Curriculum

PL-1

Interns are exposed to the full range of pediatric illness on both inpatient and outpatient services (inpatient general pediatric services, COPE continuity clinic, neonatal intensive care unit, newborn nurseries and emergency unit). Emphasis is placed on the fundamentals of patient care. PL-1s strengthen their interviewing, physical diagnosis, and oral and written communication skills. Focus is directed toward developing effective and empathetic relationships with the child and family, working as a member of a health care team and therapeutic management of acute illnesses. This year is structured to provide a broad foundation of knowledge and the confidence to rise to independent and supervisory positions later in residency.

PL-1 Schedule

General Pediatric Wards: 4-6 months
NICU: 1-2 months
Emergency Medicine: 1-2 months
Newborn Nursery/Labor and Delivery: 1-2 months
Child Protection: 0.5 month
Developmental Pediatrics: 1 month
Subspecialty/Elective Rotations: 1 month
Sedation: 1 week
COPE Clinic: 3 weeks plus half day each week
Vacation: 3 weeks

PL-2

These residents will be functioning with increasing autonomy and will begin to take on a supervisory role. Focus is directed at building skills in the diagnosis and management of complex and chronic medical problems in the inpatient and outpatient settings as well as managing common pediatric complaints. Supervisory responsibility for care on the inpatient service begins with night shift blocks and weekend coverage during specialty rotations and in the consultant role on subspecialty services. Residents gain experience in subspecialty areas, pediatric intensive care, emergency medicine, newborn medicine, and adolescent medicine or advocacy. They also have a one month of elective, where they create an individualized curriculum. COPE continuity clinic continues as one half-day each week with an additional two, two-week rotations.

PL-2 Schedule

General Pediatric Wards: 2-3 months
NICU: 1 month
Emergency Medicine: 1 month
Neonatal assessment center (NAC)/Labor and Delivery: 1 month
PICU: 1 month
Adolescent Medicine or Advocacy: 1 month
Subspecialty/Elective Rotations: 2-3 months
COPE/Continuity Clinic: 4 weeks plus half day each week
Vacation: 3 weeks

PL-3

Emphasis is placed on leadership of a health care team and autonomy as a practitioner. The PL-3 senior supervisory rotations are the inpatient units, emergency department and pediatric intensive care unit. Two to four months of subspecialty rotations include ambulatory and inpatient consultations. A one-month elective, similar to that in the PL-2 year, is provided to each resident. The resident continues in COPE one half-day each week with two, two-week rotations. The teaching resident rotation is also offered this year and focuses on teaching physical diagnostic skills to third-year medical students.

PL-3 Schedule

General Pediatric Wards: 2-3 months
Emergency Medicine: 1 month
Neonatal assessment center (NAC)/Labor and Delivery: 1 month
PICU: 1 month
Teaching: 1 month
Subspecialty/Elective Rotations: 3-5 months
COPE/Continuity Clinic: 4 weeks plus half day each week
Vacation: 3 weeks
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