Curriculum

The curriculum for our pediatric residents provides you with the comprehensive knowledge and experience you need to achieve your chosen career path within the field. You gain a wide variety of experiences with rotations at the top-ranked Mount Sinai Kravis Children’s Hospital, our teaching affiliate, Elmhurst Hospital Center, as well as within our community ambulatory center.

PGY-1 Curriculum and Responsibilities

PGY-1 trainees are the primary frontline providers for our patients on the wards. You are responsible for taking histories, performing physical examinations, and carrying out diagnostic and therapeutic procedures. You will be supervised by a PGY-2 or PGY-3 resident and the attending physician responsible for each patient's care. In turn, you will provide supervision and teaching to third-year medical students.

This year, you gain experience in the neonatal intensive care unit (NICU), well-baby nursery, emergency room, and outpatient setting in our continuity clinic and our development clinic. You also may rotate at our teaching affiliate, Elmhurst Hospital Center, an acute care hospital in New York City’s municipal health care system.

You receive four weeks of elective time in the PGY-1 year.

PGY-1 Call Schedule

The PGY-1 schedule complies with both New York State and Accreditation Council for Graduate Medical Education (ACGME) duty hour rules. For each four-week inpatient floor block, each intern typically has:

  • Three weeks of days
  • Two 24 hour calls.
  • One five-day stretch of nights (Sunday to Thursday)
  • Two weekends off per month

You will provide weekend cross-coverage of floors while you are on well baby, community pediatric ambulatory, adolescent, and elective rotation, with an average of three shifts per block. In addition, you will spend a full day in your continuity clinic on all rotations except for the floors, well-baby nursery, and NICU. In these locations, you have a half-day of clinic each week instead.

PGY-2 PGY-3 Curriculum and Responsibilities

PGY-2s and PGY-3s are senior residents. During these years, you will focus on establishing and augmenting an individualized curriculum to identify and build on your career goals. A hallmark of our senior resident schedules is flexibility for elective opportunities to foster career interests and mentorship by faculty.

Developing supervisory and teaching skills is another major curricular goal. PGY-2s typically have two four-week blocks on the pediatric wards, one four-week block in the NICU, and one four-week block in the PICU. PGY-3s typically spend four to six weeks on the pediatric wards, one four-week block in the NICU, and one four-week block in the pediatric intensive care unit (PICU). 

In both years, you will spend full days in the continuity clinic while on elective. You will also have a block of time each year for your Community Pediatric Ambulatory rotation. PGY-3s have a teaching block during which their schedule is dedicated to medical student and house staff pediatric medical education.

PGY-2 and PGY-3 Call Schedule

The senior resident schedules comply with Accreditation Council for Graduate medical Education (ACGME) duty hour rules. Senior residents work no more than 27 hours (24 hours for patient care plus three hours for transition) during a call and get at least one day off per week, although we strive to give all residents two weekends off per month. During service time in the NICU, and PICU, residents have a modified schedule to allow for two weekends off per block, and typically have a total of seven calls per month. During service time on the inpatient floors, seniors adhere to a night float system with either one week of nights and three weeks of days (on a four-week block), or one week of nights and one week of days (on a two-week block). Senior residents provide cross coverage of floors, PICU, and NICU and while they are not on these inpatient services by taking approximately five to seven calls per block. PGY-3s have one call-free block, and PGY-2s have one “light call” block. There are no in-hospital overnight calls while on the ambulatory rotation.

Rotations

Below is a typical categorical resident's schedule (in weeks). Our academic year is structured by 13 four-week blocks.

Rotation

PGY-1

PGY-2

PGY-3

Mount Sinai
  Inpatient

18

8

4 - 6

Pediatric ER

6

4

4

Pediatric ICU

0

4

4

Elective

4

16

24-26

Elmhurst ER

2

0-4

0

Mount Sinai NICU

4

4

4

Well Baby Nursery

4

0

0

Vacation

4

4

4

Adolescent Medicine

4

0

0

Ambulatory Block

2

4

4

Developmental
  Pediatrics

4

0

0

Teaching

0

0

4