Children's National is the only integrated nonprofit pediatric healthcare provider in the metro Washington, DC region. Founded in 1870, it has grown from a townhouse to a 303-bed hospital that admitted more than 14,000 patients and provided 371,000 outpatient visits last year. Families travel regionally, nationally, and internationally seeking our world-class pediatric specialty care. Likewise, Children’s National serves as the medical safety net for the children of the region. Through our seven Centers of Excellence, 37 locations, including six community-based health centers in the District, seven regional outpatient facilities in Maryland and Virginia, more than 750 affiliated pediatricians, nearly 1,000 volunteers, a Mobile Health Program with 34 locations, and the School Nurse Program in DC’s public schools, Children’s National brings health care directly into the communities of the area’s most vulnerable children and families. Last year, more than 55% of the 271,000 unique individuals receiving care at Children’s National lived in low- to moderate-income families; in response, Children’s National provided over $53 million in uncompensated care during the same interval.
Our mission is to:
- Set the standard of excellence in care of children
- Serve as the voice for the most vulnerable among us
- Lead the quest to cure childhood’s most devastating diseases
- Prepare the nation’s future leaders in child health
Our patients and their families contributed to the creation of Children’s National’s Medical Center’s child-centered vision, which looks at the hospital experience through a child’s eyes and articulates our commitment to providing the best care to children:
- My hospital is a bright and happy place that feels like home
- My providers, my family, and I are a team, and everyone's job is important
- The way my hospital works is built around me
- My providers don't all look alike
- My hospital is my family's connection to everything I need for my health, whether they provide it or trail blaze it
The Perioperative Surgical Home (PSH) has been proposed as a model of value based health care and has been validated in an increasing number of procedures and centers in adult perioperative care settings. It is a new patient- centered model designed to improve health, the delivery of health care and to reduce the cost of care. This is accomplished through shared decision-making amongst care givers and seamless continuity of care for the surgical patient, from the decision for surgery through recovery, discharge and beyond.
While there have been editorials, there are paucity of data regarding the applicability and implementation of a PSH model in pediatrics. In development of the first surgical home at our institution, consideration was given to fiscally significant surgeries based on an evaluation of targets for pediatric comparative effectiveness research. Adolescent Idiopathic Scoliosis (AIS) was identified as the highest annual cumulative cost surgical condition in pediatric inpatient care. Scoliosis is included due to the significant expense of the surgery which has tripled over the past 20 years while the length of stay has decreased from 6 to 5 hospital days. Our initial 6 months of outcome data after implanting the PSH model has showed a decrease in the length of stay for AIS patients undergoing PSF from 5.2 to 3.4 hospital days as well as a significant decrease in hospital charges. These results will continue to be analyzed and pathway compliance will need to be audited.
In addition, we will soon be implementing the PSH model for other surgical procedures where we believe care standardization across the entire Perioperative process will be beneficial for the patient allowing for better care and improved outcomes at lower cost. This will be a great opportunity for another student to be at the forefront of an emerging concept in today's medicine. After preliminary mandatory research (citi) and database training (redcap), the student will be able to take part in the various stages of manuscript preparation from patient chart review, literature search and data entry with the goal of abstract submission to one of our national Anesthesiology meetings. From a clinical standpoint there will be ample opportunity for shadowing in our various clinics, on patient rounds and in the operating room.
|# of weeks||Required Dates||Start Time||End Time||Public Transit||Housing||Format|
|10||June 6 - Aug 12||TBD||TBD||Yes||No||In person|
Housing can be found through George Washington University as well as sublet listings for apartments near the hospital.
The ideal candidate will be/have:
- Strong interest or experience in research
- Good communication skills
- Computer skills to support basic research and data management
- Expertise in large dataset management or advanced statistical/data analysis
- Strong academic record (highly recommended that undergraduate GPA is included in application)
- Independent worker
- Adaptable to new situations
- Interest in health-related career
- Professional in attitude and appearance
- Good time management skills
- Background Check
- Drug Screening
- Vaccinations, including COVID
- Some preparation may be required outside the regular work schedule.
- Internships at Children's National require an onboarding process that must be completed prior to the start of the internship. Failing to complete the onboarding on time will result in internship being revoked.