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General Rotations

General Rotations

PL-1 Training Year
The first year of the program (PL-1) is designed to provide a broad introduction to pediatrics. The trainee, with supervision, undertakes direct responsibility for the care of assigned patients. Rotations include pediatric medical and surgical units, the Adolescent Unit, Urgent Care Center, the Emergency Medicine Department, Child Development Center, newborn nurseries and the Neonatal Intensive Care Units of Steven and Alexandra Cohen Children's Medical Center. Although patient responsibility is pre-eminent, there is time for reading, attendance at teaching conferences and specialty rounds. Inpatient units are set up so that the trainees work as members of a team consisting of medical students, residents, chief residents and attendings.

PL-1 residents are responsible for approximately 6 patients on any unit. Two PL-1's are under direct supervision of a senior resident. Specialty consultations are available at all times with specialty fellows and full-time faculty.

Year 1

First-year residents rotate through the following areas:

  • Inpatient General Pediatric Medical and Surgical Floors – 5 blocks
  • Emergency Department – 1 block
  • Well Newborn Nursery – 1 block
  • Neonatal Intensive Care Unit -2 blocks
  • QI/Community Medicine -1 block
  • Elective – 2 blocks

PL-2 Training Year

During the PL-2 year, a major block of time is devoted to selective and elective subspecialty rotations. The PL-2 resident will be training specifically to develop a greater sense of confidence and depth of knowledge in preparation for the supervisory and teaching responsibilities of the PL-3 year. A significant amount of time is spent on electives, in the intensive care units, hematology/oncology unit, and the emergency department.

Year 2

Second-year residents assume greater responsibility in supervising junior residents and students. They rotate through the following areas:

  • Inpatient Medicine – 2 blocks
  • Pediatric Intensive Care Unit – 1 block
  • Neonatal Intensive Care Unit – 1 block
  • Emergency Department – 2 blocks
  • Behavior and Development – 1 block
  • Hematology - Oncology – 1 block
  • Electives – 3 blocks
  • Individualized Curriculum – 1 block

PL-3 Training Year

In the PL-3 year, residents play a major role in the supervision and teaching of junior house staff, medical students and ancillary personnel. This includes management of the pediatric and adolescent unit, intensive care units and nurseries. Ample time is provided for elective training and research which assists residents with regard to future career choices and future subspecialty training in areas of major interest. The electives are under the supervision of the full time faculty, researchers and fellows who participate directly in patient care, education and research and serve as career role models for trainees.

Year 3

Third-year residents assume even greater supervisory responsibility in the following areas:

  • Inpatient Medicine – 3 blocks
  • Pediatric Intensive Care Unit - 1 block
  • Neonatal Intensive Care Unit – 1 block
  • Emergency Department – 1 block
  • Electives – 2 blocks
  • Individualized Curriculum – 4 blocks

Chief Residents

The Chief Residents are responsible for the supervision of the entire house staff at the Children's Hospital. There are four (PL-4) Chief Residents at the Children's Hospital. The Chief Residents are chosen for their clinical excellence, organizational ability and leadership qualities. Their diversified and complex responsibilities include resident assignments, arranging conferences and a liaison with the faculty, the administration and the nursing staff. Their most important role is that of clinical and didactic mentors for the medical students and house staff. The Chief Residents have an opportunity to see all the complex pathology and guide the residents in the investigation and management of patients. This experience has served as an excellent foundation and stepping stone for careers in either private practice or academic medicine. 

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