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Pediatrics Residency Curriculum

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

We believe that a residency should be flexible 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.

    Continuity Clinic

    The resident continuity clinic is held at High Street Health Center Pediatrics in the heart of downtown Springfield.  Each resident is part of a team that includes pediatric faculty, nurses and medical assistants.  We also have on site social workers, case managers, and interpreters.

    Our continuity program provides our residents with the opportunity to observe the physical, developmental and emotional growth of children over the course of their three years here at Baystate Children's Hospital.  Each resident follows a personal panel of children from birth to 21 years of age with diverse medical and/or social problems.  The concept of patient continuity is taken very seriously and there are systemwide efforts to ensure this occurs.  Some ways to accomplish this is taking a team approach to continuity, resident booking,  tracking and following-up of improperly booked appointments.

    The health center is open each weekday morning and afternoon, with urgent care visits available in the evening Monday through Thursday and on Saturday mornings at our 3300 Main Street office.  During inpatient rotations, the residents spend one session per week in continuity clinic while during all other rotations, they spend two sessions per week.

    Off-Site Second Continuity Sessions

    At the beginning of the second year, residents can opt to take the second continuity session of the week in an off-site setting. Many of the second and third year residents have chosen to participate. These sites may include private practices or subspecialty clinics. In past years, residents have spent time working in the pediatric HIV clinic, the pediatric hematology-oncology clinic, the pediatric endocrinology clinic, growth and nutrition clinic and Job Corps, to name a few. Off-site experience gives residents exposure to different approaches used by practitioners in different clinical settings.