
  • Neonatal Perinatal Process Improvement. A monthly conference coordinated between the Pediatrics and OB/GYN residency programs with an emphasis on quality improvement and root cause analysis.
  • Resident Quality Safety Council. A monthly conference sponsored by the GME department in collaboration with the Hospital Quality and Safety Office to teach quality and safety concepts and give a forum for residents to discuss and quality improvement programs.

All senior residents are expected to give one grand rounds in the second half of their senior year as part of the resident as teachers initiative that has been cultivated throughout the residency.

Medical Students – Residents as Teachers

Crozer is a major Regional Medical Campus for Drexel University College of Medicine. Faculty at Crozer have academic appointments at Drexel University College of Medicine. Crozer Pediatric Residents, under the supervision of the Crozer Pediatric Faculty, are progressively and actively involved in learning how to teach the art and science of doctoring.

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