Brown University

Pediatric Surgery @ Brown

The Warren Alpert Medical School of Brown University


Program Description
Hasbro Children's HospitalB. General Structure    
One Pediatric Surgical resident is selected by the members of the Division of Pediatric Surgery every two years through the National Residency Matching Program. The Resident then proceeds through a structured two-year program leading to eligibility for a Certificate of Pediatric Surgery from the American Board of Surgery.

The educational program for Pediatric Surgery takes place within the larger context of medical education sponsored and supervised by The Warren Alpert Medical School of Brown University, Rhode Island Hospital and the Departments of Surgery and Pediatrics. The General Surgery Residency at Brown is structured as a five-year program, leading to Eligibility and Certification by the American Board of Surgery. General Surgery is currently accredited to finish seven Chief Residents. The clinical pediatric surgery service is led by the Pediatric Surgery resident and is composed of two PGY-1 and one PGY-4 surgical residents and four mid-level practitioners (one Physician Assistant and three nurse practitioners. Collaborative academic relationships have been developed by the Division of Pediatric Surgery to assist the Alpert Medical School and the Pediatric Residency program. The Department of Pediatrics has added Pediatric Surgery to its PL 2 rotation schedule based on the quality and structure of our educational program for inpatient and outpatient teaching. Up to two Pediatric residents per month rotate for in- and outpatient experience. Brown medical students rotate on the Pediatric Surgery service in their 3rd year, either as part of their surgical rotations or as an elective.

The Pediatric Surgery resident leads this team of house officers for a service where the average daily patient census is 25 patients; weekly hospital evaluations average 60. The operative experience is extensive with close to 2,000 general pediatric surgical cases per year available for the resident. Additional case volume in special areas otolaryngology, head and neck, endocrine, transplant, and orthopedic surgery adds significantly to the richness of the exposure. Pediatric Urology provides a mandatory rotation with a yearly exposure of greater than 500 cases. Rotations in neonatology and pediatric critical care medicine are part of the first year curriculum.

The interface between pediatric surgery and the Alpert Medical School of Brown University is well established. Specific clinical or basic science research projects and exposure to pediatric surgery are available to medical students and the Program in Liberal Medical Education, with established rotations on our service.
Members of the Division of Pediatric Surgery actively participate in a course in multidisciplinary fetal medicine (BIOL 6505), an initiative that is unique to Brown.

The new Alpert Medical School building on Richmond StreetA postgraduate conference organized by the Division of Pediatric Surgery highlights the various surgical specialties at Hasbro Children's Hospital, and features prominent faculty members from all surgical divisions. The first edition of this conference was the inaugural CME conference held at the new home of the Alpert Medical School, in the Jewelry District of Providence - a walking distance from the hospital complex and the epicenter of a growing biomedical research district.

The Pediatric Surgical Resident and General Surgical Residents attend and take an active role in presentations at interdisciplinary conferences throughout the Academic Medical Center. The Division meets separately for our specific Morbidity and Mortality conference, as well as its clinical and basic science conferences. The Pediatric Imaging, Urology, Gastroenterology, and Pathology Divisions all have individual conferences with the Division of Pediatric Surgery. The Multidisciplinary Pediatric Trauma Patient Care Committee meets once a month for quality improvement reviews. Pediatric Tumor Board with the residents and faculty of Pediatric Hematology/Oncology, Medical Imaging, Radiation Oncology and Pathology meets once a month. General Surgery Grand Rounds, Morbidity and Mortality conference, Basic Science, and Patient Management conferences are held weekly and are attended by the Pediatric Surgery Residents and faculty. Throughout the rotation, clinical or basic science presentations are required to be prepared by the PGY-1 and PGY-4 residents. These are then presented at the Pediatric Surgery conferences under the guidance of the faculty.

The Department of Surgery has four major lectureships each year under the direction of the Chairman. The Pediatric Surgery Resident and faculty take the opportunity to present clinical and research presentations to invited leaders in American Surgery. Schedules are cleared to attend the lectures, rounds, and conferences. There is a funded Lectureship in Pediatric Surgery named for Frank Deluca MD. Past Lecturers have included Drs. Grosfeld, Altman, Touloukian, Donahoe, Krummel, Ziegler, Stolar, Caniano and Vacanti, and most recently Drs. Ford, Dillon, Wilson and Laberge.
The Division of Pediatric Surgery organizes a yearly conference on Pediatric Trauma, in conjunction with Lifespan and the Emergency Medical Services of the Rhode Island Department of Health.

The pediatric surgical attending, the pediatric surgical fellow, and the residents have formal daily teaching rounds in Hasbro Children's Hospital, giving the residents an opportunity to participate educationally in diagnostic and perioperative care. Hasbro Children's Hospital's Emergency Room takes all pediatric trauma and burn cases.
All trauma cases and burn patients are admitted to the Pediatric Surgery service. As was confirmed with the tragic Station Night Club fire in 2003, where all 50 patients admitted to this institution (with burns of up to 85% body surface) survived, Rhode Island Hospital and its burn service are a nationally recognized facility offering state-of-the art burn care and results that meet or exceed current standards. Rhode Island/Hasbro Children's Hospital is an American Burn Association-verified Burn Center.

The majority of admissions to the Neonatal Special Care Unit (NICU) originate from the hospital's own Labor and Delivery Unit which, with close to 9,000 births each year, is the largest in Rhode Island and the second largest in New England. In the NICU, the Resident and on call Attending are primarily responsible for premature and full-term neonates with surgical conditions, and co-manage neonates with multi-system problems. Full-term neonates with mothers to be discharged are transferred to the Surgical service in the PICU or the 4th floor at Hasbro. Since 1994, the Hasbro operating suite has grown from 4 to 6 operating rooms. There is a scheduled operating room for pediatric surgery every day of the week with an ample one-room extension to two or more rooms every day a week.






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Pediatric Surgery at Hasbro Children's Hospital