Additional learning experiences are provided out of the hospital, an opportunity that the residents enjoy. These include a home visit with Early Intervention staff and a trip to the Children's Hospital Childcare center to observe normal development. Additionally, one morning a week, the residents visit an elementary school in the Boston Public School system. Under the auspices of a school nurse or adjustment counselor, the residents observe a number of different classrooms, including special education settings. Some attend special education evaluation meetings, or special school events. They learn about the referral and evaluation process for special education and become familiar with inner city public education in Boston. In addition, they review videos on a range of developmental topics, and are given reading time to research and prepare their end-of-rotation presentations.

Also, one morning a month, each intern attends the Comprehensive Care Program, a multidisciplinary primary care outpatient clinic for children with complex medical problems, including children with significant developmental delays, mental retardation, seizure disorders, autism, and former premature infants. Residents see three or four new or established patients in conjunction with primary care providers. Finally a lecture series at both BMC and CHB augments the clinical experiences of this rotations and includes topics such as developmental screening and surveillance in primary care, special education evaluations and services, mental health screening in primary care, failure to thrive, discipline, the child's experience of grieving and loss, and the child's experience of interpersonal violence.