Nicklaus Children's Hospital, formerly Miami Children's Hospital
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About the Curriculum

a. GME - Pediatric Residency Program

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The NCH Residency Program Course of Study

The Pediatric Residency Training Program at Nicklaus Children's Hospital, formerly Miami Children's Hospital, is designed in accordance with the American Board of Pediatrics requirement of three core years in general pediatrics and is accredited by the Accreditation Council for Graduate Medical Education (ACGME).

First Year (PL1)

The first year of training emphasizes general pediatrics with supervision by senior residents and attending physicians. The PL1 resident performs the initial history and physical examination, writes the appropriate orders, performs required procedures and is responsible for conveying information to the patient's parents. The team of residents is supervised by geographic attending physicians. The residents' rotations include experience in inpatient pediatrics, newborn nursery, emergency medicine, ambulatory clinic, and an elective rotation.

Second Year (PL2)

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, Pulmonology, and Hematology-Oncology. Individualized, career-focused elective rotations are also incorporated into the second year curriculum.

Third Year (PL3)

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. PL3 rotations include Pediatric and Neonatal Critical Care, Inpatient Pediatrics – Team Leader (supervision of a team of 5-6 PL1 residents), Emergency Medicine, Infectious Diseases, Gastroenterology, Ambulatory Clinic, and Procedure Rotation. Individualized, career-focused elective rotations are also incorporated into the third year curriculum.

Primary Care Pediatrics & The Continuity Clinic Experience

The Pediatric Residency Program emphasizes primary care in general pediatrics. The program's curriculum focuses on the integration of the clinical, psychosocial, behavioral, developmental and community health skills needed in the preparation of general pediatric practitioners. The program's goal is to develop leaders in primary care pediatrics who will be qualified to provide comprehensive preventive care while managing the full spectrum of acute and chronic complex clinical problems encountered in pediatric medicine. This is achieved through lectures, conferences, seminars and other educational activities that complement bedside teaching and the practical experience gained by the residents during clinical rotations throughout their three years of training.

A major component of the training in primary care is the time the residents spend at the NCH Pediatric Care Center. The center focuses on recognition of the child as a whole, as well as the illness with which he or she presents. During their rotations in the ambulatory clinic setting, residents will gain experience providing well-child primary care, as well as treating walk-in patients with acute illness. Additionally, the Ambulatory rotation now also includes community outreach activities such as: School health activities, health fairs, and advocacy events.

The Continuity Clinic experience is the cornerstone of our primary care educational experience, offering residents the opportunity to develop an understanding of and appreciation for the longitudinal care in general pediatrics. Each resident has one half-day per week when he or she is relieved of all other duties to attend their continuity clinic. Approximately half of the residents are assigned to the hospital-based Pediatric Care Center for their continuity experience. The remaining residents are precepted by community-based pediatricians. Residents follow their patients throughout their three years of residency training and learn about well and sick child care, development and anticipatory guidance

Pediatric Rotation Schedule
PGY1 Weeks
Ambulatory Clinic 4
Inpatient Pediatrics (Day Shifts) 24-28
Inpatient Pediatrics (Night Shifts) 4-8
Inpatient Pediatrics: Newborn Nursery (JMH)  4
Emergency Medicine 4
Subspecialty Experience 4
Vacation 4
PGY2 Weeks
Emergency Medicine 4
Inpatient Pediatrics: Pediatric Intensive Care Unit (PICU) 4
Inpatient Pediatrics: Neonatal Intensive Care Unit (NICU) 4
Subspecialty Experience: Hematology-Oncology (3N) 8
Subspecialty Experience: Endocrinology 4
Subspecialty Experience: Neurodevelopmental Behavioral Pediatrics  4
Subspecialty Experience: Adolescent Medicine 4
Subspecialty Experience: Cardiology/ Pulmonology 4
Individualized / Career-Focused Elective 12
Vacation 4
PGY3 Weeks
Ambulatory Clinic 4
Elective/ Procedure Rotation 4
Inpatient Pediatrics - Team Leader 8
Inpatient Pediatrics: Pediatric Intensive Care Unit (PICU) 4
Inpatient Pediatrics: Neonatal Intensive Care Unit (NICU) 4
Emergency Medicine 4
Subspecialty Experience: Infectious Diseases 4
Subspecialty Experience: Gastroenterology 4
Individualized / Career-Focused Elective 12
Vacation 4