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For Professionals

Pediatric Residency - Clinical Experience

Pediatric Residency-Clinical Experiences

Postgraduate Year 1

Intern year is primarily dedicated to the inpatient experience at CHAM, where, under the supervision of senior residents and attendings, interns serve as their patients’ central clinicians. The three inpatient floors are divided by age group and subspecialty, offering a unique learning environment for interns to manage a variety of both common and complex pediatric disease processes as they occur at different developmental stages. 

In addition to the inpatient experience, intern year consists of a variety of outpatient experiences, including a month of Behavior & Development, an elective month dedicated to a subspecialty of each intern’s choice, pediatric Emergency Department, and rotations through subspecialty clinics. One afternoon each week every intern and resident takes care of their own patients in continuity clinic. 

Interns spend a month in both the newborn nursery (NBN) and Neonatal Intensive Care Unit (NICU) at the Weiler/Einstein Division. While at Weiler, interns learn and practice neonatal resuscitation skills, attend deliveries, and become familiar with the management of common problems in the NICU as well as healthy newborn care. 

In addition to learning clinical management skills, interns begin to develop as teachers of third and fourth year medical students.

 

Clinical Experiences

Blocks (4 weeks, Total 13)

Newborn Nursery

1 (+ up to 1 month of cross covering)

NICU

1

CHAM 6: General Pediatrics and Adolescent Medicine

1-2

CHAM 8: General Pediatrics, GI, and Cardiology

1-2

CHAM 9: General Pediatrics, Renal, Surgical Subspecialties,  and Heme/Onc

1-2

Behavior and Development

1

Emergency Department

1 (+ cross covering)

Elective

1

Outpatient Specialty Clinics

0-0.5

Jeopardy/Sick Call 

0.5-1

Vacation

1


Postgraduate Year 2

Near the end of PGY-1 year each intern will select a career track depending on their elective preferences and professional goals. Over the course of PGY-2 and PGY-3 years, each resident will participate in 3 program-determined educational units and 3 career-focused electives selected by the individual resident in discussion with the Program Director/Associate Program Director and Faculty Mentor. For residents with substantial research interests (i.e. MD/PhD), Track 2 can accommodate their interests by utilizing the career-focused electives and the research elective. This must be discussed and approved by the Program Director and is accompanied by additional expectations with regard to research productivity.

 

Career Tracks

Track 1

Track 2

Fulltime Clinic

Advanced Subspecialty Elective (Junior fellow equivalent)

Same Day Visits OR Urgent Care + LINCS

Teaching Rotation + Radiology

Private Practice + Newborn Nursery

Procedures/Sedation OR Anesthesia + Outpatient Surgery OR LINCS

Career-focused Elective

Career-focused Elective

Career-focused Elective

Career-focused Elective

Career-focused Elective

Career-focused Elective


Using the knowledge base established during intern year, the PGY-2 year is devoted to cultivating skills for independent clinical decision making, team leading, and teaching. On inpatient floors, PGY-2s act as supervising residents, conducting rounds and guiding interns through patient management. Inpatient units include Hematology/Oncology, Adolescent, and General Pediatrics. PGY-2s also spend time in the Pediatric Intensive Care Unit (PICU), gaining exposure to critically ill patients. A crucial component of the PGY-2 year is increased elective time, which provides residents with the opportunity to explore their personal interests in the pediatric sub-specialties, general pediatric private practice, and research.

 

Clinical Experiences

Blocks (4 weeks, Total 13)

PICU

1

NICU

1

CHAM 6: General Pediatrics and Adolescent Medicine

1 ( + cross covering)

CHAM 8: General Pediatrics and GI

1  (+cross covering)

CHAM 9: General Pediatrics, Renal, and Surgical Subspecialties

0-1 (+ cross covering)

Hematology/Oncology

1.5  (4 weeks inpatient + 2 weeks outpatient)

Emergency Department

0.5 - 1 (+ cross covering)

Elective (Career-focused + Optional)

4

Outpatient Clinics

1-2

Jeopardy

0.5

Vacation

1

 
Postgraduate Year 3

Senior residents work to hone their teaching and mentorship skills in the supervisory role on both the inpatient floors and intensive care units. Seniors are also responsible for managing patients on the inpatient Cardiology unit. There is continued elective time along with a 4 week call-free elective in which residents have the opportunity to explore a variety of interests, including global health experiences, continued research, or hospitalist and private practice medicine.

Clinical Experiences

Blocks (4 weeks, Total 13)

PICU

1

NICU

0-1

CHAM 6: General Pediatrics & Adolescent Medicine

0-0.5

CHAM 8: Cardiology

0.5-1 (+ cross covering)

CHAM 9: General Pediatrics, Renal, Surgical Subspecialties, and Heme/Onc

0-1 (+cross covering)

Emergency Department

1 - 2 (+ cross covering)

Child Advocacy

0.5

Community Health

1

Elective (Career-focused + Optional)

3-4

Call Free Elective

1

Outpatient Clinics

0.5-2

Jeopardy

1

Vacation

1


Electives

Core Electives

Optional Electives

Allergy/Immunology

Adolescent Outpatient

Cardiology

Advanced Subspecialty  Electives (after Core)

Endocrine

Anesthesiology

Gastroenterology

Cardiothoracic Surgery

Genetics

Child Psychiatry

Infectious Disease

Dermatology

Neurology

Community Health

Nephrology

Global Health

Pulmonology

Hospitalist Medicine

Rheumatology

LINCS (Complex & chronically-ill pts.)

 

Newborn Care

 

Ophthalmology

 

Outpatient Pediatric Surgery

 

Private Practice

 

Procedures/Sedation

 

Radiology

 

Research

 

Same Day Visits

 

Teaching Elective

 

Urgent Care