Where We Practice: Pediatric and Adolescent Care Network Facilities
Primary Care Residency Education Director
Beth E. Rezet, MD
Primary Care Residency Clinic Director
Elena Huang, MD, FAAP
Clinical site overview
- Three community-based CHOP Care Network Primary Care Centers
- Centers are based on a group-practice model and are primarily staffed by attendings in primary care who dedicate 10 to 30 percent of their clinical time to precepting
- Primary Care longitudinal clinic: Part of the “Y” schedule, residents spend six two-week periods in ambulatory practice which includes Primary Care clinic several times each week.
- Residents see a combination of their own continuity patients and group practice patients (both sick and well).
- Residents develop relationships with a group of preceptors at their primary care site.
- In addition to primary care experiences offered to all residents, some may choose to do elective work in primary care as a longitudinal elective or an Individual Education Unit.
- All attending preceptors are faculty
- There is a centralized curriculum (noon conference, syllabus, workshops at Pediatric Primary Care Education Day and case-based learning.)
- Each attending has his/her own group of patients whom they see when they are not precepting.
- All attending physicians have a commitment to teaching and participate in faculty development, feedback and evaluation.
- Each center has nursing staff who work as a team with the doctors, administer immunizations and medications, triage and carry out nursing procedure and provide patient teaching with an emphasis on breast feeding and asthma education.
- Each center has a social worker and phlebotomist on site; one center has radiology.
- Primary Care practices have 24-hour telephone nursing triage.
Clinical care sites
The three pediatric and adolescent care clinical sites serve a racially, ethnically, and socioeconomically-diverse population from across Philadelphia. They include:
- Cobbs Creek (30 blocks from Main Campus at 63rd and Locust Streets). Some of the attending physicians and pediatric nurse practitioners specialize in adolescent patient care. This site is part of a family planning grant.
- Karabots Center (18 blocks from Main Campus at 48th & Market Streets). This is a state-of-the-art facility with on-site radiology. Some practitioners have a special interest in the medically complex patients; some of the attending physicians have a special interest in medical education, and some focus on community research. Adolescent Primary Care, Family Planning, Early Head Start and Reach Out and Read are housed here as well.
- South Philadelphia (5 miles from Main Campus at Broad Street and Passyunk Avenue). This is our most diverse ethnic and socioeconomic patient population; some attending physicians have an interest in medical informatics.
Education in Primary Care at CHOP includes a number of unique experiences, including:
- Continuity Clinic
- Primary Care block rotations: minimum of two blocks in three years
- Noon lecture series
- Core faculty lectures
- Senior lectures as part of our "Residents as Teachers" curriculum
- Pediatric Primary Care Education Day (PEDIAPREDD) sessions – six workshops in the intern year (three- to four-hour sessions on a general primary care topic)
- Case-based learning in the senior years
- Suburban group practice electives and visit days
- Developmental milestones, parenting skills and direct observation are emphasized during PL1 year
- Supervisory opportunities are encouraged during the senior years
- During the “Y” block residents participate in opportunities for any other ambulatory experiences such as sports medicine, ENT, developmental sessions, home visits and neonatal follow up
- Individualized Education Unit: A Primary Care office experience outside of resident clinic
- Benchmarks serve as guidance for each year in Primary Care
- PL1 — Well care and immunization and screening
- PL2 — Management of chronic medical needs
- PL3 — Parenting and developmental guidance for parents and families