The Pediatric and Adolescent Ambulatory Center at Einstein (PAAC) strives to be a medical home for all patients and their families. Children with special healthcare needs require more intensive services and support than children free of chronic disease. Care Coordination consists of a multidisciplinary team that is responsible for providing care coordination services to support and empower caregivers to manage their child's chronic illness. Residents are an integral part of this team. They receive training during their intern year to provide comprehensive medical care to children with special healthcare needs and are expected to provide medical care to these children during the rest of their residency training.
As part of their Continuity Clinic, starting at the end of their first year (PGY-1), residents take charge of one or two Centering-Parenting groups. Each Centering-Parenting visit begins with individual well-child health assessments, immunizations, and developmental screenings that follow nationally recognized guidelines. Parents are engaged in their baby's care: tracking growth, immunizations, and oral health.
Centering-Parenting recognizes the importance of not only the baby's health but also the parents' health. In group, moms monitor their own health goals and address key topics including stress management, nutrition and weight, and family planning. The provider and support staff lead the group in a discussion and interactive activities on topics including attachment, safe sleep, breastfeeding, nutrition, early literacy, development, and safety. These fun, engaging activities and facilitated discussions guide moms through wellness and self-care, nutrition, conception health, mindfulness, and family dynamics.
Parents are more informed, confident, and empowered to make healthier choices for themselves, their babies, and their families. Centering-Parenting brings 6-8 moms, partners, support people and their same-age infants together in community with their healthcare providers and other parents who are experiencing similar things at the same time. Centering-Parenting fosters a safe and supportive environment to ask questions and creates lifelong bonds between families.
New Arrivals Clinic
Each year, 1000 refugees from a variety of countries are resettled in the Philadelphia area. These patients have special healthcare needs and often find their low English proficiency to be a barrier to receiving appropriate medical care. The multidisciplinary team at the Einstein Refugee Wellness Center provides specialized care to newly resettled refugees, providing residents with a global health experience right here in our office. Residents are an integral part of the Einstein Refugee Wellness Center and have many opportunities throughout their training to learn from this unique patient population and pursue advocacy work related to refugee health issues.
Adolescent Medicine Clinic
Residents rotate through the Adolescent Clinic in their 2nd and 3rd years, where we provide primary care for teens and young adults, 13-21 years of age. Common medical topics encountered during your time in the clinic are adolescent growth and development, care of adolescents with special healthcare needs, abnormal menstruation, contraception, sexually transmitted infections, Pre-Exposure Prophylaxis, mental health, and well-being.
In partnership with PRIDE (https://www.einstein.edu/pride-program), we care for sexual and gender diverse youth, 5-21 years of age. Our mission is to provide gender-affirming, evidence-based, compassionate care to our patients and families. They receive counseling regarding transition, medical care (initiation of puberty suppression and gender-affirming hormone therapy) and referral for other gender-affirming treatments and procedures.