Pediatric Level-1 Academic Year

PL-1s can expect to develop both the clinical and technical skills needed to diagnose and treat illnesses and disease in infants, children and adolescents. The cumulative clinical experiences are divided over 13 blocks, each block lasting 4 weeks.
 
Orientation (2 weeks)
PL-1s undergo a paid, 2-week orientation during which they participate in the Pediatric Advanced Life Support Training Program (PALS) as well as Neonatal Advanced Life Support Training Program (NALS). You will become familiar with the use of our electronic medical records systems throughout the hospital. You will also be introduced to the inner workings of the program and the hospital and participate in various class bonding activities.
 
Inpatient (5 blocks)
First-year residents spend 5 blocks on inpatient pediatric services and care for six to 10 patients daily. He or she has the primary responsibility for day-to-day care of patients, as well as for coordination of subspecialty and consultative services. PL-1s are also vital in the education of 3rd year medical students from Drexel University and Temple University. Patient progress is discussed daily at work rounds led by the senior resident. Hospitalist attending teaching rounds are held at least three times weekly.
 
Night Shift (~5-6 weeks)
Each PL-1 spends about 5-6 weeks per year (1 week at a time) on the inpatient night shift team in place of “traditional” q4 call schedule. During inpatient rotations, the nighttime PL-1 is paired with a second- or third-year resident supervisor. Fellows and attendings are also available 24 hours a day. From Sunday through Friday nights, the night shift intern arrives at 6:30 p.m. for group handoff and leaves at 8:30 a.m. after Chief Rounds the next morning. The night team, along with the day senior and attending, participates in “intake rounds” each morning.  This allows for the night team to receive immediate feedback and teaching about overnight admissions. Weekends are free while on night shift...and so are meals!
 
NICU and Newborn Nursery – Hahnemann University Hospital (4 weeks)
The PL-1s experience takes place in the NICU and Newborn Nursery at Hahnemann University Hospital (HUH), located off-site in Center City Philadelphia.
The NICU is a Level III, 22-bed nursery staffed by St. Christopher's faculty. While at the HUH NICU, residents will attend all high-risk deliveries. This is an excellent rotation for adding new patients to your continuity clinic patient panel. PL-1s participate in one week of day shifts as well as one week of night shifts. 
While rotating in the Newborn Nursery, PL-1s will attend all deliveries and learn how to manage and screen newborns. In addition, PL-1 residents aid in the education of medical students and parents. Two weeks of day shift are completed here.
 
Jeopardy (2 weeks)
This rotation, occurring in two 1-week blocks, consists of completing ER shifts while being “available” for their classmates in case of emergency, and is combined with vacation. 
 
Emergency Medicine (2 weeks)
During this rotation, the PL-1 will learn how to diagnose and manage acutely ill patients. PL-1s will have excellent opportunities for procedures during this time. 
 
Critical Care Medicine (2 weeks)
PL-1s spend two weeks in the Special Care Unit, a critical care unit that includes patients in the Burn Unit, being introduced to intensive care experiences and procedures.
 
Community Pediatrics & Advocacy (2 blocks)
Beyond the weekly experience in continuity clinic, PL-1s rotate in an onsite general outpatient pediatrics office, receiving comprehensive exposure to primary care pediatrics. The resident sees a number of scheduled ill visits and is available by telephone to provide faculty supervised advice and consultation to parents for the ambulatory practice during daytime office hours. In this setting, residents will learn to advocate for their patients within the context of a busy clinical setting, specifically by addressing issues related to health literacy, patient-centered care and access to health care resources. 
Additionally, this experience will include various visits to several non-medical settings in the community to gain appreciation for how these organizations contribute to the well-being of children and families. Residents engage in community outreach and will appreciate the external (social, economic, political, environmental, cultural and spiritual) determinants of children's health. During this rotation, residents also will identify an unmet need that could materialize into a longitudinal advocacy project. Each resident will receive individualized mentorship around selecting an advocacy project that coincides with their ultimate career goal. 
Most importantly, residents will gain the skills to become more competent advocates for children and will conceptualize how to partner with community-based organizations to help every child reach his or her potential.
 
Continuity Clinic (1/2 day weekly)
Each PL-1 participates in his or her own continuity clinic, an ongoing responsibility throughout the three-year training program. In this role, the resident serves as the primary physician for a group of pediatric patients, with supervision and consultation by attending faculty. The goal of the PL-1 is to see at least four patients during each session and prepare at least one 25-minute pre-clinic talk for the year (talks are usually scheduled after the new calendar year).
 
Elective (2 blocks)
The PL-1 will have a choice of electives in a variety of disciplines. This month may be used to improve knowledge in a particular discipline and facilitate gaining early exposure to a potential fellowship field.
 
PL-1 retreat (2 days)
The PL-1 year also includes a two-day off-site retreat. The purpose of the retreat is to promote mutual support and a spirit of cooperation, and to encourage reflection on the goals and methods of the training program. It is also the only time of the year (besides orientation) where every member of the PL-1 class is off duty, which allows for some excellent bonding time. 
 
Educational Retreat (2 days)
PL-1s also participate in two full-day educational retreats. In the fall, they participate in activities that strengthen their teaching skills as they work closely with medical students. A springtime educational retreat prepares PL-1s for the educational and leadership responsibilities of the PL-2 role. Specifically, interns learn about the following principles: Teaching “on the fly”, delivering effective feedback, adult learning styles, and applying a scholarly approach to advocacy and quality improvement projects.
 
Vacation (4 weeks)
All vacation time is paid and takes place in 1-week or 2-week increments.