a. GME - Pediatric Residency Program

About the Curriculum

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The MCH Residency Program Course of Study

The Pediatric Residency Training Program at 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 a full-time geographic attending physician. 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, Infectious Diseases, Hematology-Oncology, and Ambulatory Clinic. 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. Residents are offered approved electives during the third year as required by the ACGME. Additional experiences in the third year include a procedure rotation, Rural Community Pediatrics, and Primary Care Pediatrics.

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 MCH 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 with walk-in patients, acute medical conditions, have the opportunity to be involved in all of the subspecialty clinics that provide management to patients with specialized needs, and learn how to utilize pediatric consultants. Additionally, the Ambulatory rotation now also includes community outreach activities such as: Mobile Health Unit outings, school health activities, health fairs, and advocacy events.

A valuable training experience offered during the residency program is its rotations in primary care pediatrician's office. This assists residents in understanding how a private office is managed should they choose to open a private pract and rural primary pediatrics. This assists residents in understanding how a private office is managed should they choose to open a private practice. In the rural community based health clinic rotation, residents experience the challenges of providing primary care to local, underserved, and migrant populations.  Additionally, a rotation in neurodevelopmental pediatrics is provided under the supervision of child development specialists at both the MCH main campus and the MCH Dan Marino Center.

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 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.