Curriculum

The clinical curriculum is progressive with a focus on graduated autonomy from year one through year three spanning general to subspecialty care and outpatient to inpatient/intensive care settings. Residents experience both the university-based, tertiary/quaternary Golisano Children’s Hospital and the community-based Rochester General Hospital. Each resident has a weekly continuity clinic throughout their residency. Educational resources for all rotations are available to residents at any time through our Blackboard site. We use a night float system to cover the general floors and intensive care units.

Intern Year

Rotations include:

• Inpatient pediatrics including general and subspecialty services
• Newborn and special care nurseries
• Neonatal and pediatric intensive care units
• Outpatient pediatrics
• Emergency medicine
• Community health and advocacy (Pediatric Links with the Community)
• Subspecialty/elective rotations including a required psychiatry rotation

Second Year

This training year incorporates progressive supervisory responsibility of interns and medical students as well as a more individualized curriculum including track options and increased elective time.

Rotations include:

• Neonatal and pediatric intensive care units
• Inpatient pediatrics
• Outpatient pediatrics
• Adolescent medicine
• Developmental and behavioral pediatrics
• Emergency medicine
• Skills block
• Subspecialty/elective rotations including track blocks

Third Year

The third-year resident has increased autonomy and supervisory responsibilities and spends time in the following rotations:

• Inpatient pediatrics including Pediatric Admitting Officer (PAO)
• Newborn and special care nurseries
• Outpatient pediatrics
• Emergency medicine
• Subspecialty/elective rotations including track blocks

Unique Required Rotations

• Pediatric Links with the Community (PLC): Interns learn first-hand about critical factors affecting child health, while interacting with medical and non-medical providers at various community-based organizations and programs.
• Psychiatry: Interns experience assessment and management of psychiatric disorders in both traditional mental health care settings and public health settings such as the Comprehensive Psychiatric Emergency Program and the Mobile Crisis Team.
• Skills Block: Second-year residents learn and practice skills in the following areas:
  • Clinical: NICU and PICU simulations, splinting, bedside skills, procedural training, difficult conversations, evidence-based medicine, and child abuse
  • Professional: mitigating implicit bias and microaggressions, safe space training, clinical teaching and feedback, career options and planning, CV development, and QI project planning
  • Personal: finances, building resilience, and wellness
• Pediatric Admitting Officer (PAO): In this role, third-year residents are responsible for (1) triaging all admissions to the children's hospital; (2) accepting admissions on behalf of Pediatric Hospital Medicine; (3) admitting, delegating, or supervising pediatric admissions; and (4) leading the management of acute patient events by responding to all rapid responses, behavioral emergencies, and pediatric codes.