First Year, PL-1

The intern year experiences are intended to develop a foundation of pediatric knowledge, along with the practical skills and confidence needed to work independently and 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 NICUs at BMC and 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 teaching medical students from Harvard Medical School and Boston University School of Medicine.

Team ward rounds


  • Building the foundation: Most of the inpatient experiences during the intern year involve 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 step-up unit at BCH). Neonatal experiences take place in the newborn nurseries and NICUs at BMC and BWH. Finally, interns work in the Emergency Departments of BMC and BCH. Interns also get an introduction to subspecialty care during their four-week Pulmonary rotation, a primarily inpatient service with one week of outpatient clinic as well.

  • Ambulatory experiences: All residents belong to a Longitudinal Ambulatory Experience (formerly known as Continuity Clinic), where they care for their personal patient population panel over the course of three years including occasional work in Urgent Care. In addition to this, interns participate in longitudinal ambulatory experiences in Developmental and Behavioral Pediatrics and in Adolescent Medicine during the Keystone Quarter. Interns are also exposed to subspecialty ambulatory clinics with either a longitudinal monthly clinic experience or monthly clinics that match their rotations.

  • 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.


  • Categorical Track


    PL-1 Rotation Schedule

    Service Units (1U =4 wk)
    Night/Weekend Call
    Inpatient Day Service
    (9E/SSU, 7W/7Subs, BMC Ward)
    2-4 Work 2 wknds.
    Off 2 wknds
    Inpatient Day Service
    (6E/6Subs)
    0-0.5 No overnights, 
    Work 6 days/wk
    Inpatient Day Service
    (Pulmonary) 
    1 7-8 nights on night float in 2 segments during month. On 1 wknd, off 2 wknds.
    Inpatient Night Service(9E/SSU, 7W/6E, BMC Ward) 0-1 Work 5 nights on night float, off 2 nights
    Neonatal Intensive Care Unit 1-2 BWH: 7-8 nights on night float in 2 segments during month. On 1 wknd, off 2 wknds.
    BMC: Work long & short calls with no overnights. On 2 wknds, off 2 wknds
    Newborn Nursery 1 No overnights. Work 2 wknds. Off 2 wknds
    Child Development
    (Keystone)
    1 4 to 5 nights in ICP dispersed throughout Keystone block
    Adolescent Medicine
    (Keystone)
    1 4 to 5 nights in ICP dispersed throughout Keystone block
    Emergency Medicine 0.5-1 Day and evening shifts
    Intermediate Care Program 0-1 Work 2 wknds.
    Off 2 wknds.
    Community Health and Advocacy
    (Keystone)
    1 4 to 5 nights in ICP dispersed throughout Keystone block
    Vacations Two 2-wk breaks ---
    Longitudinal Ambulatory Experience   One afternoon/wk on average
    PL1 cat pie chart

    Urban Health and Advocacy Track


    PL-1 Rotation Schedule

    Service Units
    (1U = 4 wk)
    Night/Weekend Call
    Inpatient Day Service 
    (9E/SSU, 7W/7Subs, BMC Ward)
    2-4 Work 2 wknds.
    Off 2 wknds.
    Inpatient Day Service 
    6E/6Subs
    0-0.5 No overnights, Work 6 days/wk
    Inpatient Day Service 
    (Pulmonary)
    1 7-8 nights on night float in 2 segments during month. On 1 wknd, off 2 wknds
    Inpatient Night Service 
    (9E/SSU, 7W/6E, BMC Ward)
    0-1 Work 5 nights on night float, off 2 nights
    Neonatal Intensive Care Unit 1-2 BWH: 7-8 nights on night float in 2 segments during month. On 1 wknd, off 2 wknds
    BMC: Work long & short calls with no overnights. On 2 wknds, off 2 wknds
    Newborn Nursery 1 No overnights. Work 2 wknds. Off 2 wknds.
    Child Development
    (Keystone)
    1 4 to 5 nights in ICP dispersed throughout Keystone block
    Adolescent Medicine
    (Keystone)
    1 4 to 5 nights in ICP dispersed throughout Keystone block
    Emergency Medicine 0.5-1 Day and evening shifts
    Intermediate Care Program 0-1 Work 2 wknds.
    Off 2 wknds.
    Community Health and Advocacy
    (Keystone)
    1 4 to 5 nights in ICP dispersed throughout Keystone block
    Vacations Two 2-wk breaks ---
    Longitudinal Amb Experience   One afternoon/wk on average
    pie chart pl1uhat