Pediatric Training Level 2
The PL-2 trainee has many of the same learning opportunities as described for the PL-1, although there is greater emphasis on the pediatric subspecialties and community pediatrics. Responsibilities for the management of patients and the teaching of medical students and PL-1s are expanded.
The PL-2 trainee spends two months in general pediatric clinic (including some time in Twilight Clinic) and has one-month rotations on hematology-oncology and neurology. Residents on subspecialty rotations have an opportunity to attend the subspecialty outpatient clinics as well as assist in the management of subspecialty patients in the pediatric inpatient units.
One month is spent in the NICU/transitional nursery and another in the pediatric ward as a supervisory resident. A similar amount of time is spent in the pediatric intensive care unit (PICU). During the PICU rotation, residents participate in the care of patients with a variety of serious medical and surgical problems and gain experience in procedures such as cardiopulmonary resuscitation, establishment of intravascular access, and airway control.
A one-month rotation emphasizes community pediatrics. Residents on this rotation have an opportunity to attend a pediatric clinic for indigent children in Lexington staffed by private physicians and work with a private pediatrician in his office, gaining insight into physician-patient-parent interaction and the details of practice management. Each resident also has the option of having an ongoing relationship with his community pediatrician preceptor beyond the one-month block rotation by spending at least one-half day per month in the preceptor's office throughout the remainder of residency training.
The PL-2 trainee also has one month on a combined behavioral/developmental pediatrics rotation. During the behavioral portion of this rotation, residents become familiar with the diagnostic and therapeutic approach to children with simple and complex behavioral difficulties. Some of the patients who might be seen include those with school failure, problems generated by parental divorce, common difficulties such as enuresis and encopresis and difficulties with adaptation to chronic illness. During the developmental portion of the rotation, the resident learns techniques of developmental testing (including screening tests which can be done in an office setting as well as more sophisticated tests available from other professionals) and becomes familiar with the resources available to assist children with developmental delay.
In addition to the required rotations, the PL-2 will have two months of elective time, which could include a month of community pediatrics in a rural or semi-rural area.
A retreat for PL-2 residents from UK and the University of Louisville is sponsored each year by both institutions and the Kentucky Pediatric Society. This retreat provides an opportunity to discuss career options (academic medicine vs. private practice, rural vs. urban practice) and obtain information on the details of practice management.
Night call usually will be every fourth to sixth night throughout the year.
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