Giuliana Federici

Division of General Pediatrics

Message from Division Head, Giuliana Federici

The Division of General Pediatrics has as an academic focus on education, clinical innovation, patient safety, quality improvement, and research. We strive to advocate for children and families by providing family-centred care at McMaster Children’s Hospital, Ron Joyce Children’s Health Centre, St. Joseph’s Healthcare Hamilton, and at clinics and hospitals throughout our community and region. This mission includes a dedication to teaching future pediatricians and health-care providers, and developing educational initiatives for our community partners.


The division has been a leader at the provincial level through representation on the Ontario Medical Association executive. Members of the division also hold leadership roles within the Department of Pediatrics which include: deputy chief of McMaster Children’s Hospital, medical director of pediatric medicine units, complex care unit lead, and St. Joseph’s special care nursery. Members of our division hold leadership and executive positions at the national level with respect to neonatal resuscitation, pediatric medical education, scholarly activity, and on the examination board of the Royal College of Physicians and Surgeons of Canada. Division members are actively involved in pediatric global health initiatives and education. 

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Skye Levely

Divisional Assistant


The division is actively involved in educational initiatives of medical students, nurse practitioners, pediatric residents, and fellows. Clinical teaching is provided on the clinical teaching unit at the McMaster Children’s Hospital complex care unit, St. Joseph’s Healthcare Hamilton special care nursery, and resident continuity clinics in both hospital and community clinics.  

At the postgraduate level, members of our division provide leadership as postgraduate program directors in the McMaster Pediatric Residency Program and for fellowship programs in general pediatrics and pediatric complex care. Members of our division also serve on the pediatric postgraduate residency program committee, and participate on national committees to promote resident education and scholarly activity.

Division members contribute to clerkship activities (including teaching sessions, tutoring, coordination on the clinical teaching unit), standardized examinations (OSCEs, STACER – long case exams), leading the innovative social pediatrics rotation for pediatric residents, and teaching during academic half days and longitudinal programs. Our regional annual practical pediatrics conference has been coordinated by the division since its inception in 2000. 


Clinical excellence and innovation are cornerstones in the division. Our members provide care to over 5,000 infants, children, and youth admitted to the clinical teaching unit at McMaster Children’s Hospital and through consultative services to other medical and surgical sub-specialties.

General pediatrics supports specialized inpatient services including acute pediatric medicine, complex care, and special care nursery. To facilitate family involvement and enhance patient safety for inpatients, the division implemented family-centred rounds. In addition to consultative pediatric medicine clinics, the division has specialized outpatient services, such as pediatric rapid access clinic, HIV, complex care, pediatric vascular anomalies, neonatal abstinence clinics, as well as pediatric obesity and exercise medicine programs. Children with complex medical needs access remote specialized care through satellite clinics at Niagara Children’s Centre and Lansdowne Children’s Centre.

The division has been key in the implementation of patient safety and quality improvement initiatives within the Department of Pediatrics and McMaster Children’s Hospital. In collaboration with McMaster Children’s Hospital and Hamilton Health Sciences, the division has led the implementation of the Hamilton pediatric early warning system. In addition, division members chair and participate in the Innovations for Quality Improvement Committee (iQI) which has developed new QI curriculum for faculty, allied health and pediatric learners at the local and regional level. Members of the division are also engaged in patient safety through morbidity and mortality committees and other hospital-based safety initiatives. 


Research is an increasing focus within the division. Members of the division collaborate within the Department of Pediatrics, the Faculty of Health Sciences, as well as with provincial, national, and international partners in research. Researchers within the division have led and collaborated on studies related to childhood obesity, Indigenous health, social determinants of health, global and refugee child health, maternal-child and newborn health, concussion management, and clinical trials related to the management of common conditions among patients admitted to pediatric medicine (i.e., pleural effusions, bronchiolitis and urinary tract infections).

Research in pediatric complex care examines integrated service delivery, virtual care, and remote monitoring of children who are medically fragile and technology dependent. Research on educational initiatives and innovation have examined instructional design, resuscitation competencies, advocacy integration, novel tools for supporting scholarly work, and optimizing core curriculum components. Members of the division actively supervise research among undergraduate students, residents, fellows and participate on MSc and PhD committees.   

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