Make us your home page

Today’s top headlines delivered to you daily.

(View our Privacy Policy)

USF College of Medicine residencies at All Children's Hospital face an uncertain future

For nearly 40 years, future pediatricians from the University of South Florida's College of Medicine have done their on-the-job training — or residencies — at All Children's Hospital in St. Petersburg.

But that relationship faces an uncertain future with the arrival of Baltimore-based Johns Hopkins Medicine, which earlier this month formally joined forces with the 84-year-old pediatric hospital.

Hopkins officials want to turn All Children's into an academic and research powerhouse, and they're envisioning a new type of residency program as one way to help them get there.

USF's residency program at All Children's, meanwhile, is scheduled to end in 2014, which hospital officials say will allow the group of residents arriving this July to finish their three years of training without interruption.

Dr. Charles Paidas, USF's associate dean for graduate medical education, would like to see the program continue, and Hopkins and All Children's officials say they're not ruling out the possibility. A meeting of the parties is scheduled this month "to talk about ways to extend it beyond 2014," said Gary Carnes, All Children's president and chief executive.

One thing is clear: The loss of the program would leave USF without a primary pediatric training site, which over the years has groomed hundreds of pediatricians, many of whom have remained in the area to practice.

"I think that the USF training program would suffer" without All Children's, said Dr. Juan Dumois, who did his residency at the hospital from 1987 to 1990 and now runs All Children's pediatric infectious disease program. "There's just so much learning that they can do here."

• • •

At any given time, USF has about 50 physician residents at All Children's. Residents rotate through a variety of areas within the hospital under the guidance of physicians and participate in daily discussions and lectures.

The 50 slots represent a small fraction of the USF College of Medicine's 700 physician residency positions spread around area hospitals. But they account for the large majority of its pediatric positions.

Paidas described the pediatric residency program at All Children's as superb, and one that has benefited the community in several ways.

Dumois says having a residency program raises the bar at a hospital. "It forces us to really stay up on our game," he said. "Because the attending physicians who are primarily responsible for caring for these patients also have responsibility of teaching the trainees."

As a result, he said, the care patients receive at teaching hospitals is often better.

Paidas said the community also benefits from having physician residency programs at local hospitals because most doctors tend to stay in the areas where they do their residencies.

"Contrary to what people might think, it's not where you go to medical school. It's where you did your residency that will determine where your job is," Paidas said.

That's especially true at USF, where nearly 68 percent of its medical residents have stayed in Florida to practice, Paidas said. The state average is 57.5 percent.

Though hopeful that USF will be able to stay at All Children's, Paidas said the medical school would have to look elsewhere if the pediatric program isn't extended. One possibility would be Tampa General, which houses the bulk of USF's residency slots, but only a few in pediatrics.

Hopkins officials, meanwhile, are in the early stages of designing their own residency program at All Children's. Heading that charge is Dr. Jonathan Ellen, who oversaw residency programs at Hopkins' Bayview Medical Center in Baltimore, and is now physician-in-chief at All Children's.

Ellen said he envisions a residency program that complements a new medical school curriculum recently adopted at Hopkins. The curriculum, called Genes to Society, is the first academic overhaul at the Hopkins medical school in 20 years.

Ellen said the new curriculum will, among other things, help tomorrow's doctors better understand and treat chronic illnesses such as diabetes and asthma, which have skyrocketed over the years.

Asked if he envisions Hopkins' medical students one day doing their pediatric residencies at All Children's, he replied: "That would be wonderful."

• • •

Carnes said Friday that one possibility would be to have two distinct residency programs at All Children's. "It won't be a melded program," he said, explaining that accrediting issues likely would stand in the way of trying to merge the programs.

Such a move would not be unprecedented. Hopkins' other teaching hospitals in Baltimore have affiliations with both the Hopkins medical school and the University of Maryland School of Medicine.

One thing that may work in USF's favor is Paidas, who has a long association with Hopkins, dating back to 1987. He did research and a pediatric surgery fellowship there, and also served on its faculty from 1991 to 2004, when he left to join USF.

Paidas even co-authored a book, The Golden Hour, with Dr. David Nichols, the man who led the curriculum overhaul at Hopkins.

Paidas met with Hopkins and All Children's officials in January, when the parties agreed to extend the USF residency program through 2014.

"This process has been of the utmost professionalism," he said. "And there's no question that we welcome future discussions."

Richard Martin can be reached at or (727) 893-8330.

USF residency options

The University of South Florida College of Medicine has about 700 physician residency positions, nearly all of them at Tampa Bay-area hospitals:

Tampa General Hospital304
James A. Haley VA

Medical Center, Tampa
H. Lee Moffitt Cancer Center, Tampa99.5
All Children's Hospital, St. Petersburg50
Morton Plant Hospital, Clearwater6.5
Bay Pines VA hospital24.5

Note: USF has a few residency positions at other facilities, including Baptist Hospital of Miami and Lakeland Regional Medical Center.

USF College of Medicine residencies at All Children's Hospital face an uncertain future 04/16/11 [Last modified: Saturday, April 16, 2011 10:50pm]
Photo reprints | Article reprints

© 2017 Tampa Bay Times


Join the discussion: Click to view comments, add yours

  1. Deputies find unidentified decomposing body in Dunedin canal

    Public Safety

    DUNEDIN — Pinellas County sheriff's deputies found an unidentified male body floating in a Dunedin canal Monday afternoon, the Sheriff's Office said.

  2. Rays acquire slick-fielding shortstop Adeiny Hechavarria from Marlins

    The Heater

    ST. PETERSBURG — Chaim Bloom said the Rays weren't necessarily in the market for a shortstop. The team has a number of those. But when the Marlins recently began shopping Adeiny Hechavarria, well, that was too much to pass up.

    Adeiny Hechavarria has emerged as one of baseball’s top defensive shortstops in the past three seasons with the Marlins.
  3. Lightning journal: Forward Yanni Gourde agrees to two-year deal

    Lightning Strikes

    TAMPA — Just three years ago, Yanni Gourde was fighting to stay in pro hockey.

    Tampa Bay Lightning center Yanni Gourde celebrates after scoring against the Florida Panthers during the second period of an NHL hockey game, Saturday, March 11, 2017, in Tampa, Fla. (AP Photo/Chris O'Meara) TPA108
  4. Fennelly: About time Dave Andreychuk makes Hockey Hall of Fame

    Lightning Strikes

    It's Andy's time.

    And it's about time.

    Former Lightning captain Dave Andreychuk has been elected to the Hockey Hall of Fame. He had been eligible since 2009, a ridiculously long wait for someone who scored 640 goals, including a record 274 on the power play.

    LEFT: Dave Andreychuk talks at the podium as he is honored with a statue in front of the now-Amalie Arena.
  5. British government says 75 out of 75 buildings failed fire safety tests


    LONDON — Britain on Monday confronted a rapidly growing fire safety crisis after tests of the exterior cladding on dozens of public housing towers revealed a 100 percent failure rate, raising fears that this month's deadly inferno in London could be repeated elsewhere.

    Spanish surrealist painter Salvador Dali, presents his first Chrono-Hologram in Paris, France, in 1973. A Spanish judge on Monday June 26, 2017, has ordered the remains of artist Salvador Dali to be exhumed following a paternity suit by a woman named by Europa Press agency as Pilar Abel, 61 from the nearby city of Girona. Dali, considered one of the fathers of surrealism in art, died in 1989 and is buried in his museum in the northeastern town of Figueres. [Associated Press]