First year residents develop core skills caring for acutely ill patients while rotating in inpatient pediatric medicine, neonatology, and emergency medicine. Additionally, they rotate in the newborn nursery to learn to care for well infants and attend deliveries, and complete subspecialty rotations to gain early experiences in these fields and inform career decision-making. The community health rotation and a longitudinal experience in the continuity clinic setting provides opportunities for coordination of care, continuous quality improvement activities, and community engagement. Finally, each resident will have a scholarship rotation that will continue throughout each year of the program, allowing residents to have dedicated time to work on their scholarly pursuits.
Second year residents focus on the ambulatory setting, allowing them to become proficient in acute and preventive care for patients while receiving training in the diversity of subspecialties important for a future in pediatrics. Key rotations include developmental pediatrics, adolescent medicine, individualized electives, and subspecialty experiences. The longitudinal continuity clinic experience continues, and residents are encouraged to acquire an in-depth understanding of patient management in general pediatrics and among various subspecialties. Finally, residents complete rotations in pediatric critical care and hematology/oncology in order to maintain and build upon core skills developed in the first year.
Residents as Educator (RAE) is a unique PGY-2 rotation within our program. During this rotation, the RAE begins to understand the role of the clinical educator in academic medicine. As such, the RAE develops a toolbox of clinical and didactic teaching skills, as outlined below. In addition, the RAE explores and apply key concepts in educational theory, curriculum development, and assessment in the following:
- Teaching on rounds and at bedside
- Small group teaching
- Morning report
- Patient Education Consults
- Rotation learning plan
- Assigned reading
- Weekly observations and reflections
The RAE spends six weeks on the pediatric hospital medicine team with three weeks in a clinical educator role during the day and three weeks on nights on the inpatient pediatric hospital medicine team.
The second year is meant to also provide support and mentoring for deliberate career planning and clinical exposures. Residents have the opportunity to rotate at Johns Hopkins Hospital in Baltimore in order to gain a different experience and network with other faculty.
Third year residents experience emphasizes residents as teachers who serve as leaders of teams of interdisciplinary health care professionals. They rotate through inpatient pediatric medicine, neonatology, pediatric critical care, and emergency medicine and serve in a senior role to more junior residents. Third-year residents grow their expertise in the management of hospitalized patients and critically ill children while also enhancing their knowledge of the health care environment.
In the continuity clinic, an emphasis is placed on the role of the senior resident as educators. Interactions with junior residents are highlighted during this year by role-modeling an analytical approach to acquiring new knowledge and an open mind (listening to or accepting different ideas or opinions). In addition, senior level residents are expected to understand the business of general pediatric practice by assisting their patients with access to resources and care coordination from the advanced medical home.