Pediatric Level-2 Academic Year

The second year of training is designed to allow the resident greater responsibility for patient care. He or she has the opportunity to hone clinical skills learned during the PL-1 year and to gain in-depth knowledge in specialized areas of pediatrics.
 
Electives (3 blocks)
Elective opportunities include: infectious disease, nephrology, hematology/oncology, pulmonology, rheumatology, allergy, cardiology, gastroenterology, endocrinology, genetics, immunology, radiology, anesthesia, general surgery and surgical subspecialties, neurology, psychiatry, research, and sports medicine. Each PL-2 will be provided with a "call-free" month, which is helpful to residents interested in pursuing off-campus elective experiences, such as global health programs.

Developmental and Behavioral Pediatrics (1 block)
The PL-2 will learn to screen for, identify, and manage a variety of behavioral and developmental issues including and associated with autism, ADHD, Cerebral Palsy and various cognitive and neurologic disorders. Residents also participate in the SNAP clinic (Sequential Neonatal Assessment Program), which follows premature infants, and gain exposure to audiology, physical therapy and occupational therapy services. During this rotation, residents will also visit with various community resources for children with developmental disabilities.
 
Adolescent Medicine (1 block)
The PL-2 will learn to identify and manage the medical and psychosocial issues associated with adolescence. The three major types of clinic visits are well child, family planning, and STD screening and treatment.
 
Intensive Care Unit (1 block)
As a 2nd year, the intensive care experience is divided within the ICU, cardiac intensive care and special care unit. The 2nd year ICU resident works closely with the attending physicians and PL-3s in caring for the most critically ill children in the unit. The schedule follows the traditional q4 system.
 
NICU and Newborn Nursery – Hahnemann University Hospital (1 block)
Continuing the PL-1 experience in the NICU and Newborn Nursery at Hahnemann University Hospital (HUH), PL-2s will step into a senior role in this block, thus expanding their skills in the care of the newborn while supervising their PL-1 colleagues. The block is again divided into one week of NICU day shift, one week of NICU night shift, and two weeks of Newborn Nursery day shifts.
 
NICU – St. Christopher’s Hospital (1 block)
St. Christopher's Hospital for Children is home to a 30-bed Level IIIC NICU. All patients are critically ill and are transferred from outside institutions, often requiring surgical consultation and repair. ECMO is performed at this facility. 
 
Emergency Medicine (1 block)
ER shifts in the 2nd year are 12 hours. The PL-1 experience allows the PL-2 residents to work efficiently, seeing a higher volume of patients and of higher acuity.
 
Night Shift (4 weeks)
Second-year residents supervise PL-1s on inpatient night float in two week blocks during the year. While on night float, your weekends are free.
 
Continuity Clinic (1/2 day weekly)
The PL-2’s patient panel has grown considerably, as has their autonomy in making patient care decisions. PL-2s are expected to see at least five patients during each half day session and to prepare at least three 25-minute pre-clinic talks for the year.
 
General Pediatrics (1/2 block) 
Beyond the weekly experience in continuity clinic, PL-2s 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.
 
Inpatient (1 block)
PL-2s will spend one block as a senior resident on an inpatient team. Working closely with their attending hospitalist and at times, a PL-3 resident, the PL-2 will supervise the PL-1s care of general pediatric and subspecialty patients. This serves as an excellent introduction to future time as a PL-3 supervising resident.

PL-2 Retreats (2 days) 
The second year of training also includes two separate one-day retreats focused on preparing the residents for the educational and leadership components of their upcoming role as a supervising PL-3. 
 
Vacation (2, 2-week blocks)