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Curriculum

At Floating Hospital for Children, our curriculum is designed to support our mission of providing residents with a strong foundation in general pediatrics through care of diverse patients in community and tertiary care settings and close contact with experienced faculty. This ultimately allows each resident to pursue a successful career in their preferred field, including academic, community based or subspecialty pediatrics.

Overview of our 3 year curriculum

The first year of residency is dedicated to achieving a foundation in pediatrics with appropriate supervision, while also allowing time for career exploration, mentorship and personal and professional goal development.

The second year of residency promotes a transition to supervisory roles, with an emphasis on autonomy, scholarship and career mentorship.

The final year of residency involves exploration in the role of supervisor and autonomous practitioner, focusing on preparing for independent practice and achieving professional goals.

PGY-1

PGY-2

PGY-3

Inpatient Hospital Medicine-Floating

Heme-Onc Inpatient Supervisor

Inpatient Hospital Medicine Supervisor-Floating

Behavior and Development

ER

Teaching Resident

NICU

Adolescent

Boston Medical Center ER

Inpatient Hospital Medicine-Floating

ER

Inpatient Night Team Supervisor Vacation (divided into two 2 week blocks)

Subspecialty Elective

Heme-Onc Outpatient Elective

Clinic Preceptor/Nursery

Community Inpatient Hospital Medicine-Lowell General Hospital

PICU

PICU

Heme-Onc Inpatient

Community Inpatient Hospital Medicine Supervisor-MetroWest

Elective with Call

Nursery

NICU

Elective No Call

NICU Night Team (divided into two 2 week blocks)

NICU Night Team (divided into two 2 week blocks)

Elective No Call

Ambulatory Pediatrics

Elective No call

Individual Curriculum

Subspecialty Elective

Individual Curriculum

Individual Curriculum

Individual Curriculum/Advocacy

Individual Curriculum

Individual Curriculum

Vacation (divided into two 2 week blocks)

Vacation (divided into two 2 week blocks)

Vacation (divided into two 2 week blocks)

The majority of patient care teams at Floating function on a night float system with the night team working 6 nights in a row. The day begins with sign out at 6:30am. At the end of a shift, the day team then signs out to the night team at 5:30pm. The night float system allows for continuity of care for patients, as the residents work on night float for 1-2 weeks at a time, depending on the rotation. The night team rounds with the attending in the evening and serves to move along the diagnostic process and assist with discharge preparation. Subspecialty patients (with the exception of Heme/Onc) and general pediatrics patients are admitted to the hospitalist team, which allows residents to see a variety of different cases and work with different consultants during their time on the floor.

Residents participate in weekly continuity clinics at a variety of sites, including General Pediatrics at Floating, community health centers, and private practices in the Boston area. Residents interested in primary care often choose to do a month-long elective in the third year to sample different primary care venues before beginning their job search.

Residents at Floating are encouraged to pursue interests and development of skills that are closely aligned with their career goals. Each year of residency includes both elective and individualized curriculum (IC) blocks. Residents identify faculty mentors and specific objectives prior to completing an IC block to ensure that the time is best spent working toward achieving those goals. Examples of recent IC blocks completed by residents include rotations in primary care, sedation, community hospitalist medicine, pre-attending Heme/Onc, NICU and PICU senior electives, research, community health, and global away rotations.

All residents are required to participate in both a quality improvement or patient safety project and a scholarly research project. The foundations of quality improvement and research are provided through our didactic series. Historically, we have engaged the residents in either class-wide or residency-wide quality improvement projects with expectations for individual contribution linked to particular rotations.  The program leadership assists residents in finding mentors for research projects during the intern year with the research experience concluding on our annual Pediatric Research Day in spring of 3rd year. 

Developing clinical educators is integral to our mission at The Floating. The hallmark of this experience has traditionally been our third year teaching resident rotation. Based on resident feedback, a longitudinal teaching curriculum is being implemented to allow residents to build a stronger base in teaching strategies earlier in the training experience.

Residents who have interest in pursuing leadership in medical education are encouraged to apply for the Clinician Educator Track near the end of their intern year. The Clinician Educator Track is a combined program for Internal Medicine and Pediatrics residents that include an annual intensive workshop series in addition to mentoring and support to complete a medical education research project.

Advocacy is an important component of resident education at Floating. Interns spend a portion of their individualized curriculum block visiting community sites of interest, as well as meeting with a member of the hospital’s government relations office to brainstorm advocacy projects. Advocacy lectures are a part of the didactic curriculum, and the first annual Advocacy Day is scheduled for this spring. Residents are also encouraged to join residents from around the state in the annual Massachusetts Resident and Fellow Day at the Statehouse where participants meet directly with state senators and representatives to lobby on behalf of the Massachusetts Chapter of the AAP. In addition, one member of each class serves as an AAP delegate for the program.