Leadership Training

Our residents will LEAD the PACC™ during residency and in their careers. 

From the moment our residents step onto campus, we empower them to be change agents. We commit to training the next generation of physician leaders in clinical care, research, health systems science and medical education. Our residency program’s core mission and values are built upon prioritizing education, individualizing training experiences, and incorporating the hidden curriculum in innovative and strategic ways.

Our “Leadership Executive Academic Development (LEAD) the Pediatric Academics Colleagues and Communities (PACC)” experience integrates an immersive longitudinal curriculum (LEAD) with dedicated learning communities (PACC). 


In each year of training, residents participate in one- or two-week blocks during which they complete sessions addressing the following core topics: leadership, health systems science, safety, population health, cultural competence, personal finance, business of medicine, career development and ethics.

LEAD weeks are staggered such that only two of three resident classes are removed from clinical duty. Half- to full-day sessions are dedicated to these topics using both didactic, case-based and workshop-focused approaches followed by simulated scenarios using standardized patients to practice skills. Every year, we adjust the content based on the needs of the trainees and emerging trends in health care. 


Our PACC curriculum is designed to support residents as they explore their personal and professional identities during their three-year residency journey. Residents use an individualized learning plan (ILP) as a holistic and comprehensive framework. Our program’s personalized ILPs guide residents to reflect upon research/scholarship, career planning, clinical and education competencies, leadership and wellness/resiliency.

Through continuous personal reflection and peer mentorship, residents dynamically adapt their ILPs throughout residency. Sessions also provide a space for team-based learning, based on actual patient or health system encounters. In these sessions, residents apply and reflect upon skills and knowledge acquired in their LEAD sessions.

While all PACCs are organized around the same goals and principles, each PACC has the option to tailor the structure to the needs of its members. Each PACC group has three members from each residency class and at least three multidisciplinary faculty. Members remain in the same PACC for the entirety of their training. PACCs meet over lunch every other week throughout the year, and that becomes an important touchstone for many of the residents and faculty. In addition, residents in the same PACC group attend clinic on the same day and often plan other events throughout the year to support resident wellness and resiliency.

Johns Hopkins All Children's PACC's purpose:

  • Guide self-discovery and professional identity formation. 
  • Apply, reflect and build upon innovative knowledge and skills from LEAD to the clinical learning environment. 
  • Develop peer-mentoring skills through the deliberate practice of active listening, appreciative inquiry and effective communication. 
  • Promote and foster a culture of diversity, equity and inclusion. 
  • Identify future training directions and dynamically adapt educational experiences as individual residents and peers inform individualized learning plans (ILP).