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Pediatrics Residency Curriculum

Care For Your Own
Panel of Patients

You'll really get to know your
patients and their families, and
be responsible for their care.

Our unique continuity clinic

Our curriculum has been designed to give each resident a wide exposure to pediatric problems, from the most basic to the very complex. As you develop expertise in both inpatient and outpatient areas, you are given increasing responsibility for patient care and teaching.

A residency should be flexible enough to ensure that each resident is receiving the training that they need to pursue their career. Some residents choose to spend more time in primary care rotations and sites, while others choose to spend more time in subspecialties or the intensive care units. 

We strive to help each resident reach their individual career goals while ensuring that they are a well-trained pediatrician who will have the knowledge and skills to become board-certified in pediatrics. 

PG1 Curriculum

Boot Camp
2 weeks inpatient, 2 weeks outpatient

Inpatient Pediatrics Including Night Team
3 blocks

Neonatal Intensive Care Unit
2 blocks

Emergency Room
1 block

Developmental Behavioral Pediatrics
1 block

Mixed Subspecialty
2 blocks

Nursery
1 block

Elective
1 block

Call
Ambulatory/elective rotations – several evening urgent care clinics per month
Emergency medicine – should have 15-17 X 9 hour shifts

    Some Highlights from Selected Months

    Boot Camp

    During July or August, each first year resident participates in an intensive, introductory 2 weeks in both the inpatient and outpatient areas. On the inpatient unit, the resident learns about the inpatient team, how family-centered rounds work, how to navigate the electronic medical record as well as the requirements for safe, effective handovers. At 140 High Street, the resident learns key elements of the primary care experience with the help of the support staff, the senior residents and the general pediatrics faculty.

    Developmental / Behavioral Pediatrics

    The Developmental-Behavioral Pediatrics rotation provides the resident exposure to both typical and atypical child development in a variety of settings including office, hospital, school, and playgroup. Residents work directly with faculty in the diagnosis and management of disorders such as ADHD and autism. In addition, they become acquainted with related subspecialty fields including developmental psychology, neuropsychology, and rehabilitative therapies.

    Nursery

    This rotation focuses on normal newborn care.  Residents see patients in the normal newborn nursery and in the Continuing Care Nursery, which functions at an intermediate level between the NICU and routine care.

    Mixed Subspecialty Experience

    The rotations formerly known as Amb2 and MSK are now merged into two blocks of “mixed subspecialty” during intern year. The goal is to expose residents to the many facets of the pediatric ambulatory subspecialty world in the Springfield Area. This includes time at 140 High Street (Continuity Clinic, On Demand clinic, Lead Clinic), 50 Wason (Cardiology, Endocrinology, Gastroenterology, Genetics, Neurology, Pulmonology, Rheumatology, etc) Shriner’s Hospital (just 6 blocks away) , Allergy and Immunology, New England Orthopedics, and Sports Medicine. The resident should get a chance to visit all of these places at least once during your two MSS blocks.

    PG2 Curriculum

    Inpatient Pediatrics

    2 blocks

    Pediatric Intensive Care Unit
    1 block

    Neonatal Intensive Care Unit
    1 block

    Pediatric Surgery
    1 block

    Emergency Room
    1 block

    Adolescent Medicine
    1 block

    Research/Procedure
    1 block

    Culture, Society and Health
    1 block

    Elective w/ Call
    2 blocks

    Elective w/out Call
    1 block

    • Inpatient Pediatrics: No overnights.
    • Q5-6: Call for ambulatory and elective rotations
      Includes some jeopardy call sick/transport call, beeper call from home for ambulatory phone coverage, evening urgent care
    • NICU: 1 week of nights.
    • PICU: 1 week of nights.

    Some Highlights from Selected Months

    Adolescent Medicine

    In this block, residents enjoy the opportunity to delve into the many issues surrounding the care of adolescents. Exposure to eating disorders, STIs, Job Corps, school-based clinics, adolescent lock-up and much more.

    Culture, Society and Health

    Culture, Society and Health block provides residents a variety of community-based agency and advocacy experiences which encourage broad thinking about social determinants of health.  The block helps familiarize residents with both available resources and ways to be involved in their communities.   Residents prepare a literature review of a topic that arises during their experiences which they present at the end of the block.  Projects are encouraged as well.

    Research/Procedures

    This block is a combination of protected time to work on the resident research project combined with flexible time to practice common procedures that are done in the Baystate Emergency Department. Residents can perfect their skills at suturing, splinting and placing intravenous lines among others. The protected research time allows the resident a focused experience to move their research project along and prepare any data they have available if they wish to present at a National Meeting during their third year.

    PG3 Curriculum

    Night Team
    1 block

    Inpatient Pediatrics
    1 block

    Pediatric Intensive Care Unit
    1 block

    Emergency Room
    1 block

    Nursery
    1 block

    Urgent Care
    1 block

    Ambulatory Chief
    1 block

    Elective w/ Call
    4 blocks

    Elective w/out Call
    1 block

    • Inpatient Pediatrics:  1 block leading the night team.
    • Q5-6:  Call for ambulatory and elective rotations
      Includes some jeopardy call (sick/transport call, beeper call from home ambulatory phone coverage.
    • Emergency Room: 9-hr shifts per month
    • PICU: 1 week of nights

    Some Highlights from Selected Months

    Night Team

    During the senior night team block residents are able to independently manage patients, learning important skills of triage and admission of patients at night.  This resident also provides leadership for first year resident on the team and the PICU during a single month of nighttime ward coverage.  The night team resident manages admissions and supervises the first year resident caring for patients in the hospital at night.

    Nursery

    This rotation focuses on normal newborn care.  Residents see patients in the normal newborn nursery and in the Continuing Care Nursery, which functions at an intermediate level between the NICU and routine care. As the senior resident, you will coordinate the clinical and educational activities of the team, which includes medical students.

    Urgent Care

    Urgent care provides a one block longitudinal experience in the outpatient urgent care setting. Residents also learn about triage in a busy inner city practice. Time is also protected for your research project and continuity clinic.

    Ambulatory Chief

    This block provides senior residents with the experience of teaching and evaluating medical students and first year residents in the ambulatory setting while getting the opportunity to refine their own ambulatory skills. The month also exposes the senior resident to the concepts of quality improvement and proper billing and coding procedures.

    Call Schedules

    On the inpatient service, there are four day teams, and one night team. Each PL-1 spends four to six weeks on the night team over the course of their first year. Scheduling needs determine how many of those weeks will be done consecutively in the same month versus being spread out over more than one month.

    Inpatient Coverage

    • Inpatient teams are composed of supervising seniors and first year residents.
    • Each weekend has a senior and intern from one day team and another intern from the other day team, ensuring all patients are known to the housestaff on each day
    • Two night teams, each composed of a senior resident and a first year resident cover for the block.
    • All patients are covered by these inpatient residents.
    • No one works 24 hour shifts
    • All shifts comply with the ACGME requirements for duty hours and days off.

    NICU

    In the NICU we have a night resident so there is no overnight call. All residents on the block take their turn as the night resident.

    PICU

    Only senior residents rotate through the PICU, where call is every fourth night. These PICU rotations are the only ones with 24-26 hour shifts during the three years.

    Outpatient Coverage

    On all outpatient rotations, except the emergency department, first year residents participate in the after-hours urgent care clinic which is held Monday-Thursday from 5:30 pm until the patients are gone, sometime between 7:30-10 pm, or on Saturdays or holidays from 9am-1:30 pm.

    Senior residents participate in beeper call from home for the general pediatrics clinics. Senior residents also take jeopardy (NICU transports or sick call) as well as occasionally work in the after-hours urgent care.  One month in the second year and two months in the third year may be designed as call-free months if requested.

    Simulation Training

    Baystate Medical Center has a very robust onsite simulation center.

    Resident teams on the inpatient service participate in simulated scenarios twice on each rotation. Residents’ pagers are covered by attendings during this time so as to protect their educational experience.

    • Residents in the PICU go down to the center once a week as a group and work with the pediatric “patients”.
    • Our NICU has a newborn baby simulator which they have incorporated into their education program; the residents on the NICU service attend simulation once a week.
    • There are special simulation sessions for ED and Manager Residents.
    • We also have a new initiative for first year residents to practice difficult conversations.

    Resident Projects

    All of our residents work with a faculty mentor to do a project over their three years here.

    Most medical students come into residency with experience in research or community service, and we feel it is important for you to be able to continue in these areas of interest. Your project can be in the areas of clinical research, community advocacy, public health, or education.

    Presentations

    In the spring of the PL3 year, each resident gives a short presentation at Grand Rounds about his/her project. These presentations have been uniformly well-received.

    Each year a large subset of our residents present abstract posters and/or platform presentations at national meetings. There is monetary support from the program to support resident presentations at national meetings.