PL - 1 Year

The major goal of the first year of training is to develop and refine clinical skills, including pediatric problem solving and differential diagnosis, by assuming responsibility for caring for both well patients and those with a wide variety of pediatric illnesses. A close working relationship with a team of supervisory residents and attending faculty provide a supportive environment in which the PL-1 resident gains confidence in clinical assessment and decision-making. The rotations are structured and taught to ensure optimal educational benefit.

Each PL-1 will spend three four-week rotations on the inpatient services at Connecticut Children's Medical Center, caring for hospitalized patients from all socioeconomic backgrounds. Each intern will do one week of night float during each inpatient rotation. The PL-1 resident has primary responsibility for 5-10 patients, with supervision by senior housestaff and attending faculty. PL-1 residents are also responsible for presenting during the weekly inpatient conferences.

A block rotation in the Pediatric Emergency Medicine Department introduces the PL-1 resident to the principles and skills needed in this area. Residents will care for a full spectrum of children with emergent needs, including injuries due to trauma, toxic ingestions, and acute illness. A formal curriculum in emergency care is taught by PEM trained faculty who staff the unit 24 hours per day.

First-year residents are assigned to three rotations in ambulatory pediatrics, which includes 4 weeks of vacation. These are the first of seven blocks that occur in the same practice setting throughout the three years, and where most residents also participate in their weekly continuity sessions. The initial rotation, usually assigned in the first half of the year, introduces the residents to their practice. The subsequent rotations involve a full range of practice activities, including: newborn exams, well-child exams, scheduled follow-ups, and acute care visits. In addition, PL-1 residents will have a longitudinal community activity integrated into their ambulatory assignments. This experience spans across all three years, and is the equivalent of 1 block rotation.

The block rotation in Developmental-Behavioral pediatrics is provided in the first year. The needs of the newborn are also addressed in two rotations of the first year, with one block of well baby care and the other rotation in neonatal intensive care. The PL-1 typically cares for 5-10 sick neonates while in the NICU. In addition, PL-1 residents have 3 discretionary rotations in the first year that can be oriented towards a particular career goal.

Call Schedule/Vacation: During the PL-1 year, the only call responsibilities are to the inpatient units. PL-1 residents can also cross-cover the inpatient units while on ambulatory, discretionary, newborn nursery, and development blocks. PL-1 residents have 4 weeks of vacation scheduled during the ambulatory rotations. National holidays are covered as weekend days, so only those ‘on call’ are on duty. Each resident is scheduled to have a holiday break of four days at either Christmas or New Year's, but alternative holiday time away can be arranged. Residents generally have at least 3 of 4 days off on Thanksgiving weekend.

University of Connecticut Pediatric Residency Program, Connecticut Children's Medical Center.

Medical Education, 4H, 282 Washington Street, Hartford, CT 06106