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 and its surrounding community and at Nemours/Alfred I. duPont Hospital for Children.

The Crozer Experience

Crozer-Chester Medical Center (CCMC) is an over 300-bed tertiary-care teaching hospital that serves Delaware County, PA, parts of northern Delaware and southern New Jersey. Located on a beautiful 68-acre campus, the hospital is nationally recognized for its regional burn center. CCMC has a 40,000 square-foot Emergency Department and has a robust trauma service. 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-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’s maternity center delivers over 1,700 babies a year. 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, and neonatology, along with on-site Nemours (A.I. duPont) specialists at Crozer which include pediatric neurology, gastroenterology, hematology/oncology, cardiology and nephrology. 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.

The Nemours/Alfred I. duPont Hospital for Children Experience

Our 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, DE that offers advanced inpatient and outpatient care in more than 30 specialties. In addition, it is Delaware’s only pediatric trauma center. A.I. duPont is one of only 20 children’s hospitals in the nation ranked in all ten specialties by U.S. News & World Report (cardiology, diabetes & endocrinology, gastroenterology, neonatology, nephrology, neurology & neurosurgery, orthopedics, oncology, pulmonology and urology). At duPont, our residents are fully integrated into the duPont schedule and are supervised by duPont attendings. Rotations include inpatient sub-specialty/general pediatrics, pediatric intensive care, emergency medicine and 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 Crozer’s 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, and community experiences and advocacy are an integral part of the 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. Crozer Pediatrics has partnered with the PA chapter of the AAP advocating for the health and welfare of children in the Crozer community and beyond.

Individualized Curriculum

While many programs have developed tracks within their residency to meet the requirements for individualized curriculum, here at Crozer 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

Crozer Pediatrics initiated a robust wellness program for Pediatric Residents in the spring of 2016, a year before the recommendations by the ACGME. Each resident completes an Individualized Wellness and Learning Plan with their faculty advisor. The innovative Wellness Curriculum is run by Fran Zappalla. 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.

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, and 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 past seven years (2010-2016).

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 subspecialty 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.
  • 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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