Pediatric Residency Curriculum

Residency at The Children's Hospital of Philadelphia delivers in-depth experience in both inpatient and outpatient areas, while progressively increasing individual responsibility and opportunities for individual and elective study. In light of their important role as teachers, all residents are offered faculty appointments in the School of Medicine as instructors.

First year (PL1)

The PL1 year focuses on learning about the typical child, variations of normal and recognition of the sick patient. First-year residents rotate monthly through the following areas:

  • Inpatient General Pediatrics and Subspecialty Units (7 blocks)
  • Well newborn nursery at the Hospital of the University of Pennsylvania (HUP)
  • HUP Neonatal Intensive Care Unit
  • Emergency Department
  • Primarycare
  • Development and advocacy/community outreach
  • Elective

First-year resident experience

The PL1 is the primary clinician on the inpatient floors. Over the course of the year, first-year residents gain increasing responsibility and autonomy in the care of their patients. Each inpatient team is comprised of a number of interns with two supervising senior residents who assist with daily responsibilities and the management of the team. Educational opportunities in the forms of lectures, workshops, and mock-codes take place during each of the PL1 rotations, whether inpatient, ED, ICU or outpatient. 

Second year (PL2)

A core focus of the PL2 year is obtaining proficiency at assessing and managing critically ill children. Second-year residents assume more patient care responsibility, supervise medical students and interns and rotate through the following areas:

  • Complex inpatient subspecialty (Oncology, Endocrine-Metabolism, Gastroenterology)
  • Inpatient service supervisory rotation (on a general pediatrics/aubspecialty unit)
  • Pediatric Intensive Care Unit (PICU)
  • Emergency Department
  • Primary care
  • Ambulatory adolescent and advocacy
  • Elective
  • Individual Education Units

Second-year resident experience

PL2s have experiences in inpatient oncology, endocrinology and the PICU as the primary clinician. On the inpatient intern/senior floors, PL2s take on a leadership role equivalent to that of PL3s, which includes supervision and teaching of interns and medical students. In the Emergency Department and the outpatient clinics, the PL2 has the opportunity for increased autonomy. Individual Education Units include a combination of core inpatient and outpatient rotations, as well as selected experiences that each resident chooses to align with his/her educational and career interests.

Third year (PL3)

The core focus of the PL3 year is integration of knowledge and further development of patient management, teaching and leadership skills. Third-year residents assume the major supervisory role in the inpatient units and the emergency department, and choose from a broad range of elective options. The PL3 year consists of the following rotations:

  • Inpatient service supervisory rotation (on a general pediatrics/subspecialty unit)
  • HUP NICU supervisory rotation
  • Pediatric Intensive Care Unit (PICU)
  • Teaching, admitting, and triage resident rotation
  • Emergency Department
  • Advocacy
  • Electives
  • Individual Education Units

Third-year resident experience

In addition to the inpatient supervisory experience, the PL3 resident is a leader and supervisor in the primary care setting. As a resident supervisor, the PL3 resident takes an active role in the professional development of PL1s and teaching medical students. There is a dedicated rotation in the PL3 year to work on teaching and leadership skills. Individual Education Units continue in the PL3 year as further experiences for core rotations and selected experiences in a variety of clinical care settings that these residents feel will best prepare them for the next steps in their development as physicians, be it generalists or subspecialists.

Inpatient medicine

Inpatient Units (General Pediatrics/Subspecialty)

PL1 - 6
PL2 - 1
PL3 - 2
Total - 9

Well Newborn Nursery

PL1 - 1
PL2 - 0
PL3 - 0
Total - 1

PICU

PL1 - 0
PL2 - 1
PL3 - 1
Total - 2

NICU

PL1 - 1
PL2 - 0
PL3 - 1
Total - 2

Inpatient Adolescent

PL1 - 1
PL2 - 0
PL3 - 0
Total - 1

Complex Inpatient Subspecialty (Oncology, GI, Endocrine-Metabolism)

PL1 - 0
PL2 - 3
PL3 - 0
Total - 3

Outpatient Medicine

Emergency Department

PL1 - 1
PL2 - 2
PL3 - 1
Total - 4

Primary Care

PL1 - 1
PL2 - 1
PL3 - 0
Total - 2

Developmental Pediatrics*

PL1 - 1
PL2 - 0
PL3 - 0
Total - 1

Ambulatory Adolescent*

PL1 - 0
PL2 - 1
PL3 - 0
Total - 1

Advocacy

PL1 - 0
PL2 - 0
PL3 - 1
Total - 1

Teaching Resident

PL1 - 0
PL2 - 0
PL3 - 1
Total - 1

Elective

PL1 - 1
PL2 - 1
PL3 - 3
Total - 5

Individual Education Units**

PL2 - 3
PL3 - 3
Total - 6

*Advocacy experience incorporated into these rotations
**See separate explanation of IEU

Reviewed on April 30, 2014