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First Year, PL-1 |
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The intern year experiences are intended to foster the development of a foundation of pediatric knowledge, along with the practical skills and confidence needed to work independently and to supervise other residents in the subsequent years of the residency. Interns take front-line responsibility for the care of patients in the inpatient wards, ambulatory clinics, and emergency departments at both BCH and BMC, as well as in the NICU at Brigham and Women's Hospital (BWH). In these settings, interns learn how to care for patients with a wide range of pediatric illnesses and illness acuities. Interns also participate in clinical teaching of medical students from Harvard Medical School and Boston University School of Medicine.
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| Team ward rounds |
Building the foundation: Most of the inpatient experience
during the intern year involves covering the pediatric
wards at both BCH and BMC. These teams are geographically
based and comprise a mix of general pediatric
and subspecialty patients. Interns also cover the
Intermediate Care Program (a PICU step-down/floor stepup
unit at BCH) and the Cardiology service at BCH.
Neonatal experiences take place in the newborn nurseries
and NICUs of BMC and BWH. Finally, interns work in the
Emergency Departments (EDs) of BMC and BCH.
Ambulatory Experiences: All residents belong to a
Longitudinal Ambulatory Experience (formerly known as
Continuity Clinic), where they care for their personal
patient populations and occasionally work in Urgent Care.
In addition to this, interns participate in 4 weeks each of
Child Development and Adolescent Medicine, which are in
outpatient and community-based care settings.
Advocacy experiences: All interns participate in 4 total
weeks of formal advocacy training during their Keystone
Quarter. During this time, they gain knowledge of community
resources and local and state advocacy programs,
skills in media and legislative advocacy, and broader
understanding of career opportunities in advocacy, public
policy and global health.
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Inpatient Day Service
(9E/SSU,
7W/PEAR, 6E/HAIR, BMC Ward)
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3-4
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Two overnights, 2
wknd days, with 4
wknd days off/month
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Inpatient Night Service
(9E/SSU,
7W, 6E, BMC Ward)
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2-Two week blocks
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Night Float - 5 nights
on, 2 nights off/wk
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Neonatal Intensive Care Unit
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1-2
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BWH: One wk Night Float, one wknd (days).
BMC: Long & short
call. No overnights.
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Newborn Nursery
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2-Two week blocks
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No overnights
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Child Development
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1
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Intermittent night
coverage
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Adolescent Medicine
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1
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Night Float (4 nights ICP cross-cover)
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Emergency Medicine
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1-2
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Day and evening shifts
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Intermediate Care Program
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0-1
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Two weekends (4 days)
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Community Health
and Advocacy
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0.5
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Intermittent night
coverage
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Vacations
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Two 2-wk
blocks
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Longitudinal Amb
Experience
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One afternoon/wk on average
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