Curriculum

Our Internal Medicine-Pediatrics Residency Program is unique in that University Hospitals Rainbow Babies & Children's Hospital is one of four pediatrics programs selected to trial an "X+Y" model for ambulatory education. Our Internal Medicine program has been following a "six + two" format for several years.

Our residents will be following a general pattern of six weeks of inpatient service time (general floors/ICU/elective time), followed by two weeks of exclusively ambulatory medicine. Continuity clinics, outpatient didactics and other pertinent outpatient experiences (adolescent medicine, outpatient medicine subspecialty clinics, developmental pediatrics) are contained within the two-week ambulatory block. Residents are not expected to attend continuity clinic while on wards, ED or ICU rotations. We are excited to explore the many educational benefits of this curriculum.

Education Curriculum Schedule

In general, our residents complete the following rotations over their four years, in addition to the regularly occurring primary care-focused ambulatory blocks and vacations. For reference, one block=four weeks.

Year Internal Medicine Pediatrics
PGY 1

3 blocks wards 1 block MICU
0.5 blocks Professional Development Block
0.5 Blocks Elective

3 blocks wards
0.5 block elective
0.5 block hem/onc
0.5 block newborn nursery

PGY 2

2.5 blocks ward senior
1 block CICU senior
1 block elective

1 block ward junior
1 block Pediatric ED
1 block elective
1 block NICU
1 block PICU

PGY 3

2.5 blocks ward senior
1 block MICU senior
1 block elective

1 block ward senior
1 block Pediatric ED
1 block NICU
0.5 block newborn nursery
1 block individualized curriculum

PGY 4

2 blocks ward senior
0.5 blocks VA Emergency Dept
2 blocks elective

1 block ward senior
0.5 block Pediatric ED
2 blocks elective
1 block individualized curriculum

Med-Peds Blocks

Our residents rotate between Medicine and Pediatrics every three months. Since our year is divided into 13 blocks of four weeks each, this allows for complete seasonal variation over the course of four years, as you can see from the sample template below. Since vacation time is drawn from the side on which you spend more time that year, every year you get an even split of clinical time on Medicine and Pediatrics, meaning no one falls behind in one specialty or the other.

Ambulatory Block Schedule

Primary care focused ambulatory blocks occur at regular intervals. These blocks include Peds or Medicine themed outpatient specialty experiences along with primary care clinics.

Medicine-Pediatrics Rotation Block Schedule

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