The Residency Curriculum

Our residency curriculum is designed to provide all residents throughout the program exposure to general pediatrics, as well as core subspecialty rotations, in order to ensure a well-rounded experience and help serve as a strong foundation for future pediatric practice. In addition, there are over 45 subspecialty and track electives offered, allowing trainees to tailor their individual residency curriculum to his/her career goals and interests.
Based on a resident’s chosen track and career goals, our faculty mentors and program leadership assist each resident in tailoring their schedule to prepare them for the next steps in their career. If a resident is interested in pursuing fellowship, we offer many electives within a subspecialty that they may consider, as well as research electives to help further strengthen their scholarly activity. For those residents interested in general pediatric primary care, we offer electives at various pediatric practices within our community, which allow for a broad exposure of different practice settings, patient populations, and business models.
Our goal is to provide a consistent experience within core essential rotations, while also offering various additional electives to make each resident’s experience truly their own.

Resident Block Schedule

Electives

• Adolescent Medicine
• Allergy & Immunology
• Anesthesiology
• Bone Marrow Transplant Unit
• Cardiology
• Cardiac – Advanced
• CICU
• Child & Adolescent Psychiatry
• Child Protective Team
• Dentistry
• Dermatology
• Endocrinology
• ER
• Gastroenterology
• GI Procedures
• Genetics (Clinical)
• Genetics (Metabolic)
• Global Health
• Hematology-Oncology
• Hospitalist
• Infectious Diseases
• Nephrology
• Neurodevelopmental

  

• Neurology
• Neuro ICU
• Newborn Nursery
• NICU
• Nutrition
• Ophthalmology
• Orthopedic Surgery
• Sports Medicine
• Otolaryngology
• Pain Team
• Pediatric Care Center (NCH Clinic)
• PICU
• Primary Care (multiple sites)
• Procedures
• Pulmonology
• Radiology
• Research
• Rheumatology
• Rural Pediatrics
• Sedation
• Surgery
• Transport
• Urgent Care

Curriculum by Year

First Year (PGY-1)

The first year of training provides broad exposure to general pediatrics with supervision by senior residents and attending physicians. The resident performs the initial history and physical examinations, writes the appropriate orders, performs required procedures, presents patients on rounds, and is responsible for conveying information to the patient's parents. The PGY-1 residents' rotations include experience in inpatient pediatrics, newborn nursery, emergency medicine, ambulatory clinic, and an elective rotation. Each academic year consists of 13 blocks with each block being 4 weeks in duration. A typical PGY-1 resident schedule consists of the rotations shown, with inpatient rotations spread out throughout the year.

Each intern will have 8 blocks of inpatient wards on three distinct inpatient teams. The team consists of 5-6 interns and is supervised by a PGY-3 Team Leader. Team are assigned to distinct geographic floors which house both general pediatric admissions, as well as the subspecialties listed below. Teams will round with both the Pediatric Hospitalist and the major subspecialty(ies) of the floor. A resident will rotate through each of the teams at least twice per year. Night shifts are incorporated into each inpatient block providing a longitudinal evening experience.

Inpatient Ward Teams

  • 3NE Team: Nephrology, GI, Endocrinology, Adolescent Medicine, and General Pediatrics
  • 5 Tower Team: Neurology and General Pediatrics
  • 3 South and 2 North Team: Pulmonology, General Pediatrics, 2 North Infant Floor

This is a 1 block rotation in our hospital-based Pediatric Care Center during which residents will gain experience providing well-child primary care, as well as treating walk-in patients with acute illness, in a general pediatric ambulatory clinic setting. Residents will also participate in community outreach activities such as local school visits, health fairs and advocacy events. Residents will be supervised by PCC attending physicians.

This is a 1 block rotation in our Level III Pediatric Emergency Room and Trauma Center. Residents will be supervised by PEM fellows and PEM attendings while having exposure to acute care, emergent care, and trauma cases. Residents will also have exposure to common pediatric ER procedures such as suturing, lumbar punctures, wound care, obtaining cultures, and assisting in codes among other skills.

This is a 1 block rotation in the newborn nursey at Holtz Children’s Hospital/Jackson Memorial Hospital where the intern will work alongside JMH residents to provide well care for newborns, attend deliveries, apply NRP skills, give anticipatory guidance and have exposure to managing common newborn pathology.

This rotation allows a resident to select 1-2 pediatric subspecialty experiences during their intern year to further explore a potential fellowship or interest in an area of their choosing. This rotation constitutes 1 block per academic year which may be split into two 2-week half-blocks or a 1 block (4 weeks total) experience.

Residents may elect from the following options:

Allergy & Immunology
Cardiology
Endocrinology
Gastroenterology
Genetics (Metabolic/Clinical)
Hematology-Oncology
Infectious Diseases
Nephrology
Neurology
Pulmonology
Rheumatology

This is an ACGME-required, longitudinal experience in general pediatrics which occurs throughout the three years of training. Based on a resident’s specific schedule, he/she will have 3-4 half day sessions per block aimed at providing the resident with a continuous outpatient pediatric exposure. Clinic sites include our on-campus PCC, as well as community pediatric practices affiliated with Nicklaus Children’s Hospital, which are all supervised by board certified general pediatricians.

Vacation constitutes 1 block per academic year which may be split into two 2-week half-blocks or 1 block (4 weeks total). In addition, there is also a mini-holiday break consisting of 4 days off during either the Christmas or New Year’s holiday.

Second Year (PGY-2)

The residents are provided with progressively increased patient care responsibilities and structured exposure to specialties, including Pediatric and Neonatal Critical Care, Emergency Medicine, Adolescent Medicine, Neurodevelopmental Pediatrics, Cardiology, Endocrinology, and Hematology-Oncology. Individualized, career-focused elective rotations are also incorporated into the second year curriculum. Residents will learn about Quality Improvement (QI) projects through guidance from an attending physician.

This is a 1-2 block rotation in our 36-bed Pediatric Intensive Care Unit. During the rotation, residents will have exposure to critically ill pediatric medical and surgical patients (including post-operative, trauma and ECMO patients). Residents will be supervised by our PICU fellows and PICU attending physicians.

This is a 1-2 block rotation in our 36-bed, Level III Neonatal Intensive Care Unit. During the rotation, residents will have exposure to premature and critically ill neonates with conditions including, but not limited to, respiratory distress/failure, NEC, sepsis, congenital anomalies, and more. They will also gain experience in neonatal resuscitation, ventilation management, neonatal nutrition and anticipatory care. Residents will be supervised by NICU attending physicians.

This is a 1-2 block(s) rotation in our inpatient Hematology-Oncology Department’s Cancer & Blood Disorders Center. Residents will have exposure to pathology including, but not limited to, pediatric cancers, chemotherapy regimens and adverse effects, febrile neutropenia, sickle cell crises, acute chest syndrome, ITP, and pediatric strokes. Residents will be supervised by Hematology-Oncology and BMT attending physicians.

This is a 1 block rotation in our Level III Pediatric Emergency Room and Trauma Center. Residents will be supervised by PEM fellows and PEM attendings while having exposure to acute care, emergent care, and trauma cases. Residents will also have exposure to common pediatric ER procedures such as suturing, lumbar punctures, wound care, obtaining cultures, and assisting in codes among other skills.

This is a 1 block rotation in our Adolescent Medicine Department outpatient clinic and inpatient Eating Disorders Unit. This elective is an ACGME requirement for pediatric residency training. During the rotation, residents will have exposure to common gynecological pathology, STI screening and treatment, substance abuse, adolescent anticipatory guidance and psychosocial screening, and the management of eating disorders alongside the multidisciplinary team which includes collaboration with Psychology, Nutrition, and Psychiatry. Residents will be supervised by an Adolescent Medicine fellows and attending physicians.

This is a 1 block rotation in our Cardiology Department’s Heart Program. Residents will manage patients on the cardiology service with conditions including, but not limited to, congenital heart defects, arrhythmias, and post-cardiothoracic surgical care. They will also participate in outpatient cardiology clinic and attend various cardiology conferences. Residents will be supervised by Pediatric Cardiology fellows and attending physicians.

This is a 1 block rotation in our Endocrinology Department. Residents will have exposure to both inpatient and outpatient pathology including, but not limited to, growth disorders, diabetes, metabolic syndromes, electrolyte and hormonal disorders, and reproductive pathology. Residents will be supervised by Endocrinology attending physicians.

This is a 1 block rotation which includes rotating experiences in our Neurology Department’s Brain Institute outpatient setting, our Psychology Department and with a developmental pediatrician. This elective is an ACGME requirement for pediatric residency training. During the rotation, residents will have exposure to pathology including, but not limited to, developmental delay assessment and management, autism spectrum disorder, ADHD, cognitive, speech, psychological and social disorders, as well as normal and pathologic pediatric development. Residents will rotate both on the NCH main campus and the Dan Marino Center in Weston, Florida. Residents will be supervised by Neurology, Psychology and DBP faculty.

Each PGY-2 resident will have three blocks of individualized elective time which may be split into two 2-week half-blocks of different subspecialty rotations or 1 block (4 weeks total) of a single subspecialty.

Residents may elect from the following options:

Allergy & Immunology
Ambulatory Pediatrics/Primary Care
Anesthesiology
Bone Marrow Unit
Cardiology
Cardiology II (Cath Lab/Cardiac Imaging, etc.)
CICU
Dentistry
Dermatology
Endocrinology
Gastroenterology
Genetics (Metabolic/Clinical)
GI Procedures
Global Health
Hematology-Oncology
Hospital Medicine
Infectious Diseases
Nephrology
Neuro ICU
Neurology
Neurosurgery
Nutrition
Ophthalmology
Orthopedic Surgery/Sports Medicine
Otolaryngology
Pathology
Pediatric Surgery
Psychiatry
Pulmonology
Radiology
Research
Rheumatology
Rural/Underserved Pediatrics
Sedation
Urology

This is an ACGME-required, longitudinal experience in general pediatrics which occurs throughout the three years of training. Based on a resident’s specific schedule, he/she will have 3-4 half day sessions per block aimed at providing the resident with a continuous outpatient pediatric exposure. Clinic sites include our on-campus PCC, as well as community pediatric practices affiliated with Nicklaus Children’s Hospital, which are all supervised by board certified general pediatricians.

Vacation constitutes 1 block per academic year which may be split into two 2-week half-blocks or 1 block (4 weeks total). In addition, there is also a mini-holiday break consisting of 4 days off during either the Christmas or New Year’s holiday.

Third Year (PGY-3)

Senior residents have additional supervisory responsibilities in both the inpatient and outpatient setting and further integrate the knowledge and skills needed in general pediatric practice. Rotations include Pediatric and Neonatal Critical Care, Inpatient Pediatrics – Team Leader (supervision of a team of 5-6 PGY-1 residents), Emergency Medicine, Infectious Diseases, Gastroenterology, Ambulatory Clinic, and Procedure Rotation. Individualized, career-focused elective rotations are also incorporated into the third year curriculum.

This is a 1-2 block(s) rotation where a PGY-3 will act as the supervising senior resident to one of our three inpatient teams. The senior resident will oversee and lead interns and medical students on the team, see new admissions, structure the rounding schedule, conduct family-centered rounds, and work closely with nursing and clinical staff to ensure the comprehensive care of each patient and their families.

Inpatient Ward Teams

  • 3NE Team: Nephrology, GI, Endocrinology, Adolescent Medicine, and General Pediatrics
  • 5 Tower Team: Neurology and General Pediatrics
  • 3 South and 2 North Team: Pulmonology, General Pediatrics, 2 North Infant Floor

This is a 1-2 block rotation in our 36-bed Pediatric Intensive Care Unit. During the rotation, residents will have exposure to critically ill pediatric medical and surgical patients, with conditions including, but not limited to, respiratory distress/failure, post-operative care, trauma and ECMO patients. Residents will be supervised by our PICU fellows and PICU attending physicians.

This is a 1-2 block rotation in our 36-bed, Level III Neonatal Intensive Care Unit. During the rotation, residents will have exposure to premature and critically ill neonates with conditions including, but not limited to, respiratory distress/failure, NEC, sepsis, congenital anomalies, and more. They will also gain experience in neonatal resuscitation, ventilation management, neonatal nutrition and anticipatory care. Residents will be supervised by NICU attending physicians.

This is a 1 block rotation in our hospital-based Pediatric Care Center during which time senior residents will lead the clinic team in providing well-child primary care, as well as walk-in acute illness visits, in a general pediatric ambulatory clinic setting. This rotation provides the PGY-3 resident with increasing autonomy through the supervision of junior residents’ patient care and the opportunity to assist in the operational management of the clinic, including the distribution of patients, review of patient labs and disposition of plans of care. Our PCC attending physicians will oversee the senior residents in this role.

This is a 1 block rotation in our Level III Pediatric Emergency Room and Trauma Center. Residents will be supervised by PEM fellows and PEM attendings while having exposure to acute care, emergent care, and trauma cases. Residents will also have exposure to common pediatric ER procedures such as suturing, lumbar punctures, wound care, obtaining cultures, and assisting in codes among other skills.

This is a 1 block rotation in our Gastroenterology Department. Residents will have exposure to inpatient and outpatient pathology including, but not limited to, IBD, pancreatitis, liver failure, GERD, feeding disorders, motility disorders, obesity clinic as well as endoscopies and colonoscopies. Residents will be supervised by GI attending physicians.

This is a 1 block rotation in our Infectious Diseases Department. Residents will have exposure to inpatient and outpatient pathology including, but not limited to, viral, bacterial and fungal acute and chronic illnesses, appropriate laboratory testing and interpretation, as well as adequate use and stewardship of antimicrobials. Residents will be supervised by ID attending physicians.

This is a 1/2 block (2 week) rotation for all PGY-3 residents designed to give additional opportunities to practice and refine a myriad of pediatric procedures. Residents rotate through our ER, PICU, ORs, Simulation Lab, and Pediatric Care Center to gain further exposure and hands-on skill training on live and/or simulated patients. Learn more about our Pediatric Human Patient Simulation Program.

Each PGY-3 resident will have 3.5 blocks of individualized elective time which may be split into two 2-week half-blocks of different subspecialty rotations or 1 block (4 weeks total) of a single subspecialty. The PGY-3 resident will also have senior floor calls distributed throughout their elective rotation schedule during which time they supervise the on-call PGY1, see floor admissions, run codes and rapid response teams, and sign out to the incoming Team Leader.

Residents may elect from the following options:

Allergy & Immunology
Ambulatory Pediatrics/Primary Care
Anesthesiology
Bone Marrow Unit
Cardiology
Cardiology II (Cath Lab/Cardiac Imaging, etc.)
CICU
Dentistry
Dermatology
Endocrinology
Gastroenterology
Genetics (Metabolic/Clinical)
GI Procedures
Global Health
Hematology-Oncology (Outpatient Clinic/Inpatient Team Leader)
Hospital Medicine
Infectious Diseases
Nephrology
Neuro ICU
Neurology
Neurosurgery
Newborn Nursery
Nutrition
Ophthalmology
Orthopedic Surgery/Sports Medicine
Otolaryngology
Pathology
Pediatric Surgery
Psychiatry
Pulmonology
Radiology
Research
Rheumatology
Rural/Underserved Pediatrics
Sedation
Transport
Urology

This is an ACGME-required, longitudinal experience in general pediatrics which occurs throughout the three years of training. Based on a resident’s specific schedule, he/she will have 3-4 half day sessions per block aimed at providing the resident with a continuous outpatient pediatric exposure. Clinic sites include our on-campus PCC, as well as community pediatric practices affiliated with Nicklaus Children’s Hospital, which are all supervised by board certified general pediatricians.

Vacation constitutes 1 block per academic year which may be split into two 2-week half-blocks or 1 block (4 weeks total). In addition, there is also a mini-holiday break consisting of 4 days off during either the Christmas or New Year’s holiday.

Tracks

There are three Elective tracks a resident may choose from based on personal and professional interests after training. Each track contains a list of suggested electives to assist residents in choosing rotations relevant to their career goals with the guidance of their mentor(s) and PD/APDs. If you have yet to decide on your post-graduate path or your plans change during residency, you may tailor your training to your preference by choosing from any of our electives. You can also change into a different track if your post-graduate goals change.

  • General Pediatrics Track: For residents interested in general pediatric primary care, developmental pediatrics, or urgent care pediatrics
  • Acute Care Track: For residents interested in pursuing a pediatric emergency medicine, pediatric critical care, or neonatal critical care fellowships
  • Fellowship Track: For residents interested in pursuing any subspecialty fellowships, other than those in acute care, such as Allergy-Immunology, Cardiology, Endocrinology, Genetics, Gastroenterology, Hematology-Oncology, Hospital Medicine, Infectious Diseases, Pulmonology, Nephrology, Neurology, Rheumatology, etc.