The Pediatric Residency Training Program at The University of Chicago is designed to offer the prospective pediatrician a diverse and stimulating clinical experience in a variety of settings: The University of Chicago Children's Hospital (UCCH), La Rabida Children's Hospital and Research Center, Friend Family Health Center, and private physician's offices.
Although the university is well known for its basic and clinical research programs, there is an equally strong commitment to clinical practice and delivery of the highest quality health care. The research and clinical care aspects of the pediatric department greatly enhance each other and provide a rich intellectual environment for learning. There are more than 100 faculty members in the Department of Pediatrics. Close association between the residents and faculty is fostered in both inpatient and outpatient areas. Every effort is made to provide support for residents while encouraging autonomy and responsibility. Opportunities for pursuit of special interests are provided, particularly in the second and third years. The department offers an extensive post-residency research and clinical subspecialty fellowship program in twelve different areas.
The pediatric training program prepares the resident for career options in pediatric practice, academic pediatrics, pediatric subspecialties, and basic research. Our training program offers education and experience in all of the sub-specialty areas, both medical and surgical, while continuing to emphasize comprehensive and compassionate aspects of general pediatrics. Through supervised practice, case study, didactic encounters, example, and critical evaluation, residents progressively develop the competence necessary for the practice of pediatrics. After completing training, residents will be prepared to pass the certifying examinations of the American Board of Pediatrics. Our residents are well rounded and prepared to enter careers in every area of pediatrics.
Resident performance is evaluated through in-training examinations and observation of clinical skills by faculty, case managers, medical students and peers. Evaluations are based on the 6 Core Competencies as defined by the Accreditation Council for Graduate Medical Education (ACGME):
Residents are "on-call" an average of once every four nights at one of the hospitals. There are call-free blocks of time in each year of the program. Specific details can be found in the enclosed sample schedule.
The first year of training is divided into 12 one-month rotations. The PL-1 rotates through the inpatient wards, newborn nurseries, emergency department, intensive care nursery, outpatient services at The University of Chicago Children's Hospital, and in one of our affiliated private practices. Inpatient care for general pediatric and subspecialty patients is divided among two inpatient services at The University of Chicago Children's Hospital. Neonatal pediatric experience is divided among the intensive care nursery (2 rotations) and the normal newborn nursery (one rotation).
In addition to these largely inpatient experiences, each resident becomes a member of a continuity clinic team that consists of a general pediatric attending physician, PL-3s, PL-2s, and PL-1s. Continuity clinics meet one half a day each week. This enables residents to follow former inpatients in an outpatient setting. Residents develop skills in child health supervision in the outpatient management of well children and children with acute and chronic illnesses. One rotation is devoted to an outpatient experience involving different general pediatric outpatient settings. This rotation is usually call-free.
In the second year, rotations reflect a higher level of responsibility and independence and include neonatal intensive care, emergency department, and critical care service. One rotation period is devoted to behavioral pediatrics. Training at La Rabida is also provided during the second year and consists of rotations on the four major services: chronic disease, pulmonary/allergy, rheumatology, and developmental pediatrics. PL-2 residents can choose additional rotations from subspecialty options on the selective/ electives list based on their training needs and career objectives. During the PL-2 year, each resident spends seven to eight months at The University of Chicago Children's Hospital, and two to three months at La Rabida. Continuity clinic continues to meet one half day per week. There are usually four to six weeks of call free time during the second year.
The third year of the program has six specified supervisory rotations on various general pediatric services and one in the intensive care nursery. Two to three selective/elective rotations provide further opportunity to enhance skills and experience. A free elective period is offered in the third year during which residents can be relieved of their ongoing continuity clinic, if they so desire, to pursue an off-site clinical experience. The free elective is of the resident's own design and may include a research project. During the PL-3 year, each resident divides time among the various hospitals and outpatient settings. Generally, each resident spends eight to ten months at The University of Chicago Children's Hospital, one month at La Rabida, and one month "free elective." There are usually 12 to 15 weeks of call-free time in the third year.
Fellowships lead to special clinical and research competence in pediatric subspecialty areas. Fellows are qualified to pass certifying subspecialty Board examinations and will have the required skills and experience to conduct research in clinical or basic sciences, and to hold academic positions.
Fellowships are available in:
Each day at The University of Chicago Children's Hospital begins with patient care rounds and morning report. Cases admitted during the previous 24-hours are discussed with an emphasis on initial management and differential diagnosis. Regular weekly teaching conferences include Grand Rounds, Chief of Service, Core Curriculum, and Chairman's Rounds. All residents gain experience in presenting lectures during the course of their training. Rounds and teaching seminars focusing on children with chronic disease are conducted at La Rabida.