Clinical Curriculum

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.

PL1

Graduating Senior Retreat 2013In 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 Mercy Medical Center, our community hospital affiliate. At Mercy, you will have the opportunity to function as a "hospitalist" taking care of patients on the ward, in the clinic, and in urgent care.

Residents begin to build a foundation in acute care, strengthened over several rotations in the pediatric emergency department. Critical care medicine is introduced via rotations in our intermediate care unit and our neonatal intensive care unit. Interns have the opportunity to begin exploring the subspecialties through at least one elective rotation.

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. Realizing the critical role of pediatricians in child advocacy, you will find advocacy experiences woven throughout this training program.

PL2

Residents gain inpatient experience in the intensive care nursery and the pediatric intensive care unit. Firsthand experience with the care of surgical patients comes through a rotation with the pediatric surgical team.

Further ambulatory training occurs in the emergency department, during your hospitalist experience at Mercy Medical Center, the adolescent clinic and in the wide variety of hospital and community-based experiences offered through the Division of Behavioral and Developmental Pediatrics. Residents also spend a block of time in a community practice setting, where they focus not only on enhancing clinical skills but also learning about practice management.

PL2 residents are also allotted time for multiple elective experiences.

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.  A second half-day per week of a continuity clinic experience is provided during the PL2 and PL3 years. Experience in a community practice site complements the experience in our inner-city clinic.

PL3

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.

Rotation Sites

The University of Maryland Hospital serves as the primary site for clinical training. Residents also spend five of the 36 months at Mercy Medical Center. Full-time faculty from our department based at Mercy supervise and teach housestaff during the training experience there.

Work Duty Hours

Our program is fully compliant with the new ACGME duty hours policy.

Interns and Senior Residents have no overnight call during their weekdays on the inpatient ward, later returning to the inpatient ward for "Night Team" experiences in order to maximize their learning and their patients' continuity of care. Senior Residents take traditional overnight call only during PICU rotations. During rotations in the NICU, the pediatric emergency department at the University of Maryland, and as "hospitalists" at Mercy Hospital (our community affiliate), residents work 12-hour shifts. There are a minimum of four rotations during your three years of training where no call is required, including two call-free electives where residents have the chance to do a rotation in a hospital or clinic in another location--even internationally.

This page was last updated: September 16, 2013

         
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