During the first year, the resident will experience an overview of general pediatrics, including In-Patient, Ambulatory, Newborn, Emergency, Community Pediatrics, Hematology/Oncology, and Ortho-ENT.
Selectives - 2 months (CHEO)
Now that the trainee has acquired basic knowledge of the field of general pediatrics, he/she moves through a variety of subspecialty experiences designed to allow a more in-depth exploration of special areas of pediatrics. The trainee will also begin to learn how to manage in-patients who have more serious illnesses. In order to assure continued integration of knowledge in different areas of pediatrics, many of our subspecialty rotations combine more than one subspecialty at the same time. For combined rotations, this also allows a longer experience in each than would be possible in single subspecialty one month rotations. At the PGY-2 level, the resident not only works both in clinics and with in-patients, but performs a largely consultant role. In each subspecialty area, the trainee is responsible to one or more pediatric subspecialists who provide ongoing supervision and teaching. This year encourages the development of a sense of critical judgment and increasing self-confidence in management of pediatric conditions and includes two months of critical care in the pediatric intensive care unit.
Selectives - 1- 2 months (CHEO)
This experience constitutes a senior supervisory year during which the trainee is regularly entrusted with management of ward and/or ambulatory patients including complex problems in pediatrics with responsibility for the supervision of more junior trainees. The year includes supervisory roles on the in-patient pediatrics service, and pediatric and neonatal intensive care units. Further experience in areas of subspecialty pediatrics not previously attained is also provided: Child psychiatry, community rotations, research month and elective time.
During the three core years, increasing responsibility for patient care is allowed both during rotations and on the call schedule. Experiences which will help the resident choose an area of practice or specialization - or will assist in the actual performance of subsequent practice - are offered, including various selective experiences totaling 6 in 3 core years. During all three years, the resident is evaluated both during and at the end of each rotation, with a written evaluation at the conclusion of the rotation which is discussed with the rotation supervisor. The resident evaluation coordinator and postgraduate education committee provide a half yearly and annual review of each resident's performance. Problems discovered during training are discussed with the trainee and where necessary, programs to improve skills or resolve problems are made available. Special evaluations are also utilized as detailed later.
Selectives - 2 months (1 month CHEO)
This has recently changed to a Junior Faculty Year, where the 4th year residents collaborate as a small, independent faculty whose charge it is to cover the hospital, clinical and educational experiences to meet his or her goals. In addition, there is a Chief Resident clinic, which, in collaboration with staff, allows PGY4's the opportunity to see consults as well as continued patient care throughout the year.
Outside electives - 2-3 months