PL-2: The Second Year

The second year of postgraduate training expands the content of medical care and provides the opportunity to supervise PL-1s and medical students on the inpatient service. This is in part accomplished by providing a one-month experience supervising a general pediatric inpatient ward.

A two-month block is based in the pediatric outpatient department and includes experiences in the subspecialty clinics. Combining ambulatory pediatrics with outpatient subspecialties is a major part of the curriculum for generalist training. The longitudinal experience allows residents to select two subspecialty clinics where knowledge is reinforced with repeated encounters. Continuity with both subspecialty patients and those in the general clinic is achieved with this extended rotation. In addition, residents participate in a one-month, in-depth experience in adolescent medicine. Two months of subspecialty elective time gives residents a more concentrated look at selected specialties.

The second year is balanced with greater exposure to acute care medicine. Residents spend one month in the state-of-the-art tertiary care NICU and two months in our Pediatric Intensive Care Unit integrating pathophysiology with recognition of physiologic deterioration and critical problem solving. There are also two months with enhanced responsibility in the pediatric emergency department.