Yearly Rotation Schedule

(13 four-week rotations each year)
PL-1 PL-2 PL-3
Inpatient Red Team
(w/ 1 wk nights)
Inpatient Blue
(2wks days/2wks nights)
Inpatient Purple
(2wks days/2wks nights)
Inpatient Purple or Blue Team
(w/ 1 wk nights)
Inpatient Purple or Red Team
(2wks days/2wks nights)
Inpatient Red
(2wks days/2wks nights)
Inpatient Green Team
(w/ 1 wk nights)
  Inpatient Teaching/Green
(2wks Each)
Behavior & Development Adolescent Medicine  
Well Newborn    
3 Ambulatory Practice (including vacation) 2 Ambulatory Practice (including vacation) 3 Ambulatory Practice (including vacation)
  3 Discretionary Blocks 4 Discretionary experiences 5 Discretionary experiences

Ambulatory Practice Curriculum:
Practice – continuity and walk-in
Continuity - 1 half-day per week
Behavior & Development - integrated
Community Pediatrics - integrated

Night Float:
All residents do 4-5 weeks of night float during the PL-1 year, 6 weeks during the PL-2 year and 5 weeks during the PL-3 year. The PL-1 assignments are done one week at a time as part of each 4-week inpatient assignment. The PL-2 and PL-3 assignments are done in two week assignments to the inpatient service and one-week assignments to the PICU. The night float resident is on call Sunday through Friday night for PL-1 residents and Sunday night through Thursday night for PL-2 and PL-3 residents, from 5:45 p.m. to 7:15 a.m.. 

Inpatient Service Structure:
The inpatient teams assume primary responsibility for both general pediatric and medical subspecialist inpatients. Surgical subspecialist patients are followed by pediatric residents in a consultative manner, allowing exposure to these fields. General pediatric Surgery is taught in the ED, consults in the PICU, NICU, and inpatient services, and through elective experiences.

There are 5 inpatient teams named for colors of the CCMC logo:

Purple: The Purple Team provides care for patients admitted to the 7th floor, including patients admitted to the hospitalist service (Inpatient Management Team), private community pediatricians, as well as a variety of subspecialty services. The Purple Team consists of a PL-3 senior resident and three PL-1 residents or PL-1 equivalent residents (family medicine residents or Sub-Interns).

Yellow: The Yellow Team also provides care for patients admitted to the 7th floor. This team is staffed by advanced practitioners, allowing for rapid turnover of many of the low-acuity and observation admissions to the hospitalist and subspecialist services.

Blue: The Blue Team provides care for patients on the 6th floor, primarily for patients on the hospitalist service, with some subspecialist patients. The Blue team consists of a PL-2 senior resident and two PL-1 residents or resident equivalents.

Green: The Green Team, also on the 6th floor, provides care for most pediatric Gastroenterology patients, as well as other subspecialty services. The Green Team consists of a PL-3 senior and two PL-1 residents. APRN's and PA’s are an integral part of both Green and Blue teams, in order to make the assignments manageable, enhance education, and meet duty hour standards.

Red: The Red Team provides care to patients admitted to the 8th floor, which are primarily Hematology/Oncology patients. The Red Team is typically led by a PL-3 senior who works with PL-1 residents as well as advanced practitioners. 

Work Duty Hours:
The program is in full compliance with the ACGME Duty Hour standards. This is accomplished through the joint effort of faculty and residents, and includes the addition of senior night float assignments. We continually review our compliance and make adjustments as required. The changes have been favorably received and our duty hours policy is stated below.

University of Connecticut Pediatric Residency Program Duty Hour Policy

As required by the ACGME and the University of Connecticut, the Pediatric Residency Program has developed the following policy: It should be noted that the University of Connecticut Office of graduate Medical Education has an existing institutional policy that applied in full with this policy and the institutional policy adds the opportunity for residents to report duty hour violations via a hotline telephone reporting system.
The duty hours policy is designed to help meet the educational needs of the resident, the needs of patients and families, including patient safety, and continuity of care. This policy is in compliance with institutional policies as well as with requirements of all relevant accrediting bodies, including the ACGME and RRC for Pediatrics. The Pediatric Residency Program requirements are as follows:

  1. Duty hours are defined as all clinical and academic activities and include patient care (inpatient and outpatient), all administrative duties related to patient care, in-house call, scheduled academic activities (e.g., conferences, morning report, lectures, etc.), and required research.

  2. Duty hours, as defined above, are limited to 80 hours per week, averaged over a four-week period. Note: Schedules may be developed that require a resident to work up to 10% over the 80 hours in a week, yet must meet the 80 hour limit when averaged over four weeks. That is to say the maximum scheduled and served duty hours for any one week will be 88.

  3. Residents will be provided with a mandatory one-day in seven free from all clinical and academic activities, averaged over a four-week period. One day is defined as a continuous 24-hour period.

  4. Residents will be given a required ten-hour rest period between all daily duty periods and after in-house call. Note: Rest is defined as a period free of any of the activities listed in #1).

  5. In-house call will occur no more frequently than every third night, averaged over a four-week period. All current pediatric call schedules are either every fourth night on average or in a one or two weeknight float assignment that meets duty hour standards. This rule will require that the Chief Residents and the program director be notified if residents wish to trade or modify call schedules. These modifications need to be reviewed to be sure that they do not result in any violation of any duty hour rules.

  6. Continuous on-site duty, including in-house call, will not exceed 24 consecutive hours. Residents may remain on duty for up to six additional hours to participate in required didactic activities, transfer care of patients, and for morning continuity clinic if that is arranged.

  7. Residents will not be assigned or accept new patients after 24 continuous hours on duty. Note: A new patient is defined as a patient for whom the resident has not previously provided care.

  8. At-home call is not counted toward the duty hour limit. However, if the resident must come into the hospital, the in-house time will be applied to the duty hour limit. If residents come into the hospital, they must still have the opportunity for at least 4 hours of sleep or this call will be counted as an overnight call in-house call, and will require that the above rules be observed accordingly. At-home call does not have to be limited to no more than every third night. Residents taking at-home call will still have one day in seven free from all clinical and academic responsibilities, averaged over a four-week period.

  9. Moonlighting activities must comply with the institution's policy on moonlighting. Moonlighting as part of a program (additional time in the program for an additional stipend), or moonlighting at any institution affiliated with the University of Connecticut ("internal moonlighting"), will be counted toward the duty hour limit and must comply will all other duty hour requirements.

The hours are tracked through a Kronos swipe system, and reviewed after each block. The pediatric program director submits quarterly duty hour reports to the University Of Connecticut Office Of Graduate Medical Education. This report includes the duty schedules for all residents, notation of any duty hour violations, and steps taken to prevent repeat violations. The Graduate Medical Education Committee (GMEC) reviews and monitors the quarterly duty hour reports. They periodically ask residents to complete written surveys, and conduct random unannounced interviews of residents to verify compliance with duty hour standards. Pediatric residents cooperate with these GMEC efforts to verify the compliance of the pediatric residency program.

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

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