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Second Year, PL-2 |
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| Consulting nuclear medicine |
The junior year is when residents get their most concentrated exposure to subspecialty and acute care settings, accompanied by an increase in decision-making autonomy and responsibility for high-acuity, often critically ill patients. The junior year also introduces supervisory roles, and affords more opportunities for leadership and teaching.
Increased acuity, increased autonomy: Juniors are the only residents on the following BCH subspecialty inpatient services: GI, Pulmonary, Complex Care, Oncology, and Stem Cell Transplant. Breadth of subspecialty experiences
is maintained by including ambulatory experiences on
these rotations anchored on the inpatient subspecialty
units.
Juniors also work with increased autonomy caring for acutely ill patients in the EDs at BMC and BCH, serve as the main responders to all deliveries requiring a pediatrician at BWH, and cover one of the three main teams in the Medical-Surgical Intensive Care Unit (MSICU). These rotations require juniors to build on the clinical skills and knowledge gained during the intern year, becoming more nuanced in their evaluations and differential diagnosis, and more independent and efficient in patient management.
Supervisory experiences: Juniors supervise interns in the BMC Ward and NICU, and in the BCH Intermediate Care Program and Short Stay Unit. They are also frequently role models and sources of support for interns in the EDs at BCH and BMC. Many of our residents love to teach and to lead, and these experiences are highly valued by juniors as opportunities to participate in shaping the culture of the BCRP.
Individualized Curriculum: The junior year includes 6
weeks of individualized curriculum and 4 weeks of elective
time, of which 2 weeks are call-free. Juniors use this time
to personalize their training experience by pursuing further
exposure to pediatric subspecialties, dedicating time to
research or teaching, engaging in global health experiences,
and a myriad of other options. Some are structured
by the residency program and others are individual and
unique.
Expanded UHAT opportunities: In addition to the above experiences, UHAT residents have a half-day every other week when they can choose between a second continuity clinic and a project in urban health, advocacy, global health or public policy. Those selecting a project are coupled with a faculty mentor throughout the PL2 and PL3 years.
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