PL-1: The Intern Year

Rotation Schedule
General Inpatient 4 blocks
Ambulatory Pediatrics 2 blocks
Emergency Department 2 blocks
Adolescent Medicine 1 block
Term Newborn Nursery 1 block
Neonatal Intensive Care 1 block
Developmental Pediatrics 1 block
Elective/Subspecialty 1 block

The focus for the intern (PL-1) year is to learn the diagnosis, management, and follow up of acutely and chronically ill infants and children. An important aspect of this year of training is to learn what is normal for each age and to be identify when a child falls outside this range. There are four blocks of general inpatient pediatrics in the first year. Residents care for medical and surgical patients of all ages while rotating on each of our two inpatient hospitalist teams. Residents work closely with the hospitalists, who are responsible for regular educational sessions for the residents. Residents also work with the pediatric pharmacists, nurse practitioners, pediatric subspecialists and surgery faculty during their inpatient rotations. One of the four blocks is spent on night shift .

A total of four blocks are dedicated to ambulatory pediatrics. Two rotations are in the general pediatric clinic at University Pediatric and Adolescent Center, where residents care for acute and chronic problems and address issues in preventive health maintenance. One block is spent in the adolescent medicine clinic, where residents receive comprehensive training in issues specific to the care of the teenage patient, including mental health concerns. One block of child development provides supervised experiences in a variety of community settings to learn about variations in behavior and development, and to also learn about the diagnosis and management of children with developmental disabilities.

Of the two-block neonatal experience, one concentrates on the evaluation and care of the full term newborn in both the nursery and outpatient settings. The second block is spent in the neonatal intensive care unit, where the resident will learn the care of the sick or premature infant, neonatal resuscitation, and delivery room stabilization.

In addition, two months are spent in our pediatric emergency department learning acute care management. Through clinical, didactic, and patient simulation technology, residents become credentialed to perform all of the Residency Review Committee (RRC) required skills.