Northwestern University Feinberg School of Medicine

Department of Pediatrics

Schedules

Rotations in the 1st year include:

Weeks

Rotation

16-20Subspecialty Rotations
4-8General Medicine Wards
4-8Prentice Neonatal ICU
8Emergency Department
4Normal Newborn Nursery
4Community Outpatient General Pediatrics
4Adolescent Medicine
3Vacation
  1. Subspecialty Rotations - specialty-specific teams that comprise our pediatric wards. These teams include: cardiology, nephrology, neurology, endocrinology, infectious diseases, gastroenterology/hepatology, hematology/oncology, and pulmonary/allergy. During these rotations, PL-1 residents are primarily responsible for inpatient care.
  2. General Medicine Wards - inpatient care for general pediatric problems ranging from acute illness to medically complex/chronic illness.
  3. Neonatal Intensive Care Units - located at Prentice Women's Hospital, residents gain experience in neonatal resuscitations and caring for preterm and medically complex infants.
  4. Normal Newborn Nursery - well newborn care at Prentice Women's Hospital. In this well-baby nursery, residents gain experience handling non-urgent problems, giving anticipatory guidance, and perfecting the newborn physical exam. This is a great place for residents to recruit newborns for their own general continuity clinics.
  5. Emergency Department - a level I trauma center that sees more than 50,000 patients a year. Residents work two months of day and evening shifts. A core lecture series goes over procedural basics including splinting, suturing, and mock codes.
  6. Outpatient General Pediatrics - outpatient pediatric clinic at a local Lurie Children's affiliated private practice. Included in this rotation is an experience with Project D.O.C.C., an organization of parents of chronically-ill children who share their experiences with residents.
  7. Adolescent Medicine - a variety of outpatient clinics in adolescent care, including specialty clinics such as HIV, women's health, and gender identity issues.

During the first year, residents participate in a night float system, compliant with ACGME work hour guidelines.

Rotations in the 2nd year include:

Weeks

Rotation

8Subspecialty Rotations
8Pediatric ICU
8Elective
8Emergency Department
4Lurie Neonatal ICU
4General Medicine Ward
4Behavior & Development
4Vacation
  1. Subspecialty Rotations - PL-2 residents transition into a leadership role as a supervisory resident both for call and during the daytime. During these rotations, the PL-2 may have responsibilities including inpatient care, consultations, and outpatient clinics.
  2. Pediatric Intensive Care Unit - The Ann & Robert H. Lurie Children's Hospital of Chicago Lefkofsky Pediatric ICU has 60 beds and a separate transitional care unit (TCU) for chronically ill children. PL-2 residents do not cover the cardiac ICU patients or TCU patients, thereby maximizing exposure to the diagnostic and management challenges of the medically complex patients in the PICU.
  3. Neonatal Intensive Care Unit - at the Lurie Children's level III NICU, residents gain experience in caring for a referral population of medically complex neonates. Many of these infants have surgical/anatomic diseases or require extensive medical management for diseases such as congenital heart disease, pulmonary hypertension, meningomyelocele, and hypoxic-ischemic encephalopathy.
  4. Emergency Department - PL-2s are given more independence in the ED as they transition to working the busier evening and overnight shifts.
  5. Community Pediatric Ward - PL-2s gain experience in running the community pediatric inpatient team at Lurie Children's. PL-2s supervise medical students and family practice residents while caring for common pediatric problems.
  6. Behavior & Development - interactive experiences in day care, small groups, schools, and clinics to foster education in both normal and abnormal developmental patterns, behaviors and management strategies.
  7. Community Medicine and Child Advocacy - during this month, PL-2s gain various experiences in legislative efforts, health awareness, public health education, and social services to help reinforce the role of a physician as a leader in the community. Residents visit many community resources including the Chicago section of the AAP, the Women/Infants/Children (WIC) program of the USDA, the Illinois Poison Center, domestic violence shelters, and the home/lead inspection wing of the Illinois Department of Health.
  8. Electives - a variety of elective options are available at Lurie Children's. Possible electives include: sports medicine, dermatology, dentistry, urology, otolaryngology, genetics, pediatric surgery, general academic medicine, anesthesia, radiology, vascular access, orthopedics, ophthalmology, and any additional subspecialty clinic as mentioned above.

Call during the 2nd year is every 4th night with at least one weekend off per month. This schedule is in compliance with an eighty-hour workweek per RRC requirements. Five months are call-free.

Rotations in the 3rd year include:

Weeks

Rotation

12Subspecialty Rotations
12Elective
8Night Float/elective
4General Medicine Ward Supervisor
4Neonatal ICU Supervisor
4Emergency Department Supervisor
2Child Abuse Pediatrics
4Vacation
  1. Neonatal ICU Supervisor - at Prentice Women's Hospital, PL-3s gain experience running the team and supervising PL-1s with deliveries, procedures, and decision-making strategies. Two weeks of this rotation are specifically dedicated to furthering delivery and procedural experience.
  2. Emergency Department Supervisor - PL-3s work day shifts and function both seeing patients and assisting PL-1s, MS4s, and rotators with procedures and decision-making. PL-3 residents also help the transport team triage calls from other emergency rooms and are involved in any traumas that come in.
  3. General Medicine Ward Supervisor - Supervising PL-1s, MS3s and MS4s, the "Gen Med senior" leads a large team providing general pediatric care. This rotation allows the PL-3 significant autonomy to run a service and make independent decisions while providing leadership, organization, and education.
  4. Subspecialty Rotations - PL-3 residents are team leaders for a variety of subspecialties. During these rotations, the PL-3 splits time between inpatient care, consultations, and outpatient clinics.
  5. Electives - a variety of elective options are available at Lurie Children's. Possible electives include: sports medicine, dermatology, dentistry, urology, otolaryngology, genetics, pediatric surgery, general academic medicine, anesthesia, radiology, vascular access, orthopedics, ophthalmology, and any additional subspecialty clinic as mentioned above.
  6. Protective Services - experience in both inpatient and outpatient DCFS-related cases including neglect, physical, and sexual abuse. Residents go to autopsy reviews, case conferences, juvenile court, and the local DCFS office.
  7. Senior Project - under the guidance of a faculty preceptor, PL-3s complete a "senior project" that may be based in clinical or basic research, advocacy, or other areas of interest. This requirement provides residents with the experience of becoming an expert in a particular area of medicine and with an appreciation for the complexity of doing quality research.

During their third year, residents participate in a night shift system in compliance with RRC work hour requirements.