Pediatrics Residency Program

A Message from Program Director

Thank you for your interest in the Pediatric Residency Program at Westchester Medical Center at the Maria Fareri Children's Hospital (MFCH), a member of the Westchester Medical Center Health Network (WMCHealth). We hope the information located here will further your interest in our program by conveying its many strengths

Our program's mission is to produce outstanding pediatricians who are ready to excel in both general and subspecialty pediatrics. To achieve this, we create an educationally innovative, inclusive and supportive environment and foster camaraderie and teamwork amongst our physicians. Our residents receive an exceptional education in all areas of pediatrics and they acquire the practical skills needed to care for children with a vast range of illnesses.

Our location in New York's Hudson Valley grants us unparalleled population density and diversity. MFCH is the principal referral center of the Hudson Valley, the 150-mile region between New York City and Albany; this ensures that our residents manage childhood illnesses that range from common, to rare, to previously undescribed. Year after year our residents express enthusiasm about the diversity of our cases and the educational opportunities provided by the breadth of pathologies we encounter. Our administrative leadership and extensive teaching faculty strive to maximize the educational opportunities offered by our diverse patient population. We pride ourselves on our program’s supportive, inclusive culture that values advocacy and joy in our work.

MFCH provides a state-of-the-art environment for our clinical, educational, and research activities. MFCH is a full-service children's hospital with complete pediatric subspecialty representation. Designed with the comfort of both families and caregivers in mind, MFCH features on-call suites for our residents and numerous conference areas.

The first children's hospital named after a child, MFCH has set the standard for a comforting and stimulating healing environment for ill children and their families. We offer private rooms for every patient with sleeping space for parents, family housing at our on-site Ronald McDonald house, a giant aquarium, an interactive computer lab, the world's largest dollhouse, a baseball museum, and a wheelchair-accessible miniature golf course.

Our program is fully accredited by the Accreditation Council for Graduate Medical Education. We strictly observe both New York State and Residency Review Committee regulations regarding resident work hours and supervision.

We are proud of our program and its graduates, and we look forward to introducing them to you.

Sincerely,

 

Matthew J. Kapklein, MD, MPH
Program Director

Caroline Moon, MD, MTS
Associate Program Director

Sonia Solomon, DO
Assistant Program Director

Program Overview

Resident Education

Our program is committed to resident education with protected educational time for daily morning report, noon time core conference and weekly resident-led continuity clinic conference. In the past these educational sessions have been in person, but in light of current events, morning reports and noon conferences have been transitioned to hybrid in person didactics with online streaming via Zoom.

Our pediatric residency program Zoom ID is 477.318.5601. Feel free to pop in just about every Monday, Tuesday, Thursday and Friday from 8 -9 a.m. ET (morning report) and every weekday 12 p.m. - 1 p.m. ET (noon conference) and 1:00-1:30 ET (clinic conference) to get a glimpse of our daily education and resident life!

Morning Report/Clinical Reasoning Conference (CRC)

During Morning Report/CRC, select overnight admissions are presented by residents to their peers and selected faculty. Emphasis is placed on clinical diagnostic reasoning and decision making as we work through initial patient presentations while discussing differential diagnosis.

Noon Conference

Noon conference consists of a boards-based curriculum that is supplemented by a variety of educational topics in all pediatric subspecialty areas as well as wellness sessions, journal club, resident-as-teacher presentations, pediatric board review sessions, emergency medicine skills workshops, critical care lectures and monthly house staff meetings.

Continuity Clinic Conference

Every week during continuity clinic sessions, residents discuss topics from the Yale Primary Care Pediatrics Curriculum, which covers a wide range of topics relevant to primary pediatric care, including; nutrition, developmental milestones, vaccine schedules, breastfeeding versus formula feeding, and anticipatory guidance.

Grand Rounds

Grand rounds occur every Wednesday from 8:00 - 9:00 and are open to all faculty, residents, and medical students. Here, faculty and residents, as well as guest lecturers, present a variety of pertinent pediatric topics.

Board Review

In addition to our daily morning report/CRC and noon conference, residents are given an annual subscription to the TrueLearn Question Bank for board prep and the Yale Primary Care Pediatrics Curriculum for the weekly lectures in continuity clinic. During the spring of 3rd year, senior residents participate in a board review boot camp in preparation for their upcoming boards.

Simulations

We have regularly scheduled mock codes and monthly Emergency Department simulations, or “sims,” with our PICU and PEM attendings. Simulated resuscitations are also frequently held in our NICU. Additionally, we hold PICU boot camps, IV simulations, splinting and suture workshops that are frequently provided throughout the year for our residents.

Mentorship

Each resident is paired with a career mentor in their desired field, based on their area of interest. This is an opportunity that allows residents to get career guidance for the field of their choice. Faculty research mentors are also assigned to residents in their PL-1 year; these faculty help residents find project mentors and help develop their ideas into workable original research and quality improvement projects.

Research/Quality Improvement

Each resident is required to participate in a scholarly project during their training. They are free to choose their own topic in an area such as quality improvement (QI), prospective studies, or basic science research. There are ample opportunities for research and our residents are involved in many projects. Residents are also able to take dedicated four-week research electives in their second or third years. Some of the most popular departments for research are PICU, NICU, pulmonology, and hematology/oncology. Additionally, PGY-2 residents spend two weeks on a Quality Improvement (QI) rotation where they work on active QI projects.

Examples of recent resident scholarly project presentations include: 

• Impact of an Adolescent and Young Adult (AYA) oncology program
• Effects of implementing a clinical pathway for community-acquired pneumonia
• Incidence of intention to breastfeed among marijuana-using new mothers
• Association of mode of delivery with maternal use of marijuana products
• Effect of sex on glomerular filtration rate in a programmed rat model
• Lifestyle characteristics of parental electronic cigarette users
• Implementation of Clinical Care Pathway Reduces Measles Exposures During Outbreak in New York
  
• Improving Utilization and Determining Efficacy of the Participation Evaluation in Patients 12-18 Years old During Annual Check-ups

Pediatric Fellowships

Currently, Maria Fareri Children's Hospital offers Accreditation Council for Graduate Medical Education (ACGME)–accredited fellowships in Pediatric Hematology-Oncology, Pediatric Pulmonology, Pediatric Gastroenterology, and Neonatal-Perinatal Medicine. Our fellows work directly with residents and provide a great source of education and learning in their specialty.

Resident-Run Initiatives

ChefMD: Our monthly cooking club

Buddy Program: A voluntary program to match interns with seniors to help ease the transition into residency

Diversity Committee: The diversity committee organizes resident-led initiatives to bring awareness of, encourage diversity in, and provide a safe space for issues that affect our community. Our group is mentored by the amazing pulmonologist, Marilyn Scharbach. Among other things, we have hosted dinners for new interviewees, started a new mentorship program between NYMC students and residents, and are expanding our diversity education curriculum in coordination with the Assistant Program Director, Dr. Sonia Solomon. We also correspond regularly with the Resident Wellness Committee and the White Coats for Black Lives chapter at Westchester Medical Center.

The goals of the committee are as follows; 

• To promote and celebrate diversity within our program in all respects, including gender, age, culture, race, religion, ability, and sexual orientation, with special attention to groups that are historically underrepresented
  
• To support learning and working environment that is inclusive to all 
  
• To change perception of marginalized groups in medicine through educational programs 
  
• Partner with NYMC diversity office and provide mentors to underrepresented trainees in pediatrics and those interested in pediatrics
  
• To provide a venue for discussion and social support surrounding issues pertaining to diversity and inclusion. 

Advocacy Day: We pride ourselves in our engagement in group-level advocacy on multiple levels, including local (e.g., our Community Pediatrics and Advocacy rotation), regional (e.g., testifying before local governments in support of children’s health initiatives, and lobbying at our state capital annually), and national (e.g., completing a legislative advocacy rotation with the American Academy of Pediatrics in Washington, DC). 

My CHOICE: Started by our residents in 2017, My CHOICE is an elementary school-based program with the goal of educating students on the importance of making good decisions about healthy food. This is a six-week long program where residents go into the classroom (now via Zoom) and teach students the importance of healthy eating and exercise. 

Wellness Committee

At Maria Fareri, we wholeheartedly support efforts to maintain the emotional and mental wellness of our residents. With the introduction of a Wellness Curriculum in 2019 and the development of our resident-run Wellness Committee, we have initiated a program-wide culture shift to recognize and address the challenges associated with being a modern physician. With that, we have dedicated educational time to 18 annual wellness sessions that include didactics and experiential conferences. These introduce residents to concepts of stress management and mindfulness, while practicing talk therapy and meditation. We invite you to join us in this exciting new wave of introspection as we learn to be the best version of ourselves as practicing physicians.

Additionally, there is a committee run by pediatric residents that organizes monthly wellness and social events inside and outside the hospital. Before COVID, residents got together for monthly activities such as hiking, going to the beach, going to the park, and getting dinner. Now during COVID, we maintain social distancing, but still practice wellness via Zoom get-togethers.

Program Curriculum

Rotation Blocks

Each rotation block consists of a four-week rotation. All inpatient rotations occur at Maria Fareri Children's Hospital. Over the course of three years, pediatric residents are exposed to a variety of pediatric cases, ranging from the typical "bread and butter" to the highly subspecialty-based and complex.

Inpatient Floor Rotation

Each of our three inpatient teams (Rainbows, Ladders and Stars) consist of four or five PGY1 junior residents, two or three PGY2 or PGY3 senior residents, and variable numbers of medical students.

For the two larger teams (Rainbows and Ladders) with five juniors and three seniors, the teams are split into two “hemi-teams” for family-centered rounds. On all teams, PGY1 residents typically have primary responsibility for anywhere from five to nine patients. Family-centered rounds are conducted on every team, every day.

• Rainbows (general pediatrics): Our pediatric hospitalists supervise the general pediatrics team, where our residents care for a wide variety of conditions; ranging from common to complex general pediatrics problems. The Rainbows team is split into two teams (Red and Violet) with one senior and two interns on each team.
• Stars (hematology/oncology): Our Stars team is composed of two seniors and four interns and covers the hematology/oncology service, which includes bone marrow and stem cell transplant patients.
• Ladders (subspecialty): Patients admitted to other subspecialty services are cared for by the residents on the Ladders team. Our largest subspecialty inpatient services are Pulmonology, Gastroenterology, Endocrinology, Neurology, and Adolescent. The Ladders team is split into two teams (Pulm/Neuro and GI/Nephro/Endocrinology/Cardio/Adolescent) with one senior and two interns on each team.

There are no patient caps for any of the inpatient teams, as Maria Fareri Children’s Hospital accepts all patients who request our care, and we believe all patients deserve to be on a resident teaching service. At times of high census, all caregivers (faculty, fellows and others) pitch in to ensure that our patients receive the best quality care, while making sure our residents get the rest they need. 

Call Schedule

• On inpatient services, we have a 24-hour call schedule. Call ranges from every fourth to every sixth night on all inpatient rotations, about five 24-hour calls per inpatient rotation.
  • Residents are guaranteed at least one full “golden” weekend (with both Saturday and Sunday off) per inpatient rotation.
• On outpatient rotations, residents will be scheduled to either cover nights/weekends on an inpatient team or in the emergency department about three to four times per month. Residents are also guaranteed at least 1 full “golden” weekend off per outpatient rotation, however often end up having at least 2 weekends off per month.
• In the Emergency Department, residents have a shift schedule. Shifts range anywhere from seven to 12 hours in duration. There is a PEM attending and senior resident in the ED at all times.

24-Hour Call Example:

Inpatient call schedule example:

7 a.m. - 8 a.m.: Morning signout
8 a.m. - 5 p.m.: Regular work day
5 p.m. - 6 p.m.: Evening signout from co-residents to assume management of all the patients the resident’s designated inpatient teams.
6 p.m. - 7 a.m.: The overnight team consists of one senior resident (PGY2 or PGY3) and one junior resident (PGY1) on the non-ICU inpatient teams, one senior resident (PGY3) and one junior resident (PGY2) in the PICU, and a fellow and one resident (of any level) in the NICU. After signout, the on-call residents continue to manage the inpatient teams, attending to vital patient care, and taking on new patients/admissions from the ED throughout the night until signout at 7 a.m. the following morning.

Our residents are always supported and never alone, as there is always a hospitalist, intensivist and ED attending in-house 24/7.

Pediatric Emergency Department

Our dedicated pediatric emergency department is a level 1 pediatric trauma center staffed and supervised by board-certified pediatric emergency medicine (PEM) attendings with 24/7 coverage. Our robust emergency department is always busy and provides excellent exposure to a variety of pathology, as well as hands-on exposure to a variety of procedures. There are no Pediatric Emergency Medicine (PEM) fellows, allowing residents to have high levels of autonomy in our high acuity ED. 

Pediatric Intensive Care Unit (PICU)

Rotations in the 18-bed Level I medical/surgical PICU occur in the second and third years. There, residents take primary responsibility for critically ill children with a variety of conditions, including trauma, burns, and post-operative cardiac surgery. There are no PICU fellows, allowing residents to have high levels of autonomy in our high acuity PICU. 

Neonatal Intensive Care Unit (NICU)

Residents rotate in our 60-bed Level IV NICU yearly, starting in the first year, where they care for neonates with a wide variety of conditions. There are three teams in the NICU (Red, Green, and Gold) of which the resident team is the red team. The resident teams typically consist of two PGY1 residents, one PGY2 resident and one PGY3 resident who are supervised by a NICU fellow and NICU attending. Residents typically each care for 8-10 patients during their NICU rotation.

Nursery

First year residents spend four weeks in the nursery at Maria Fareri Children's Hospital, taking care of healthy newborns, giving anticipatory guidance, and guiding parents after the birth of their child.

Elective Rotations

We offer the full complement of core pediatric subspecialty rotations (Cardiology, Pulmonology, GI, Nephrology, ID, etc) all of which are done in house at Maria Fareri Children’s Hospital. In addition, each resident has several blocks in which they have the opportunity to determine their own curricula, including creating their own electives. Past electives have included ultrasound, transport, hospitalist, urgent care, and research.

Continuity Clinic

Residents are allocated one half-day a week at one of nine clinic sites. These sites are located anywhere from five to 30 minutes away from the main hospital campus. Clinic sites range from hospital-based clinics, to community-based health centers, to private practices. The wide range of clinics offered allows residents to choose which type of outpatient pediatric clinic they would prefer. Additionally, all residents rotate through our hospital-based clinic.

Schedule by Year

PL1 Year

 

The PL1 intern year is inpatient-heavy, with six months spent on one our three inpatient teams – general pediatrics (Rainbows), mixed subspecialty (Ladders) and (hematology/oncology (Stars) – each in equal measure. The remainder of the year includes one month each of NICU, ED, Well-Baby Nursery, Adolescent Medicine and Developmental/Behavioral Pediatrics, two weeks of a Community Pediatric Advocacy rotation (CPA), as well as a rotation devoted to improving residents' procedural and evidence-based medicine skills. 

During the non-inpatient rotations, the only in-hospital responsibilities are cross-coverage of the ED on weekends, usually two out of the four weeks.

• Inpatient General Pediatrics (Rainbows) Junior: 2 months
• Subspecialty (Ladders) Junior: 2 months
• Heme/Onc (Stars) Junior: 2 months
• ED Junior: 1 month
• Wellbaby Nursery: 1 month
• NICU Junior: 1 month
• Adolescent: 1 month
• Developmental Pediatrics: 1 month
• Community Pediatrics and Advocacy: 2 weeks
• PBLI: 2 weeks
• Vacation: 4 weeks

PL2 Year

In PL2 year our residents become senior residents and take on supervisory responsibilities for their PL1 colleagues, and also spend time exploring subspecialty interests and other individualized rotations. All PL2s have two and a half months as inpatient senior team leader (split among each of the three teams), plus 2 weeks of Quality Improvement, and one month each of NICU, ED, PICU, Community Pediatrics and Advocacy, and half a month at our on-campus Child Advocacy Center, the regional referral center for evaluation of non-accidental injuries and sexual trauma in children. 

The remaining time is spent on subspecialty rotations of the resident's choice (three months), plus two individual blocks, where residents may design their own rotations or choose from among other well-established ones; some popular choices include Research, Resident-as-Teacher, Lactation, and additional supervisory experience in the Well-Baby Nursery. Call on inpatient rotations ranges from every fourth (inpatient team supervisor) to every sixth (PICU) night.

During non-inpatient rotations, call responsibilities consist either of ED cross-coverage (as above) or cross-coverage of one of the inpatient teams - usually three to four calls during each month.

• Inpatient General Pediatrics (Rainbows) Senior: 1 month
• Subspecialty (Ladders) Senior: 1 month
• Heme/Onc (Stars) Senior: 2 weeks
• ED Senior: 1 month
• PICU Junior: 1 month
• NICU Junior: 1 month
• Elective Rotations: 3 months
• Individualized Rotations: 2 months
• Community Pediatrics and Advocacy: 2 weeks
• Child Advocacy Center (CAC): 2 weeks
• Vacation: 4 weeks

PL3 Year

Supervisory responsibilities in the PL3 year include three months as senior resident on the inpatient teams, two weeks to one month of NICU, one month of ED, and also expand to being senior resident of the pediatric intensive care unit (PICU). 

The rest of the year is divided between elective subspecialties and individual rotations. 

Most PL3 residents spend their individual rotations preparing for their planned careers: a resident planning a career in outpatient general pediatrics may spend a month at a clinic or private practice, a resident planning a career in emergency medicine may spend a month doing ultrasounds, a resident planning a career as a hospitalist may spend a month as a "pretending" (or "practice attending") hospitalist on the general pediatrics inpatient team, and so on. Residents who feel they need the time may also spend an individual month preparing for their pediatric board certification exam.

Cross-coverage during these rotations is similar to PL2 year, and now also includes PICU coverage.

• Inpatient General Pediatrics (Rainbows) Senior: 1 month
• Subspecialty (Ladders) Senior: 1 month
• Heme/Onc (Stars) Senior: 2 weeks
• ED Senior: 1 month
• PICU Junior: 1 month- 6 weeks
• NICU Junior: 2 weeks -1 month
• Elective Rotations: 3 months
• Individualized Rotations: 3 months
• Community Pediatrics and Advocacy: 2 weeks
• Quality Improvement (QI): 2 weeks
• Vacation: 4 weeks 

Plus

Residents attend their continuity clinic weekly throughout their training. All residents also have one call-free block; most residents use it during their PL3 year – this is a good time to do international rotations or rotations at other institutions if they wish. Many residents in the past have done away rotations at private offices, global health locations, and specialized departments at other hospitals. Additionally, all residents get at least five individualized months during PL-2 and PL-3 where they choose elective rotations that pertain to their own specific career goals.

General Schedule of Rotations Over Three Years

			PL1	PL2	PL3
Inpatient Pediatrics	General Pediatrics		8 weeks
	Hematology/Oncology		8 weeks
	Mixed Subspecialty		8 weeks
	Inpatient Team Leader			10 weeks	10 weeks
	Well-baby Nursery		4 weeks
Critical Care	PICU			4 weeks	6 weeks
	NICU		4 weeks	4 weeks	2 weeks
Acute Care	Emergency Department		4 weeks	4 weeks	4 weeks
Subspecialty	Adolescent Medicine		4 weeks
	Developmental		4 weeks
	Subspecialty Elective			12 weeks		12 weeks
Additional Experiences	Community Pediatrics & Advocacy			6 weeks
	Quality Improvement					2 weeks
	Individualized Curriculum*			8 weeks		12 weeks
	Procedures/Evidence-Based Medicine	2 weeks
	Vacation	4 weeks		4 weeks		4 weeks

Sample Daily Schedule

 

 

Fellowship Matches

We are proud of our residents’ success in obtaining competitive fellowship positions in the fields of their choice.