PGY-1
Intern year focuses on the fundamentals of patient care.
First year residents are exposed to the full range of pediatric illness on both inpatient and outpatient services (inpatient general and sub-specialty pediatric services, residents continuity clinic (aka. COPE), neonatal intensive care unit. newborn nurseries, and emergency unit).
PCY-1a strengthen their interviewing, physical diagnosis, laboratory 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 constructed to provide a broad foundation of knowledge and the confidence to rise to independent and supervisory positions later in residency.
| 4-6 months | General Pediatric Wards |
| 1 month | NICU |
| 1 month | Emergency Medicine |
| 1 month | Newborn Nursery/Labor and Delivery |
| 2 weeks | Child Protection |
| 1 month | Developmental Pediatrics |
| 1 month | Subspecialty/Elective Rotations |
| 1 week | Sedation |
| 3 weeks plus half-day each week | COPE/Continuity Clinic |
| 3 weeks | Vacation |
PGY-2
Second year residents function with increased autonomy and 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.
Increased autonomy begins with night shift blocks, weekend coverage, and in the consultant role on subspecialty services. Residents gain experience in subspecialty areas, pediatric intensive care, emergency medicine, newborn medicine. and adolescent medicine. COPE continues as a one half-day each week experience, and in addition, each resident will spend two weeks in their office.
Finally, each resident has a 4 week elective which may be used to increase exposure to a subspecialty of interest or towards scholarly activity. A resident may also choose to undertake a scholarly project with a faculty member at SLCH.
| 2-3 months | General Pediatric Wards |
| 1 month | NICU |
| 1 month | Emergency Medicine |
| 1 month | Neonatal Assessment Center (NAC)/Labor and Delivery |
| 1 month | PICU |
| 1 month | Adolescent Medicine or Advocacy |
| 2-3 months | Subspecialty/Elective Rotations |
| 2 weeks plus half-day each week | COPE/Continuity Clinic |
| 3 weeks | Vacation |
PGY-3
Emphasis is placed on leadership of a health care team and autonomy as a practitioner.
The PGY-3 senior has a dedicated 4 week rotation on an inpatient unit where the third year resident functions as the attending on the floor. The senior resident oversees the interns and medical students on the floor and runs family-centered rounds.
Other supervisory rotations include emergency department, and pediatric intensive care unit Two of four months of subspecialty rotations include ambulatory and inpatient consultations. A one-month elective, similar to that in the PGY-2 year, is provided to each resident. The resident continues in COPE one half-day each week with an additional two-week rotation.
The teaching resident rotation is focused on teaching physical diagnostic skills to third-year medical students one-on-one with their patients later in residency.
| 2-3 months | General Pediatrics Wards |
| 1 month | Emergency Medicine |
| 1 month | Neonatal Assessment Center (NAC)/Labor Delivery |
| 1 month | PICU |
| 1 month | Adolescent Medicine |
| 1 month | Teaching |
| 3-5 months | Subspecialty/Elective Rotations |
| 2 weeks plus half-day each week | COPE/Continuity Clinic |
| 3 weeks | Vacation |