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Training

Program Curriculum

Adger Curriculum 
 

Pediatric residents on the Harriet Lane Service learn by caring for patients under the supervision of experienced pediatrician faculty, through attendance at conferences, and through targeted opportunities, such as resuscitation scenarios in the Johns Hopkins Simulation Center and a day-long seminar focused on death and bereavement.   Core subspecialty rotations are a part of the required rotation curriculum, so elective time is available for career development experiences, including international electives, community pediatric office electives, and rotations in other departments.  Each resident meets with his/her faculty advisor at least twice each year to review evaluations from faculty, peers, nurses, and patient families, as well as to discuss career planning.  Residents, along with their advisor, create an individualized learning plan which is updated annually.  A career planning seminar is provided for all interns during the spring.

Each year of training is designed to meet specific training goals.   

PL-1:  The PL-1 year has a focus on mastering clinical skills, including obtaining a history, performing a physical exam, synthesizing clinical information, developing a differential diagnosis and providing input into a treatment plan.   Interns are the primary providers for patients.  They actively contribute to the treatment plan through their medical knowledge and advocacy for patients and families.   Interns are paired with PL3 residents during all rotations.  This partnership provides interns the support, supervision and direct educational opportunities that maximize their learning and success.  In all the rotations interns also work closely with fellows, attendings and members of other disciplines who value their interactions with residents

PL-2 year: The focus is on growing independence while working directly with fellows and faculty.  PL2s gain confidence and competence in their clinical judgment and autonomy in decision making.  During most rotations resident teams include two PL2 residents.

PL-3:  The focus of this year is on further development of clinical, teaching and leadership skills.  PL3 residents have primary responsibility for leading family centered rounds on the general pediatrics teams.   They have responsibility for guiding the interns (2), sub-intern (1) and medical students (4) on their teams. While maintaining a close relationship with the ward attending for guidance, they are actively involved with decision making concerning patient care. 

directors at table 

 Training Curriculum: Schedule by Year 

 

PL-1 YEAR 

 

 

Service 

Months 

Team 

Floor Teams (Neill or Zinkham)

2

2 PL-1
2 PL-3

Subspecialty Teams (Cardiology, Gastroenterology, Nephrology, or Pulmonology)

2

1 PL-1
1 PL-3

Harriet Lane Clinic

1

2 PL-1
1 PL-3

St. Agnes Hospital Pediatric Floor

1

2 PL-1
2 PL-2 or 3

St Agnes Hospital Nursery

1

2 PL-1

Pediatric ED

2

3-4 PL-1
3-4 PL-2
3-4 PL-3

NICU

2

4 PL-1
1 PL-2
2 PL-3

Night Teams

  • Inpatient
  • NICU
 

 

1
2 weeks

 

 

1 PL-1, 1 PL-3
1 PL-1
1 PL-2 or 3

Vacation

1

 

 

 

PL-2 YEAR 

  

  

Service 

Months 

Team 

Adolescent Medicine

1

2 PL-2

Kennedy Krieger Institute

1

2 PL-2

St. Agnes Hospital Pediatric Floor

1

2 PL-1
2 PL-2 or 3

Pediatric ED

1

3-4 PL-1
3-4 PL-2
3-4 PL-3

PICU

1

2 PL-2
0-1 PL-3

NICU

0.5

4 PL-1
2 PL-2
2 PL-3

Hematology

1

2 PL-2

Oncology

1

2 PL-2

Electives

2.5

1 PL-2 or 3

Night Teams

  • St. Agnes
  • Oncology
  • Hematology
  • NICU
 

 

2 weeks 

2 weeks
2 weeks
2 weeks

 

1 PL-2
1 PL-2
1 PL-2
1 PL-1

Vacation

1

 

 

 

PL-3 YEAR 

 

 

Service 

Months 

Team 

Floor Teams (Neill or Zinkham)

2

2 PL-1
2 PL-3

Subspecialty Teams (Cardiology, Gastroenterology, Nephrology or Pulmonology)

2

1 PL-1
1 PL-3

Harriet Lane Clinic

0-1

2 PL-1
1 PL-3

Pediatric ED

2

3-4 PL-1
3-4 PL-2
3-4 PL-3

NICU

1

4 PL-1
1 PL-2
2 PL-3

PICU

0-1

2 PL-2
0-1 PL-3

Community Advocacy and Mental Health

1

2 PL-3

Electives

 

2

 

1 PL-2 or 3

General Pediatric Surgery

0-1

1 PL-3

Night Teams

  • Inpatient
  • NICU
 

1
1 week

1 PL-1, 1 PL-3
1 PL-1
1 PL-2 or 3

Vacation

1

 


 

 


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