Curriculum
Our Pediatrics and Internal Medicine-Pediatrics residency programs were among the first programs to trial an "X+Y" model for ambulatory education. Our Internal Medicine program has been following a "6+2" format for several years and Pediatrics adopted a matching 6+2 format. Data from this national pilot has let to a change in the new ACGME requirements, allowing for broader implementation of X+Y scheduling.
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 continue explore the many educational benefits of this curriculum.
Schedule
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=two weeks. Every 4th block is an ambulatory block.
Our residents flip between IM and Peds inpatient rotations every 12 weeks, which means that over 4 years residents experience all seasons on both IM and Peds.
All intern rotations are completed during the first year of residency.
| Training Year | Pediatrics | Internal Medicine |
|---|---|---|
| PGY1 |
4 wards 2 subspecialty electives 1 newborn nursery |
6 wards 1 professional development block 2 Medical ICU |
| Ambulatory | 7 ambulatory blocks (Longitudinal experiences integrating both IM and Peds) | |
| PGY2 |
3 wards 1 developmental-behavioral pediatrics 1 individualized curriculum 2 emergency department 2 pediatric ICU 1 neonatal ICU |
5 wards 2 electives 1 cardiac ICU |
| Ambulatory | 6 ambulatory blocks (Longitudinal experiences integrating both IM and Peds) | |
| PGY3 |
2 wards 1 developmental-behavioral pediatrics 2 individualized curriculum 1 subspecialty elective 2 emergency department 1 newborn nursery |
5 wards 1 elective 1 cardiac ICU 1 medical ICU |
| Ambulatory | 7 ambulatory blocks (Longitudinal experiences integrating both IM and Peds) | |
| PGY4 |
4 wards 1 individualized curriculum 3 subspecialty electives 1 emergency department |
3 wards 2 electives 1 medical ICU 1 acting chief resident (lead codes, consults, etc.) 1 geriatrics 1 adult emergency department |
| Ambulatory | 6 ambulatory blocks (Longitudinal experiences integrating both IM and Peds) | |