Graduate Medical Education - Residencies and Fellowships

 

 Overview

 
  • ​The 36-month postgraduate residency program in Pediatrics at the Naval Medical Center in San Diego is a vibrant and energetic training curriculum that produces some of the world’s finest pediatricians. Our program meets or exceeds all of the requirements of the American Board of Pediatrics and the Pediatric Residency Review Committee. Our mission is to produce skilled pediatricians who are able to work in the remote duty stations, provide humanitarian aid for the children of our world, and give our deployed fellow service men and women confidence in knowing their beloved children are receiving the best medical care possible. There are 6 to 8 resident positions at each year level. The Pediatric Review Committee commended the program for its demonstrated substantial compliance with the ACGME’s Program and/or Institutional Requirements for Medical Education.

    Educational goals of the program are to create a collegial, supportive environment for learning with the support of a dedicated and talented faculty. We strive to afford each resident the ability to become proficient in the six domains of the ACGME sub-competencies/milestones of medical knowledge, patient care, practice-based learning and improvement, interpersonal skills and communication, professionalism, and systems-based practice. To this end we are committed to providing adequate learning opportunities and resources. We will promote and develop the skills necessary to understand and contribute to research, scholarly activities, and quality improvement. We will maintain full compliance with ACGME Common and Pediatric-specific program requirements for graduate medical education in pediatrics.

    The educational program consists of 36-months of a military unique curriculum in pediatrics. Autonomy in a well supervised environment is stressed. Residents quickly take on leadership roles on their inpatient rotations and the residents have their own medical home port team for continuity clinic, with each resident having patients directly empaneled to them. We also utilize 3 participating sites: University of California San Diego Medical Center (UCSD), Rady Children’s Hospital of San Diego (RCHSD), and Children’s Hospital of Orange County (CHOC).

 

 Program History

 
  • Recent graduate placements (5 year)

    Naval Hospital Rota, Spain

    Naval Hospital Guam

    Naval Hospital Okinawa

    Naval Hospital Pensacola, FL

     
 

 Academics

 
  • Pediatrics
 

 Curriculum

 
  • PPGY1 Rotations:

    5 Inpatient Ward (3 NMCSD, 2 Rady)
    2 NICU
    1 Newborn Nursery
    2 Gen Peds Teaching Clinic (GPTC)**
    1 NMCSD ED
    1 Devo/Sports Med
    1 Adolescent

    PGY2 Rotations:

    2 Ward (1 WAMO, 1 night shift)
    1 NICU (complicated/nightshift)
    0.5 NICU night shift
    1 PICU (NMCSD)
    1 Devo
    1 GPTC
    1 Adolescent Medicine
    1.5 Community Peds/Family Advocacy
    1 Pediatric Emergency Medicine (Rady)
    3 Subspecialty

    PGY3 Rotations:

    1.75 Inpatient Ward (1 WAMO, 0.75 nightshift)
    0.5 NICMO
    1 NICU nightshift
    1 Newborn Nursery
    1 PICU (CHOC)
    2 GPTC
    1 Pediatric ED (Rady’s)
    1 Adolescent Medicine/Elective
    4 Subspecialty/Elective
     
 

 Faculty

 
  • Program Director: CDR Edmund A. Milder, MC, USN Dr. Milder assumed the role of program director in March of 2016. He is a product of the residency program, completing internship in 2001 and residency in 2004. Dr. Milder did a one year General Medical Officer tour as the 4th Marines Regimental Surgeon in Okinawa, Japan. His first tour as a pediatrician was at the Naval Branch Health Clinic in La Maddalena, Italy. After this, he returned to Naval Medical Center San Diego as a staff general pediatrician and served as a hospitalist. He also worked closely with the residency program as a continuity clinic supervisor and faculty advisor to several residents. After being selected for full time out service training he completed his Pediatric Infectious Diseases fellowship at Children’s Hospital of Philadelphia. During this time he also completed a Master’s of science in clinical epidemiology at the University of Pennsylvania. In 2013 he returned to NMCSD as a staff pediatric infectious diseases physician. Dr. Milder is excited for the challenge and the opportunity to serve as program director and will strive to ensure that the program always puts people first and ensures the department and the hospital keep graduate medical education as one of its core missions.
    The program has 61 dedicated providers serving as teaching faculty in various capacities. The team is composed of general pediatricians, sub-specialists and pediatric or neonatal nurse practitioners.
    EDUCATION
    Undergraduate: BA, University of Virginia, May 1996
    Medical School: MD, Temple University School of Medicine, May 2000
    Post-graduate: Masters in Clinical Epidemiology, Univ. of Pennsylvania, Dec 2014
    Military Training: Management and Development, Combat Casualty Care Course, Intermediate Officer Leadership Course, Humanitarian Assistance Course
    PROFESSIONAL TRAINING AND EXPERIENCE
    Internship – Pediatrics, Naval Medical Center San Diego, June 2000 to June 2001
    Residency – Pediatrics, Naval Medical Center San Diego, Aug 2002 to Aug 2004
    Fellowship – Pediatric Infectious Diseases, Children’s Hospital of Philadelphia, July 2010 to June 2013
    SPECIALTY CERTIFICATION
    American Board of Pediatrics Board Certified:
    General Pediatrics
    Pediatric Infectious Diseases
    ACADEMIC APPOINTMENTS
    Uniformed Services University, Clinical Associate Professor, Department of Pediatrics
    PROFESSIONAL SOCIETIES
    Fellow, American Academy of Pediatrics
    Member, Infectious Diseases Society of America
    PUBLICATIONS / RESEARCH
    Milder E, Ross R, Gerber J. “Perioperative Antibiotic Exposure and Postoperative Bleeding after Tonsillectomy” Poster, ID Week 2015, October 10th, 2015, San Diego, CA.
    Milder E, Ross R, Gerber J. “Impact of a Clinical Practice Guideline on Antibiotic Use for Pediatric Tonsillectomy” Poster, ID Week 2015, October 10th, 2015, San Diego, CA.
    Milder E, Rizzi M, Morales K, et al. "Impact of a New Practice Guideline on Antibiotic Use with Pediatric Tonsillectomy." JAMA Otolaryngol Head Neck Surg. 2015;141(5): 410-416
    Milder E, Ross R, Gerber J. “Effect of a New Practice Guideline on Antibiotic Use with Tonsillectomy” Podium presentation, ID Week 2014, Philadelphia, PA, Oct 11, 2014
    Edmund Milder, Jeffery Gerber. “Picture of the Month – Quiz Case” Archives of Pediatrics and Adolescent Medicine. 2012 vol. 166(11) p. 1065
    Milder, E., Book Chapter: Salmonella, In Bell, L. et al, The 5 Minute Pediatric Clinical Consult, 6th edition, Philadelphia, 2012, Lippincott, Williams & Wilkins
    Milder, E., Book Chapter: Rabies, In Bell, L. et al, The 5 Minute Pediatric Clinical Consult, 6th edition, Philadelphia, 2012, Lippincott, Williams & Wilkins
    John C. Arnold, Kumud K. Singh, Edmund Milder, Stephen A. Spector, Mark H. Sawyer, Shilpa Gavali, Jill Hacker, Carol Glaser. “Human Metapneumovirus Associated with Central Nervous System Infection in Children” Pediatric Infectious Disease Journal: December 2009 - Volume 28 - Issue 12 - pp 1057-1060
    Edmund Milder, John C. Arnold. “Human Metapneumovirus and Human Bocavirus in Children” Pediatric Research. May 2009, 65(5 Part 2):78R-83R
    2009 Uniformed Services Pediatric Section of the American Academy of Pediatrics; Poster Presentation and Bruton Award Semi-finalist. “Human Metapneumovirus – A Cause of Encephalitis in Children?”
    2008 Naval Medical Center, San Diego, Academic Research Competition; Podium Presentation. “Human Metapneumovirus – A Cause of Encephalitis in Children?”
    2004 Uniformed Services Pediatric Section of the American Academy of Pediatrics; Poster Presentation. “High Levels of Azole Resistance in Candida Species Isolated from Sterile Body Sites.”
    Step-Up To The Bedside, Milder, E, et al, Lippincott, Williams & Wilkins, Philadelphia
    Step-Up, A High Yield, Systems-Based Review for the USMLE Step 1, Milder, E, et al, Lippincott, Williams & Wilkins, Philadelphia
 

 scholarly activity

 
  • ​The Accreditation Council for Graduate Medical Education (ACGME) requires that every pediatric residency program fosters an environment of inquiry and scholarship, which includes an active research component. Each program must allocate adequate educational resources to facilitate resident involvement in scholarly activity. Three years ago, core program faculty at NMCSD created goals and objectives for a Scholarly Work Advisory Group (SWAG). The goal of this committee is to allow residents to work in an area of specific interest to them, while learning about aspects of medicine and scholarly activity that are outside of the clinical setting. The committee provides oversight to their projects and makes final determinations as to which projects meet graduation requirements for participation in scholarly work as outlined by the ACGME. The SWAG convenes twice monthly: the first meeting is specifically for faculty to discuss research ideas and seek peer mentorship, while the second meeting is for residents to present progress reports to the group and seek feedback on their projects. Implementation of the Scholarly Work Advisory Group (SWAG) at the Naval Medical Center, San Diego has increased academic productivity among pediatric residents and faculty. Since SWAG was initiated three years ago, 100% of graduating residents have met requirements for participation in scholarly work and exposure to basic research principles.