- Biomedical
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- Pediatric Internal Medicine Fellowship
Pediatric Internal Medicine
In recent decades, thanks to advances in immunizations, widespread newborn screening, new diagnostic methods, and the development of new medications, many diseases prevalent in otherwise healthy children no longer require hospitalization, or their hospital stays are shorter. Conversely, an increasing number of children are being hospitalized with life-threatening acute illnesses, infections caused by multidrug-resistant organisms, and complex and/or chronic conditions, either for diagnosis or for the treatment of complications.
Tertiary pediatric hospitals see a concentration of children with congenital malformations (heart defects, malformations of the nervous system and other systems), genetic diseases, cancer, premature infants with perinatal complications, solid organ and bone marrow transplants, and other conditions, both for inpatient and outpatient follow-up. These children, who suffer from complex chronic conditions of varying etiologies, have special healthcare needs, which often overlap:
- The frequent use of hospital resources for check-ups and hospitalizations.
- The administration of multiple medications.
- The need for high-cost medicines and supplies.
- The use of technology to support vital functions (gastrostomies for feeding, tracheostomies, cerebrospinal fluid shunts, parenteral nutrition, ventilatory assistance, oxygen therapy, etc.)
- Great need for home care and support services.
In our environment, hospital institutions must be prepared to provide care to all types of patients; with the increase in complexity, it is necessary to have trained professionals to address this new reality.
For this reason, pediatric internal medicine has become a subspecialty, requiring specific training. This has already been recognized in the USA and Spain, and since 2020 by the Argentine Society of Pediatrics.
Our service is ideal for this training as we have programs in pediatric oncology, cardiovascular surgery, neurosurgery, liver, kidney and bone marrow transplantation.
Duration of the Professional Development Scholarship: 2 years.
The Pediatric Internal Medicine training program is geared towards physicians with completed basic training in pediatrics with a 5-year residency or fellowship accredited with a specialty exam in the Argentine Society of Pediatrics (not exclusive) selected to develop a two-year advanced training fellowship that allows them to:
➢ To acquire the necessary skills to effectively and efficiently solve common problems in pediatric internal medicine of medium and high complexity based on the best available evidence.
➢ To be trained in clinical diagnosis, the management of auxiliary diagnostic methods and the coordination of interdisciplinary care.
➢ Acquire proficiency in the progressive care model.
➢ To train in the management of alternatives to traditional hospitalization for the care of the complex patient (Day Hospital).
➢ To train in the management and rational use of human and technological resources.
➢ Training in the development and management of care and communication networks.
1 year:
- It will take place in the general pediatric inpatient ward (10 months) and in the pediatric day hospital (2 months) of the Austral University Hospital.
2 year:
- Pediatric Intensive Care Unit of the Austral University Hospital (3 months).
- Rotation in the inpatient area of the Garrahan Hospital (3 months).
- Elective rotation within the Austral University Hospital (2 months).
- Rotation through complex chronic care and specialist clinic (1 month)
- Inpatient area of the Austral University Hospital (3 months)
You will need to conduct research to be published.
You will be required to work one on-call shift per week and one weekend shift per month. These shifts are in the general pediatric ward of the Austral University Hospital and are scheduled by the ward coordinator according to the service's needs.
He will always be accompanied by an on-call pediatrician and can consult the coordinator by phone.
Weekday shifts (minimum 4 - maximum 5) are included in the intern's salary; weekend shifts are paid separately.