The Yale-New Haven Hospital system has served the greater New Haven area for over 150 years. It functions both as a community hospital for a population in excess of 400,000 and as a tertiary care center for the referral of patients from throughout Connecticut, New England and other states as well as foreign countries. This dual role assures a variety of clinical experiences including common pediatric disorders as well as a more complex, exotic and tertiary type of pediatric cases. Furthermore, in addition to this tremendous diversity of pediatric disease pathology, the Yale pediatric resident is exposed to a wide variety of patient diversity. Patients from every ethnic, social, cultural, and economic background comprise both the inpatient and outpatient population in the Department of Pediatrics.

The Children's Hospital is completely integrated with respect to medical and surgical cases as well as private and staff patients. The patients are assigned to pediatric care units according to their age. There are also dedicated units for Respiratory Intensive Care, Hematology and Oncology, and patients on research protocols. The pediatric housestaff has the full and complete responsibility for the care of all children admitted to the hospital. The patients admitted by the pediatric surgical service or surgical subspecialties are cared for in coordination with our surgical colleagues.

The housestaff are supervised by members of the full-time faculty as well as pediatricians from the greater New Haven area who constitute an active part-time faculty. The Department of Pediatrics has available extensive and excellent support services including diagnostic imaging, blood bank, laboratory medicine and other contemporary diagnostic modalities.

The Department of Pediatrics maintains a close collaboration with the Yale Child Study Center which is devoted to teaching and research in child development and child psychiatry. Also, the faculty of the Department of Genetics is involved in many aspects of patient care and teaching.

The pediatric primary care center (PCC) is a major community resource for the care of children with approximately 15,000 visits per year. The PCC is oriented to continuity of care and dedicated to intensive houseofficer and medical student teaching. Weekly continuity clinics are held and are given the highest priority among resident responsibilities. This experience has been extremely well received by our housestaff, as it has afforded them the opportunity to observe firsthand how patient care is provided in the community setting as well as to learn how an office practice is conducted.

This hospital is conveniently located five blocks from the Yale-New Haven Children's Hospital. The pediatric experience at the Hospital of St. Raphael consists of 12 well newborn bassinets and a busy ambulatory clinic.

The Yale Pediatric resident rotations at the Hospital of St. Raphael provide a special opportunity for our housestaff to gain additional experience in the practice of community and ambulatory pediatrics. Housestaff rotations at the Hospital of St. Raphael include caring for patients in the well baby nursery and clinical experience in the ambulatory clinic. The Yale housestaff are supervised at the Hospital of St. Raphael by the Director of Pediatrics and the hospital based pediatricians there.

The Pediatric Service at Bridgeport Hospital consists of 22 inpatient beds and a four bed pediatric special observation unit. In addition, there are fifty well baby bassinets and a neonatal intensive care unit. This large community hospital is located twenty minutes south of New Haven and provides the primary source of pediatric care for the largest city in Connecticut. There are approximately 1,500 admissions and 2,800 deliveries at Bridgeport Hospital each year. The Pediatric resident experience at Bridgeport Hospital offers a unique opportunity for the Yale pediatric resident to be involved in the care of patients with a wide variety of pathological conditions and to become experienced in the care of problems which would ordinarily be admitted to a community hospital.

Specifically, the Yale resident rotations include the community pediatric in-patient service, the NICU and the ambulatory and subspecialty clinics. Bridgeport Hospital has a full-time supervisory staff of board certified pediatricians including generalists, 3 hospitalists, and those with subspecialty certification in adolescent medicine, cardiology, critical care medicine, neonatology, nephrology, and pulmonology. A Yale Pediatric Chief Resident is present at Bridgeport Hospital full time.