Sample schedule for the Med-Peds Residency Program

• This schedule is subject to change.
• We switch between specialties every 3 months for the first year and then every 2 months thereafter.
• Residents advance to a supervisory role upon completion of 16 months of residency at an intern level.

	PGY-1	PGY-2	PGY-3	PGY-4
July	Peds Ward (ACH)	Peds Subspecialty	Peds (Adolescent)	Peds ER
August	Peds NICU	Peds Elective	Peds NICU	Peds Elective
September	Peds ER	Med MICU	Med Elective	Med Ward
October	Med Ward (Moffit)	Med Ward	Med CCU	Med Elective
November	Med ER	Peds Neurodevelopment	Peds Elective	Peds Ward
December	Med Elective	Peds Neurodevelopment	Peds Elective	Peds Elective
January	Peds Ward (ACH)	Med Ward	Med (Geriatrics)	Med MICU
February	Peds Newborn (TGH)	Med Elective	Med Elective	Med Elective
March	Peds Ambulatory	Peds Ward	Ped Ward	Peds Ambulatory
April	Med Ward	Peds PICU	Peds Elective	Peds Elective
May	Med Ambulatory	Med Elective	Med Ward	Med Consults
June	Med CCU	Med Ward	Med Elective	Med Elective

Table Interpretation:

Peds Intern

Medicine Intern

Peds Senior

Medicine Senior

Outpatient Curriculum

Internal Medicine                         Pediatrics

Vacation Allowed:

MEDICINE	PEDIATRIC
PGY-1: Elective and ER PGY-2: Electives PGY-3: Electives and COR PGY-4: Electives Other times per chief residents	PGY-1: ER and Ambulatory PGY-2: Elective and Neuro-Development PGY-3: Electives PGY-4: Electives and ER Other times per chief residents

ACGME Requirements for MED-PEDS

MEDICINE

PEDIATRIC

6 months supervisory responsibility PGY 1-2 ER block-1month Inpatient-minimum 8 months experience Intensive Care - max of 4 months Subspecialty experience - 4 months: "must include experience as consultant" "significant exposure to cardiology" "clinical exp in Geriatrics is necessary" 33% of time in Ambulatory Care: 2 block months of ambulatory - 9% ½ day cont. clinic every other week - 5% Remaining 19% comes from derm, gyne, additional ER/community (a month of ambulatory exp is 4.5%)

40% of time outpatient experience Selectives (from list of 11 subsp**) - 4 months Intensive Care: 3 NICU (1 mo NF), 1 PICU - 4 months Adolescent - 1 month Newborn Nursery - 1 month Development - 1 month Acute Care/ER - 3 months/ 1 month ER block Inpatient-minimum 5 months/ 2 months supervisory **You can combine an elective to meet requirements (IM 33% amb care), i.e., derm & gyne instead of entire month of gyne - if approved by PD/Attending.

** Subspecialties in pediatrics that you must choose 2 additional electives (Hem/Onc and Neurology-Neuro-developmental are required)

1. Pulmonary
2. Cardiology
3. Endocrinology
4. Gastroenterology
5. Neurology
6. Hematology/Oncology
7. Allergy/Immunology
8. ID
9. Nephrology
10. Genetics
11. Rheumatology