Curriculum
Rotations
As of the 2024-25 academic year, our schedule now follows an X+Y model. Our X blocks are four weeks long, consisting of core rotations and electives. Our Y blocks are 2-week outpatient rotations, with residents spending time in the primary care clinic, subspecialty outpatient settings, and other areas of their choosing with individualized curriculum time. So far, residents have loved the schedule changes!
- 3 months of inpatient wards (includes subspecialty services)
- 1 month of NICU
- 1 month of ED
- 2 weeks of urgent care
- 2 weeks of newborn nursery
- 2 weeks of night float
- 1.5 months of elective
- 3 months of Y blocks (primary care clinic, advocacy, developmental behavioral pediatrics)
- Vacation: 4 weeks of vacation (including 7 days off over Christmas or New Years) + “Beach Week” at end of academic year
*Overnight call includes scheduled night float weeks as well as one week of nights during wards and NICU
- 2 months as inpatient wards senior (includes subspecialty services)
- 1 month as NICU senior
- 1 month as PICU junior
- 2 weeks of ED
- 1 month of urgent care
- 2 weeks of night float
- 2 weeks of mental health
- 1.5 months
- 3 months of Y blocks (primary care clinic, adolescent medicine, individualized curriculum and urgent care)
- Vacation: 4 weeks of vacation (including 7 days off over Christmas or New Years)
*Overnight call includes scheduled night float weeks as well as one week of nights during wards and NICU
- 1 month as wards senior (includes subspecialties)
- 1 month as PICU senior
- 1 month of ED
- 1 month of urgent care
- 2 weeks of newborn nursery
- 2 weeks of night float
- 2 months of elective
- 1 month of individualized curriculum
- 3 months of Y blocks (primary care clinic, individualized curriculum and urgent care)
- Vacation: 4 weeks of vacation (including 7 days off over Christmas or New Years)
*Overnight call includes scheduled night float weeks as well as one week of nights during wards and NICU
Career Tracks
Residents choose one of the three tracks below depending on their interests. Our tracks are designed to provide individualized guidance and mentorship to residents throughout their training and as they prepare for next steps after residency.
- Primary Care
- Acute Care (NICU, PICU, Hospitalist, ED)
- Subspecialty Care
Continuity Clinic
A team model is used for patient care, continuity and teaching. The practice’s approximate 10,000 patients are distributed among four smaller micropractices. Each resident is assigned to a micropractice group that has 2-3 faculty leaders. Residents in each micropractice team generally have their clinic on the same days of their Y block with their faculty preceptors. This model allows for greater continuity and the ability to track outcomes for a smaller panel of patients. Residents provide a full range of pediatric services including well child visits, follow up visits for chronic medical conditions, medical clearance, sick visits, sports physicals and care coordination. Residents are expected to take ownership of their patients, follow up on labs and consults, and have a unique opportunity and responsibility to be the pediatrician for a family.
Resident Didactics
Every Wednesday, all residents meet for academic half day from 12:30 to 4:30 p.m. Attendings, fellows, and advanced practice providers cover all inpatient and outpatient settings in order to ensure protected educational time. Educational content includes lectures, small group discussion, and hands-on simulations across all areas of pediatrics.
The Department of Pediatrics holds a resident-led Case Conference every Thursday from 12:15 PM to 1:00 PM. During each session, residents present one to two patient cases and lead an interactive discussion with faculty, residents, and medical students focused on differential diagnosis, diagnostic evaluation, and evidence-based management. During recruitment season, Case Conference is also held on Tuesdays to provide applicants with additional opportunities to experience this educational forum.
Resident Wellness
At Brown, resident and faculty wellness is both a priority and an open topic for creativity. The Brown Pediatrics Wellness Committee was created in 2017 with a focus on approaching wellness through a variety of methods. Residents are always encouraged to bring new ideas to the table. Our wellness committee serves with the goal to help each person develop the tools that help them find the most satisfaction and meaning in their work. The Brown Peds Wellness Committee is primarily resident-run and is dedicated to providing structured wellness activities into our curriculum. Through wellness research grants and activity funding, our wellness committee has been a very active part of our program and include the following wellness activities:
- Opt-out Therapy: Interns are connected with a therapist at the start of residency. Payment for the first appointment with any provider is covered by the program until the resident feels they have found a therapist that fits their needs.
- Wellness Budget: Money is provided annually by the hospital to fund outings of six or more residents to encourage wellness outside of the hospital
- Wellness Sessions – Dedicated to wellness topics (examples: Mindfulness in Medicine, Reflection, Yoga, Financial Wellness, Arts & Crafts)
- Chief Snack Station – Healthy (and sometimes not!) snacks purchased by wellness and held in chiefs office to fuel residents for the day and facilitate check-ins with chiefs throughout the day
- Intern Support Groups – A bi-monthly event hosted at a faculty home intended only for PGY-1 class members. This event includes dinner and is an opportunity to discuss the challenges and rewarding aspects of intern year, and to gather classmates together for support
- Support – As part of our ongoing commitment to resident wellness and support, we are fortunate to partner with Dr. Emily Katz, Director of the Child & Adolescent Psychiatry Consultation-Liaison Service. Dr. Katz meets monthly with each residency class to provide a dedicated space for discussion, reflection, and support. These sessions are specifically held in the Resident Workroom from 12:15 PM to 1:00 PM, to make it easier for residents to attend during the workday.
- Class Retreats – Each class will have a retreat with coverage provided by the other class years
- Faculty-facilitated check-ins, debriefs, and processing groups
Advising
We offer multiple tiers of advising for our residents:
- Clinical Competency Committee (CCC) Advisor – an advisor assigned to you at the beginning of PGY-1 whose main responsibility will be to support you successfully through residency training
- Career Advisor – an advisor assigned to you at the beginning of PGY-2 matched with you based on your chosen career path. Their main responsibility is to help our residents prepare for their next stage AFTER residency training. From fellowship applications to research grants, to job interviews this advisor will leverage their experience to guide your plans for the future.
- Specialty Track Advisor- a member from one of our Specialty Tracks will mentor and guide residents in their interested Track. This member will also help residents identify research, QI, Advocacy and/or educational projects throughout their training.
Program Improvement
We value the feedback of our housetaff and understand their input must drive the changes and improvements we plan for the program. As a result we offer several opportunities to hear from our residents and create plans for actionable, sustainable change.
- Resident Improvement Committee (RIC) – monthly meetings attended by residents and program leadership to discuss new concerns and provide follow-up on previously discussed issues.
- Chill with Phyll – a quarterly meeting led by our Chair, Dr. Phyllis Dennery, and attended by residents only to discuss concerns and answer any questions trainees have for Departmental Leadership.
- Program Evaluation Committee (PEC) – monthly meetings to review individual rotations to assess for strengths and come up with solutions for areas of improvement. PEC members include resident representatives from each class, program leadership, departmental leadership and key stakeholders.
- Graduate Medical Education Committee (GMEC) – monthly meeting led by the Designated Institutional Officer (DIO) attended by all program directors from across the institution and resident representatives. We are proud to say we have always had a pediatric representative from the housestaff as a member of the GMEC.
