Residency at Children's Hospital of Philadelphia delivers in-depth experience in both inpatient and outpatient areas while progressively increasing 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. The PL1 is the primary clinician and takes primary call from the floor. For the first seven blocks of the intern year, the intern is closely supervised by second and third year residents (PL2 or PL3). The PL1 completes all orders, admission histories, physical exams and management decisions, but all are reviewed by supervisory senior residents. 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. The PL1 begins to take responsibility for the floor pager and admission process, in addition to primary patient responsibility. The senior resident remains on the floor as a consulting physician for the team. The supervisory resident 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. PL2s have experience in oncology, cardiology, endocrine/metabolism, the Pediatric Intensive Care Unit (PICU), and the Newborn/Infant Intensive Care Unit (N/IICU) 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.
In addition to gaining inpatient supervisory experience, the PL3 resident is a leader and supervisor in the primary care setting.
As resident supervisors, the PL3 residents take an active role in the professional development of PL1s. The PL3s are seen as important leaders in the program.