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Pediatric Residency Program Curriculum

Residents round in the hallway.

Pediatric residents on the Harriet Lane Service learn by caring for patients under the supervision of experienced pediatrician faculty, through attendance at conferences, and through targeted opportunities, such as resuscitation scenarios in the Johns Hopkins Simulation Center and a day-long seminar focused on death and bereavement. Core subspecialty rotations are a part of the required rotation curriculum, so elective time is available for career development experiences, including international electives, community pediatric office electives and rotations in other departments. Each resident meets with his or her faculty advisor at least twice each year to review evaluations from faculty, peers, nurses and patient families, as well as to discuss career planning. Residents, along with their advisor, create an individualized learning plan that is updated annually. 

Each year of training is designed to meet specific training goals.

PL-1 Year

The PL-1 year has a focus on mastering clinical skills, including obtaining a history, performing a physical exam, synthesizing clinical information, developing a differential diagnosis and providing input into a treatment plan. Interns are the primary providers for patients. They actively contribute to the treatment plan through their medical knowledge and advocacy for patients and families. Interns are paired with PL-3 residents during most rotations. This partnership provides interns the support, supervision and direct educational opportunities that maximize their learning and success. In all the rotations, interns also work closely with fellows, attendings and members of other disciplines who value their interactions with residents.

ServiceMonthsTeam
General Pediatric Ward Teams- Neill or Zinkham22 PL-1
2 PL-3
Subspecialty Teams (Cardiology, Gastroenterology, Nephrology or Pulmonology)21 PL-1
1 PL-3
Harriet Lane Acute Care Clinic12-3 PL-1
1 PL-3
NICU1-24 PL-1
1 PL-2
2 PL-3
St. Agnes Hospital Pediatric Floor12 PL-1
2 PL-2
St. Agnes Hospital Nursery/The Johns Hopkins Hospital Nursery12 PL-1 at St. Agnes
1 PL-1 at The Johns Hopkins Hospital
Pediatric ED1-23 PL-1
4 PL-2
4 PL-3
Night Team
  • Inpatient
  • NICU

2 weeks
1 PL-1, 1 PL-3
1 PL-1, 1 PL-2

Selective: General or Subspecialty Pediatrics

2 weeksPL-1
Elective2 weeksPL-1
Vacation5 weeks 

PL-2 Year

The focus of this year is on growing independence while working directly with fellows and faculty. PL-2s gain confidence and competence in their clinical judgment and autonomy in decision making. During most rotations resident teams include two PL-2 residents.

ServiceMonthsTeam
Oncology12 PL-2
Hematology12 PL-2
PICU12 PL-2
2 PL-3
St. Agnes Hospital Pediatric Floor Supervising Resident12 PL-1
2 PL-2 or 3
Pediatric ED13 PL-1
4 PL-2
4 PL-3
Developmental Pediatrics12 PL-2
Adolescent Medicine12 PL-2
Neurology2 weeksPL-2
Mental Health2 weeks2 PL-2
Electives2.5 
Vacation5 weeks 
Night Team
  • Oncology
  • Hematology
  • NICU
  • St. Agnes Pediatric Floor

2 weeks
2 weeks
2 weeks
2 weeks

1 PL-2
1 PL-2
1 PL-2
1 PL-2

PL-3 Year

The focus of this year is on further development of clinical, teaching and leadership skills. PL-3 residents have primary responsibility for leading family-centered rounds on the general pediatrics teams. They have responsibility for guiding the interns, subintern, and medical students on their teams. While maintaining a close relationship with the ward attending for guidance, they are actively involved with decision making concerning patient care.

 ServiceMonthsTeam
General Pediatric Ward Teams- Neill or Zinkham22 PL-1 
2 PL-3
Subspecialty Teams (Cardiology, Gastroenterology, Nephrology or Pulmonology)21 PL-1
1 PL-3
PICU12 PL-2
2 PL-3
NICU14 PL-1
1 PL-2
2 PL-3
Harriet Lane Acute Care Clinic0 to 12-3 PL-1
1 PL-3
Hospitalist Consult Medicine0 to 11 PL-3
Pediatric ED13 PL-1
4 PL-2
4 PL-3
Electives3 
Vacation1 
Night Team: Inpatient11 PL-1
1 PL-3
  
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