The Crozer Pediatrics Residency Program is a three-year categorical pediatrics program with six residents per year of training, housed at the Crozer Health, which is owned by Prospect Medical Holdings, Inc. Our program includes experiences at Crozer-Chester Medical Center (CCMC), the surrounding communities in Delaware County, Pa., and at the Nemours/Alfred I. duPont Hospital for Children in Wilmington, DE. Our mission is to facilitate broad educational experiences that prepare our residents to be superb pediatricians providing comprehensive and coordinated care to a broad range of pediatric patients.
The Crozer Experience
CCMC is a tertiary-care teaching hospital with more than 300 beds that serves Delaware County, Pa., and parts of northern Delaware and southern New Jersey. Located on a beautiful and historic 68-acre campus, the hospital is nationally recognized for its Nathan Speare Regional Burn Treatment Center, and provides the county’s only trauma center,(Regional Level II Trauma Center). Our patient population includes a diverse mix of socioeconomic and ethnic backgrounds.
CCMC has a very robust and expanding graduate medical education focus, with residency programs in Emergency Medicine, Internal Medicine, Family Medicine, OB/GYN, Podiatry, Transitional year, and Pediatrics. Starting in the 2019-2020 academic year, we will also have a General Surgery residency program as well. Fellowships are offered in Complex Health and Social Needs (formerly Super-Utilizer), as well as Sports Medicine, with more residency and fellowship offerings being developed.
The Pediatric facilities at CCMC feature a 23-bed inpatient unit, an 18-bed Level-III neonatal intensive care unit (NICU), and an active maternity center that includes maternal fetal medicine, with baby friendly rooming-in on the mother-baby unit (MBU). We maintain an active consult service to our Emergency Department, which sees in excess of 15,000 children annually, as well as our General, Trauma, Burn, and ENT surgical colleagues.
Residents do the majority of their rotations in Crozer Healthfacilities, though there are extensive opportunities at the Nemours/Alfred I. duPont Hospital for Children.
The Crozer Health system features:
- Pediatric General Practice (both outpatient practice and inpatient hospitalists)
- Pediatric Hematology/Oncology
- Adolescent Medicine and Pediatric and Adolescent Gynecology (PAG)
- Developmental Pediatrics
- Child Abuse Pediatrics
- Neonatology and NICU Follow-up clinic
- Sports Medicine
- POCUS (Point-of Care Ultrasound)
- Child and Adolescent Psychiatry
On-site Nemours pediatric specialists at Crozer Health include:
Residents devote at least one half-day per week to continuity clinic, where they assume progressive responsibility for their own panel of patients over the course of three years. Our residents also gain a unique perspective on their patient population through structured experiences in the community as part of their adolescent, development, and community & advocacy rotations.
The Nemours/Alfred I. duPont Hospital for Children Experience
The pediatric residency program is a proud affiliate of the world-renowned Nemours/A.I. duPont Hospital for Children, which is a 195-bed pediatric tertiary care hospital in Wilmington, Del., offering advanced inpatient and outpatient care in more than 30 pediatric specialties, along with the only pediatric trauma center in Delaware.
A.I. DuPont is among the most elite children’s hospitals in the nation, and was ranked nationally in seven specialties for 2019-2020 in U.S. News & World Reports:
- Cardiology and Heart Surgery
- Diabetes and Endocrine Disorders
- Gastroenterology and GI Surgery
- Neurology and Neurosurgery
Our residents are fully integrated into the duPont schedule and are supervised by our affiliate Nemours faculty on-site. Rotations include:
- Inpatient sub-specialty and general pediatrics
- Pediatric intensive care
- Emergency medicine
- Outpatient subspecialties
- Numerous elective offerings
Nemours duPont Pediatrics offers the expertise of nationally renowned specialists from one of the nation’s best pediatrics hospitals, Nemours/Alfred I. duPont Hospital for Children, here on the Crozer-Chester Medical Center campus. Our family-centered model of care includes patients, families and providers working together to develop a highly personalized plan to best meet the needs of each child, as close to home as possible.
Additional Program Features
Community and Advocacy
Community engagement and advocacy are cornerstones of the Crozer Pediatric Residency Program. Structured experiences during the adolescent and developmental rotations introduce residents to a variety of community-based resources, while allowing them to engage and interact with our patients and families in venues including public schools, juvenile detention centers, colleges, clinics, and community events.
During the community and advocacy rotation, we build on these experiences, with both shared and individualized opportunities, allowing residents to develop their own passion with regard to community and advocacy engagement.
We also encourage early and active involvement with both the local (PA-AAP) and national American Academy of Pediatrics (AAP), and even participate in resolution writing as part of our curriculum. As well, each year residents travel to the PA-AAP Legislative Advocacy Day in Harrisburg, Pa., educating our legislative colleagues on topics of critical interest to the health of children and families in the region.
In their third year, our residents rotate with our own board-certified Child Abuse pediatric specialist, Dr. June Elcock-Messam, on a child protection rotation, which provides experience caring for children in the foster care and court system, advocating for these individual patients who face critical issues of neglect and maltreatment.
Advocacy is at the heart of our Crozer Pediatrics program, and we have been proud to partner with the PA-AAP as well as the Foundation for Delaware County in service to children and families in our community.
Many programs have developed “tracks” within their residency program to meet the ACGME requirements for individualized curriculum. Here at the Crozer Pediatrics Program, we leverage the flexibility afforded by our smaller program size, in combination with our partnership with Nemours/A.I. duPont Hospital for Children, to develop a truly tailor-made curriculum over the 3 years to allow a unique experience for each resident in service to their individual interests and career goals.
Many programs have developed “tracks” in their residency program to meet the ACGME requirements for individualized curriculum. Here at the Crozer Pediatrics Program, we leverage the flexibility afforded by our smaller program size, in combination with our partnership with Nemours/A.I. duPont Hospital for Children, to develop a truly tailor-made curriculum over the three years, to allow a unique experience for each resident in service to their individual interests and career goals.
Our program was ahead of the curve in recognizing the need for a formal wellness initiative, having instituted a dedicated wellness program in 2016, well in advance of the ACGME requirement. We believe in normalizing the conversation around stress, mental health, and burnout, and have incorporated an individualized learning and wellness plan into our biannual faculty and program director meetings. Our innovative wellness curriculum is run by Dr. Frances Zappalla, who shares her wealth of knowledge and experience as both a practicing pediatric cardiologist with a focus on prevention, and a fellowship trained practitioner of integrative medicine. All residents receive a free membership to Crozer Health’s Healthplex, a top tier sports 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 training, and are afforded faculty mentorship and time to do so through a longitudinal module that runs throughout the three years of residency, with the goal of a “scholarly output” prior to graduation (abstract, poster, presentation, publication, curriculum, grant, etc).
We encourage residents to engage in work that is personally meaningful to them, in support of their career goals. There is significant flexibility and additional elective time available, depending on the nature of each resident’s project. We encourage abstract submission both regionally and nationally, as well as to our own Crozer Resident Research Day in the spring. We’re pleased that our own Pediatric Residency has won a blue ribbon at Research Day for each of the last nine years (2010 to2019)!
We are pleased to offer an early and robust boards preparation curriculum with the goal of having all of our trainees successfully pass the American Board of Pediatrics Certifying Exam upon graduation. With a dedicated faculty mentor, personalized learning plan based on individualized performance data through the yearly in-training exam (ITE), a robust library of learning resources and modalities, and accountability check-points throughout the year, we are targeting 100% pass rate in the years to come.
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 applying EBM principles.
- Noon Conference (daily). A faculty-run didactic conference held each weekday covering a mix of general and subspecialty topics, with particular attention to boards prep and the ABP content specs.
- Journal Club (monthly). An active discussion group in which residents and faculty apply evidence-based principles in dissecting relevant literature across general and subspecialty topics.
- Mock Codes (monthly). Patient code simulations are regularly incorporated into the inpatient, NICU, and PICU rotations, as well as during the noon conference schedule.
- Grand Rounds (twice monthly). A conference for residents, faculty, and community pediatricians with lectures by regional and national experts and leaders in pediatric health care.
- Quality/Process Improvement Conference (monthly). A case or topic based didactic conference focused on quality improvement and root cause analysis.
- Perinatal Quality Conference (monthly). A multidisciplinary case conference coordinated between Pediatrics and OB/GYN focusing on perinatal quality, multidisciplinary approaches to complex MFM presentations, and root cause analysis.
- Resident Quality Safety Council (monthly). A monthly conference sponsored by Graduate Medical Education (GME) department in collaboration with the Hospital Quality and Safety Office to teach quality and safety concepts and provide residents with a forum for discussing patient safety and quality concerns.
- Institutional Core Lecture (monthly). Sponsored by GME to present didactic topics of interest across all institutional training programs, such as cross-cultural communication, health care economics, and multidisciplinary warm handoffs as a few examples.
- Policy Rounds (bi-monthly). Resident led discussion of legislative policy initiatives important to the health of our children and families, with suggestions and opportunities to act (call-in days, letter writing, face to face with legislators, etc).
- Peds/ED joint conference (quarterly). Multidisciplinary case-based and didactic conference highlighting overlapping ED and pediatric issues and learning with acute pediatric presentations.
Residents as Teachers
As a DUCOM Regional Medical Campus, faculty maintains academic appointments through DUCOM. Under the supervision of faculty, our Crozer Pediatrics residents are progressively and actively involved in learning how to teach the art and science of doctoring and medicine.
Kelli Taylor, MBA
Pediatric Residency Program Coordinator
Department of Pediatrics
Crozer-Chester Medical Center
1 Medical Center Boulevard, East Wing, Third Floor
Upland, PA 19013-3995