Indiana University School of Medicine

Curriculum

Our curriculum is organized to provide a graduated experience with increasing responsibility through the three years of residency. Our goal is to provide a balanced experience, tailored to individual interests. Each year incorporates all of the main components of clinical care - inpatient, ambulatory, critical care. Unique experiences and electives in each year allow exploration of special interests. Residents preference their rotations each year and combined with 2-3 electives per year, we develop individualized curriculum for your needs. The overall curriculum forms a cohesive, coordinated program, which develops core competencies and tools for any future career in pediatrics.

Rotations are based primarily at Riley Hospital for Children for 10-11 blocks per year and 1-2months at community hospital sites (Wishard, Methodist, IU North) each year to experience the full range of pediatric care.

IU Pediatrics- Sample schedule template grid

PGY1 yearPGY2 yearPGY3 year

Hospitalist general wards

Riley general wards (varies)

Hospitalist general ward

Hospitalist general wards2

Riley HemeOnc (ward/consults)

Riley general wards (varies)

Riley ward night float

Specialty selective (ID, etc.)

Specialty selective (Endo, etc.)

Pulmonary

Specialty selective (Card, etc.)

Specialty selective (Renal, etc.)

Heme Onc

PICU

PICU

Specialty selective (GI, etc.)

ED

ED

ED

NICU

NICU

NICU

Night float

Outpt. clinics (PUCC/Rheum)

Wishard Normal Newborn

ED/urgent visit

Devlpmtl. Behavioral Peds

Ambulatory/urgent clinics

Adolescent Med

Senior Selective (outpt.clinics)

Community/advocacy-I

Community/advocacy-II

Elective

Elective

Elective

Elective

Elective

Elective

Elective

* 13 block rotations per year (4 weeks each x13)

NOTE1: Electives are outpatient-oriented experience, or residents in special pathways/tracks can focus on research, global health, or primary care with their electives.

NOTE2: Sample template, some assignments/locations vary by resident selectives, career interests, and preferences.

IU Pediatrics - Call schedule Overview (totals to 13 blocks per year x4w block)

PGY1 yearPGY2 yearPGY3 year

x5  Short calls (until 9pm q4-5)

x5  Overnight ward call q5-6

x4  Overnight ward call q5-6

x3  Night shifts/float blocks

x2  Overnight ICU call q4-5

x3  Overnight ICU call q4-5

x2  Variable jeopardy/swing shift

x2  Variable jeopardy/swing shift

x4  Variable jeopardy/swing shift

x2  ED/urgent shifts x 2m

x2  ED/urgent shifts x 2m

x1  ED/urgent shifts x 2m

x1  No call on 1Elective month

x1  NICU Night shifts/float

x1  No call on 1Elective month

 

x1  No call on 1Elective month

 

IU Pediatrics - call details by level

PGY1 Call Notes:
Intern call was significantly restructured for the July 2011 ACGME regulations.  Our program has made a priority on the education on interns on daily work rounds, noon conferences, and continuity clinics.  Thus, we do not have extensive night float or night call, which would limit these daytime experiences.  The most common call is short call as an exposure to Riley admissions and extension of their day team.  Interns take call in the hospital where they are assigned for day activities to promote patient continuity.  Emphasis on time for safe changeover and hand offs is a major emphasis in design of short/night call teams.

There are blocks with overnight experiences in Riley wards; HemeOnc/Stem Cell; and Wishard NICU/delivery room.  The amount of hours of overnight call is restricted by new 2011 RRC duty hours— to prepare interns for PGY2 roles, we have a formal night float curriculum, online modules, and simulation to help supplement experiences.  In addition, faculty and teams are encouraged to continue to work with interns during day and evening times on responsibility, decision-making, and development towards graduated independence.

PGY2 Call Notes:
PGY2 call is a transition to overnight call, more responsibility, and more opportunities for residents to grow in their responsibility, decision-making, and development towards graduated independence.  The PGY2 year call is very similar to our traditional call structure prior to the new duty hours.  Ward calls are q5 generally, with some variations to allow for continuity clinics, team scheduling, and number of residents in each block. Call is q4 in PICU, and q4-5 in NICU.  Overnight call is limited to 24+4 total hours (i.e. residents must leave by 11am post-call), there is little to no outside cross-coverage onto PICU and NICUs nights this year as a PGY2, and the NICU/delivery night float block allows 1 week for vacation.

PGY3 Call Notes:
PGY3 call includes overnight call, senior responsibility, and opportunities for residents to hone skills as they progress towards graduation.  Call is overall less frequent than PGY2 year and our system has a priority on senior flexibility with fewer calls and more elective time in the final year. The PGY3 call is primarily q5 on wards, with some variations to allow for continuity clinics, team scheduling, and number of residents in each block.  Seniors rotate with PGY2s as q4 in PICU, and q4-5 in the NICU (1 block each).