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Residency program

Curriculum

The goals of the training programs at Children’s Hospital of Richmond at Virginia Commonwealth University is to provide residents with comprehensive exposure to both inpatient and non-inpatient (primary care, subspecialty) clinical pediatrics while allowing individualization of the curriculum to suit the unique needs of each resident. The basis of our curriculum is a large, primarily underserved urban population whose care provides the resident with broad knowledge in primary care as well as an extensive exposure to the gamut of subspecialty services and advanced management of the pediatric emergency patient – including the multiple trauma patient. Our curriculum is designed around 2 week-long rotational blocks that provide the trainee with a balanced schedule in order to combat fatigue and provide for limited interruptions in each rotation. This curriculum is shaped by the resident – in conjunction with a faculty advisor as they progress from learner to manager to teacher. In order to individualize the curriculum for different trainee needs, our residents choose a longitudinal tract (primary care, non-procedure, procedure, advocacy/public health) prior to the start of the PGY-2 year that partially determines the extra educational experience of each resident.

Curriculum block chart: Pediatrics

Block 
(4 weeks)
PGY-1PGY-2PGY-3

1

Outpatient (PGP)

Inpatient wards

Inpatient wards

2

Inpatient wards

Hematology/oncology wards (Patient Manager Month)

Outpatient (PGP)

3

Inpatient wards

Night float

Night float

4

Inpatient wards

NICU

NICU

5

Night float

PICU

PICU

6

Outpatient surgery

Outpatient (PGP)

Peds ED

7

NICU

Peds ED

Behavior and development

8a

Outpatient hematology/oncology

Inpatient wards

Inpatient wards

8b

Community clinic

Hematology/oncology wards (Patient Manager Month)

Elective

9

NBN

Adolescent medicine

Elective

10

Peds ED

Elective

Elective

11

Elective

Elective

Elective

12

Evidence based medicine/
child protection

Elective

Elective

13

Elective

Elective

Elective

In addition, all PGY-2 and PGY-3 residents have half-day of community-based clinic or of research experience on their outpatient rotations.

ServicePGY-1PGY-2PGY-3
Requirement Call
frequency
Requirement Call
frequency
Requirement Call
frequency

Pediatric wards

12 weeks
(3 blocks)

1-2 weekend night shift per block

6 weeks

1-2 weekend nights per block

6 weeks

1-2 weekend nights per block

Pediatric hematology/
oncology wards

n/a

n/a

6 weeks

n/a

n/a

n/a

Newborn nursery

4 weeks

n/a

n/a

n/a

n/a

n/a

NICU

4 weeks

n/a

4 weeks (5 night shifts/week)

5:30 p.m. to
9 a.m. shifts

4 weeks

n/a

PICU

n/a

n/a

4 weeks

Night shift 1-2 weeks of this block

4 weeks

Night shift 1-2 weeks of this block

Peds ED

4 weeks

17 shifts (12-hour shift)

4 weeks

16 shifts 
(12-hour shift)

4 weeks

15 shifts 
(12-hour shift)

Outpatient
or subspecialty

20 weeks

Pull call (average 6-10, no phone calls)

20 weeks

Pull call, phone calls
(average 6-10 pull calls, 3-6 phone calls per month)

26 weeks

Pull call, phone calls
(average 10-14 pull calls, 3-6 phone calls per month)

Outpatient or
subspecialty
(call free)

4 weeks

n/a

4 weeks

n/a

4 weeks

n/a

Night shift

4 weeks
(5 shifts/
week)

7 p.m. to
9 a.m. shift

4 weeks
(5 shifts/
week)

7 p.m. to
9 a.m. shifts

4 weeks
(5 shifts/
week)

7 p.m. to
9 a.m. shifts

As indicated above, each resident will be periodically assigned to pull call on specific days during outpatient or subspecialty rotations. The resident assigned to pull call must be available by beeper in the event a colleague becomes ill. PGY-2 and PGY-3 residents are periodically assigned to after hours phone triage (i.e., telephone calls) for the General Pediatrics Outpatient Clinic. This call is taken from home.