CLINICAL CURRICULUM

ROTATIONS

  • 3 months on the Wards
  • 2 months in the NICU
  • 1 month in the PICU
  • 1 month of Hem/Onc
  • 1 month of ER
  • 1 month of Newborn Nursery
  • 1 month of Advocacy
  • 2 electives
  • 2 months as Ward Senior
  • 1 month as NICU Senior
  • 1 month as Hem/Onc senior
  • 1 month of ER
  • 1 month of Adolescent
  • 2 months Elective
  • 1 month of Development & Behavior
  • 1 month of Urgent Care
  • 2 months of individualized curriculum with cross-cover/call*
  • 1 month PICU team leader
  • 1 month Teaching Resident rotation
  • 1 month Wards senior or Night Float senior
  • 2 months ER
  • 1 month Urgent Care
  • 3 months elective
  • 2 months individualized curriculum with cross cover/call*

* Call based on night float system with one week of nights and one weekend call during Wards and NICU, some 24 hour shifts during cross-cover months

continuity clinic

A team model is used for patient care, continuity and teaching. Recently the practice’s approximate 10,000 patients were distributed among ten smaller micropractices. Each resident is assigned to a micropractice group that has 1-2 faculty leaders and a nurse. Residents in each micropractice team generally have their clinic on the same day of the week with their faculty preceptors. This model allows for greater continuity and the ability to track outcomes for a smaller panel of patients. Residents provide a full range of pediatric services including well child visits, follow up visits for chronic medical conditions, medical clearance, sick visits, sports physicals and care coordination. Residents are expected to take ownership of their patients, follow up on labs and consults, and have a unique opportunity and responsibility to be the pediatrician for a family.

RESIDENT DIDACTICS

Standard MR – Case based format led by our teaching resident or one of our chief residents where we work through an interesting or challenging case. We encourage the use of games, small group work and reversed classroom structure to enhance engagement.

Senior MR – Weekly discussion of interesting cases admitted from the prior week with senior residents and attendings

Intern MR – Weekly didactic session led by fellows and chief residents which focuses on diagnosis and management of common pediatric disorders

Capstone – Monthly presentation by a PGY-3 resident during their teaching month, similar to a Grand Rounds presentation, focused on addressing a challenging clinical question. Presentation is mentored by a Faculty Member

Grand Rounds – Weekly presentations on Friday by invited guest speakers distinguished in their field directed towards faculty, fellows, and residents 

We follow the 18 month American Board of Pediatrics Content Specification Guidelines to ensure that all our residents have didactic training across varied pediatric disciplines

Daily Noon Conference – Interactive, case based discussions led by attendings on topics highlighted in the ABP Content Specification Guidelines. Lectures incorporate Board Review questions to solidify concepts.

JAMA Critical Appraisal – An interactive approach to journal club, led by our teaching residents, which incorporates small group work to evaluate articles related to Diagnosis, Therapy, Harm and Meta-Analysis.

Board Review Session – Weekly session led by our chief residents based on high-yield topics and test-taking strategies

resident wellness

At Brown, resident and faculty wellness is both a priority and an open topic for creativity. The Brown Pediatrics Wellness Committee was created in 2017 with a focus on approaching wellness through a variety of methods. Residents are always encouraged to bring new ideas to the table. Our wellness committee serves with the goal to help each person develop the tools that help them find the most satisfaction and meaning in their work. The Brown Peds Wellness Committee is primarily resident-run and is dedicated to providing structured wellness activities into our curriculum. Our wellness committee is currently spearheaded by Sarah Harney (PGY-3) and Heather Edward (PGY-3). Through wellness research grants and activity funding, our wellness committee has been a very active part of our program and include the following wellness activities:

  • Opt-out Therapy: Interns are connected with a therapist at the start of residency that is opt-out
  • Wellness Morning Reports – Once monthly morning report dedicated to wellness topics (examples: Mindfulness in Medicine, Reflection, Yoga, Financial Wellness, Arts & Crafts)
  • Appreciation Breakfast: Designated morning report sessions where residents are given the opportunity to relax and enjoy breakfast as a sign of appreciation for their work. This gives residents and faculty the chance to catch up and enjoy the morning report time to socialize
  • “Resident families” – Our residency is divided into 6 resident families that is made up of 14 residents across class years that gather for various social activities outside of the hospital regularly
  • Intern Support Groups – A bi-monthly event hosted at a faculty home intended only for PGY-1 class members. This event includes dinner and is an opportunity to discuss the challenges and rewarding aspects of intern year, and to gather classmates together for support
  • PGY2/PGY3 Support: A continuation of intern support groups, occurring quarterly at the home of selected residents in the class. The PGY-2 and PGY-3 classes meet independently to again get support from their peers and discuss the unique challenges and rewards of their roles over dinner
  • Class Retreats – Each class will have an evening retreat with coverage provided by the other class years (interns typically go on a Newport Boat Cruise, seniors choose alternate destinations)
  • Faculty-facilitated check-ins (“Katz chats”)
  • “Beach Week” – Interns get a full week off at the end of the academic year to travel together (the class collectively decides where they would like to go)
  • Wellness Research Grant: Funding to encourage resident research into the growing field of wellness. Fund allocation will be determined by the Wellness Committee with faculty input. Funds can be used to help defray costs of proposed research projects and/or for travel to present resident research.

Follow us on social media:

  • Instagram: @brownpeds or @brownpedswellness
  • Twitter: @brownpediatrics

advising

We offer multiple tiers of advising for our residents:

Clinical Competency Committee (CCC) Advisor – an advisor assigned to you at the beginning of PGY-1 whose main responsibility will be to support you successfully through residency training

Career Advisor – an advisor assigned to you at the beginning of PGY-2 matched with you based on your chosen career path. Their main responsibility is to help our residents prepare for their next stage AFTER residency training. From fellowship applications to research grants, to job interviews this advisor will leverage their experience to guide your plans for the future.

Program Advisor – a member of Program Leadership assigned to you at the end of PGY-1 whose main responsibility is to help you map out your Individualized Curriculum.

PROGRAM IMPROVEMENT

We value the feedback of our housetaff and understand their input must drive the changes and improvements we plan for the program. As a result we offer several opportunities to hear from our residents and create plans for actionable, sustainable change.

Resident Improvement Committee (RIC) – monthly meetings attended by residents and program leadership to discuss new concerns and provide follow-up on previously discussed issues.

Chill with Phyll – a monthly meeting led by our Chair, Phyllis Dennery, and attended by residents to discuss concerns and questions trainees have for Departmental Leadership

Program Evaluation Committee (PEC) – quarterly meetings to review our program mission and goals and how well they are aligning with our current practice. Also an opportunity to review progress on our Program Improvement Plan (PIP) a living document meant to operationalize large scale change within the program. PEC members include our residents, program leadership, departmental leadership and key stakeholders.

Graduate Medical Education Committee (GMEC) – monthly meeting led by the Designated Institutional Officer (DIO) attended by all program directors from across the institution and resident representatives. We are proud to say we have always had a pediatric representative from the housestaff as a member of the GMEC.