The residency program is constantly seeking to improve and innovate the way we train pediatricians and pediatrics subspecialists. Residency Program Training Committee reviews all aspects of the program and proposes new content and rotations to the Executive Committee. Many members of the residency community were involved in the in-person retreat including resident representatives, chief residents, program leadership and invited faculty from Boston Children’s Hospital and Boston Medical Center.
In the 2020-2021 academic year, we have focused our attention on rotation and schedules changes based on three important priorities:
- addressing schedule changes to facilitate compliance with duty hour standards.
- organizing inpatient rotations in ways that promote continuity of patient care and optimize the integrity of inpatient teams.
- adapting to the clinical environment in the COVID-19 pandemic era in healthcare with the emphasis on virtual outpatient visits, incorporating principles of social distancing in the design of ambulatory clinic spaces and scheduling.
To address the issue of compliance with duty hours we will reduce the calls with extended shifts and move towards a day-night system of call on the majority of rotations. Organizing inpatient rotations, we will implement and innovate with an X + Y scheduling system on a selected group of rotations. Our large continuity clinics will need to renovate their clinic space and reduce the number of providers at a clinic session, Therefore, our residents will attend morning, afternoon, and evening clinic sessions to accommodate the reorganized clinic operations. We will study these program changes to inform future innovations.