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 2021-2022 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.
- Reorganizing inpatient rotations in ways that address team size and resident workload and reduce the number of tasks that could be handled by other healthcare providers.
- Refreshing our didactic and case-based conferences to incorporate our Leadership Curriculum and Procedure Curriculum and establishing a joint conference across both institutions, BCRP Rounds, a virtual case-based conference that emerged as a best practice during the pandemic.
To ensure compliance with duty hours we are reducing the number if calls with extended shifts and moving towards a day-night system of call on the majority of rotations. Last year, we instituted a new Post Call Policy that facilitates overnight residents leaving after the Morning Handoff with some exceptions on weekends.
At Boston Children’s Hospital, the inpatient general pediatrics and subspecialty services have been re-organized as follows:
- Pediatric Hospital Medicine Team A will include the General Nephrology Service
- Pediatric Hospital Medicine Team B will include the Allergy/Immunology and Rheumatology Services
- Pediatric Hospital Medicine Team C will include Toxicology and Environmental Medicine Services
- The 7 Subs Team will include the Adolescent Medicine, Endocrinology and B.dolosa Cystic Fibrosis Services
- The 6 Subs Team will include the Hematology and End Stage Renal Disease Services
- Cardiology, Gastroenterology, Oncology and Pulmonology Teams remain as single subspecialty services
We will continue to implement and innovate with an X + Y scheduling system on selected rotations. In this academic year, we will expand the number of residents on the Inpatient Gastroenterology Rotation and adopt an X+Y system. 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.
In refreshing our didactic and case-based curricula, we have incorporated what we learned through virtual instruction during the pandemic, by continuing our joint morning conference, BCRP Rounds, as a hybrid (virtual and live in-person) conference that features live sessions from both Boston Children’s Hospital and Boston Medical Center each week.
Our Noon Conference Series includes our best didactic teaching conferences starting each academic year with a focus on foundational lectures for interns and incorporating our Leadership and Procedural Curriculum Courses as well as offering some protected administrative time for residents to do evaluations, web-based courses (Healthstream and Net Learning), and other required duties such as duty hour logging, procedure logging and elective submissions. Wednesdays at Boston Children’s Hospital features the long-standing Grand Rounds with prominent national speakers and named lectures. Case of the Week at Boston Medical Center will move to the noon hour this year.