Each year of residency training provides increased responsibility for patient care, clinical supervision, teaching, evaluation and administrative management of service areas. Clinical rotations are divided into four-week blocks.
In the first year, residents are introduced to the common disease processes of childhood as they rotate through the full term nursery, general inpatient services and the pediatric emergency department. Interns have the opportunity to begin exploring the subspecialties through a core elective rotation. The first year begins to build a strong core of pediatric knowledge by having residents rotate through adolescent medicine as well as behavioral and development.
An experience in continuity of care begins in the first year, and is enhanced in subsequent years. Each PL1 is assigned to an inner city clinic site for one half-day per week throughout the three years of training. Here residents take on the role of primary care provider and child advocate.
Residents in the 2nd year as asked to choose between one of our three pathways (Hospital based practice, Subspecialty Care or Primary Care pediatrics). Through our extensive mentorship program 2nd year residents will have a combination of core rotations in the PICU, NICU, pediatric general wards and pediatric emergency department as well as a combination of electives and individualized units. 2nd year residents will have rotations at Mercy Medical Center, our community hospital affiliate. Here they will have the opportunity to act as a hospitalist seeing patients in an urgent care setting as well as the newborn nursery and general inpatient beds.
One block is devoted to an "Academic" experience during the PL2 and PL3 years, when residents have dedicated time for learning activities that address quality improvement, health-care delivery systems, evidence-based medicine and teaching skills.
As well as the pathways, the second year offers residents to apply to be on one of our specialized tracks. These tracks include advocacy, research, international health and quality improvement. Acceptance into a track provides residents protected time to pursue a specific project. Those residents who do not have a specific track will be given an additional continuity clinic afternoon with a community pediatrician to further exposing them to the wide variety of practice types available within pediatrics.
Residents act primarily in a supervisory capacity on the wards, in the intensive care units, and in the emergency room. Ample opportunity is also provided for multiple elective experiences and individualized units. We have developed an extensive menu of both one block and 2 block electives that allow residents within their pathways to further advance on their career trajectory.