Pediatric Residency Program

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:

Experience of first year resident

The PL1 is the primary clinician and takes primary call from the floor. For the first seven blocks of the intern year, there is close supervision of all orders, admission history and physical exams, and management decisions by supervisory residents (PL2, PL3 or PL4). The supervisory resident is responsible for the floor pager and admission process.

In the second half of the PL1 year, there is graduated autonomy on the inpatient floors. PL1s begin to take on the floor pager, admission process and primary patient responsibility. Supporting PL1s are the senior resident, who remains on the floor as a consulting physician for the team, and the supervisory resident, who is aware of all patients on the floor, evaluates all admissions after discussion with the PL1 and is available for any questions or concerns.

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:

Experience of second year resident

PL2s have experiences in inpatient oncology, endocrinology and the PICU as the primary clinician. On the inpatient 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.

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, the emergency department and the NI/ICU, and choose from a broad range of elective options. The PL3 year consists of the following rotations:

Experience of third year resident

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.

CHOP Pediatric Residency
  PL1 PL2 PL3 Total
Inpatient Medicine Inpatient Units
(General Pediatrics/Subspecialty)
6 1 2 9
Well Newborn Nursery 1 0 0 1
PICU 0 1 1 2
NICU  1   1 2
Inpatient Adolescent  1   1 2
Complex Inpatient Subspecialty
(Oncology, GI,
0 3 0 3
Outpatient Medicine Emergency Department 1 1-2 1-2 3-4
Primary Care 1 0-1 0-1 2
Developmental Pediatrics* 1 0 0 1
Ambulatory Adolescent* 0 1 0 1
Advocacy 0 0 1 1
Teaching Resident 0 0 1-2 1-2
Elective 1 1 2 4
Individual Education Units**   3-4 2-3 6
  13 13 13 39
*Advocacy experience incorporated into these rotations
**See separate explanation of IEU
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Pediatric Residency Program