The Residency Years

The second and third residency years consist of 13 four-week block rotations each.

Second Year

  • Ward Seniorship: 1 block
  • Emergency Department: 1.5 blocks
  • Hematology/Oncology: 1 block
  • Pediatric Intensive Care Unit: 1 block
  • Neonatal Intensive Care Unit, CHLA: 1 block
  • Cardiovascular Acute Unit: 1/2 block
  • Ambulatory General Pediatrics - 1 block
  • Night Shift - 2 blocks
  • Elective With Q4 Call - 1 block
  • Free Elective No Call - 1 block
  • Elective with Jeopardy Call  – 1 block
  •  Vacation: 4 weeks

Third Year

  • Ward Seniorship - 1 block
  • Emergency Department - 1.5 blocks
  • Hematology/Oncology - 1 block
  • Pediatric Intensive Care Unit - 1 block
  • Neonatal Intensive Care Unit, Hollywood Presbyterian Medical Center - 1 block
  • Jeopardy Call - 1/2 block
  • Night Shift - 2 blocks
  • Elective With Q4 Call - 1 block
  • Free Elective No Call - 3 blocks
  • Vacation: 4 weeks
  • Ward Seniorship
  • Hematology-Oncology Rotation
  • Emergency Department Rotation
  • Pediatric Intensive Care Unit Rotation
  • Neonatal Intensive Care Unit Rotation
  • Cardiovascular Acute Unit
  • Ambulatory General Pediatrics Rotation
  • Night Shift Rotation
  • Elective Rotations
  • "Free" Elective Rotations
  • Jeopardy Call

This rotation is one of the most challenging months but is also considered one of the most interesting and rewarding. Residents are assigned to a medical ward where they supervise and teach the 3 interns, as well as the medical students on the team. There is no overnight call on this rotation.

This rotation consists of inpatient management of hematology and oncology patients. Each resident provides 3 weeks of daytime coverage and 1 week of nighttime coverage. The acuity of patients on Hematology/Oncology service is typically higher than that of patients on the general wards, which allows residents to build their skills at managing acutely ill children.

The ED rotation during the 2nd and 3rd year includes assignments in the trauma area as well as shifts in the walk-in urgent care clinic. There is increasing autonomy in the ED during the 2nd and 3rd years of residency.

During the Pediatric Intensive Care Unit rotation, residents care for critically ill infants and children with both medical and surgical conditions. Residents are on call every fourth night with a PICU fellow.

Second and third year residents rotate through the CHLA and HPMC NICUs. With about 3,500 deliveries annually, the HPMC NICU provides many opportunities to strengthen neonatal resuscitation skills and manage common neonatal medical problems. The Children's Hospital NICU is a level III tertiary referral center. Residents learn to manage more complex neonatal disorders under the supervision of fellows and attendings.

Two weeks in the second year are spent in our Cardiovascular Acute Unit learning about the medical and surgical management of patients with cardiac diseases. Rounds are supervised by cardiologists and pediatric hospitalists, as well as the cardiovascular surgeons when applicable. Both weeks are call-free and without weekend responsibilities.

Second year residents spend one four-week rotation dedicated to expanding their outpatient general pediatric skills and knowledge.  Residents spend time in the CHLA Urgent Care clinic as well as the General Pediatric service triage clinic. They are also scheduled for additional continuity clinic sessions for their own panel of patients. Several didactic sessions are scheduled during the block, during which residents meet with members of the general pediatric faculty and discuss a variety of general pediatric topics (e.g. immunizations, infant feeding, hypertension, orthopedic issues, health care plans, etc.).

During these rotations, two residents on each of the wards alternate consecutive nights of call.  The other days/nights are free of clinical responsibilities other than occasional continuity clinics. Night Shift residents supervise interns on the general wards or cover Oncology patients during these rotations.

“E4” rotations are elective blocks with call. Residents choose their daytime elective and take call in the hospital every 4th night. Residents may choose to do an elective rotations at CHLA or at a neighboring hospital or community practice.

Second year resident have 1 free elective and third year residents have 3 free electives ("FE's") per year. These are call-free rotations during which many residents schedule experiences locally, nationally, or abroad.

Interns are assigned to two weeks of jeopardy call during the year. PL-2 residents are assigned a total of 7 jeopardy calls during an elective block. PL-3 residents have jeopardy call during a two-week block that is free of any other clinical responsibilities. All residents are excused of any clinical duties when they are post-call from a jeopardy call overnight shift.