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PL-2: The Second Year

Rotation Schedule
General Inpatient 2 blocks
Pediatric Intensive Care 2 blocks
Emergency Medicine 1 block
Career-focused Rotation 2 blocks
Hematology/Oncology 1 block
Elective/Subspecialty 1 block
Ambulatory Pediatrics 1 block
Neonatal Intensive Care 1 block
Adolescent 1 block
Pediatric Surgery 1 block

The second year of postgraduate training expands the content of medical care and provides the opportunity to supervise interns and medical students on the inpatient service. This is in part accomplished by providing two blocks of general inpatient medicine, one of which is night shift.

The second year is balanced with greater exposure to acute care medicine. Residents spend one block in the NICU and two in the PICU, giving them the opportunity to integrate pathophysiology with recognition of physiologic deterioration and critical problem solving. 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. Second-year residents also spend one block working with the pediatric surgeons and gain experience in the acute care and outpatient management of common surgical problems. During the two blocks in the emergency medicine department, second-year residents have increased responsibility for patient care.

The second year of training also has two career-focused rotations. At the end of the intern year, residents select from one of four career-focused pathways. This allows the trainee, along with guidance from his or her advisor, to gain more experience and insight into their potential career. In the second year, one of the career-focused rotations is at least half emergency medicine, as skills gained on this rotation are important to any career in pediatrics. The other half of that rotation is spent working on career relevant activities, including spending time in the microbiology lab, in refugee clinic, or research.