The Residency Program Training Committee (RPTC) was established in the 1970s and is responsible for review of the curriculum and for development of new training initiatives. The committee’s structure, shown in the figure, aligns residents and faculty members with the main educational elements of the residency program curriculum. The RPTC Executive Committee oversees and integrates the work of five standing Committees for Inpatient Care, Subspecialty Experiences, Intensive Care, Ambulatory Experiences, and the Individualized Curriculum. On all committees of the RPTC, there are faculty representatives from each institution, but residents elected from each class constitute the majority of the committee members. The fact that residents in the Boston Combined Residency Program (BCRP) are primarily responsible for directing their own program and deciding critical details is one of the strengths of the program.
Based on new 2013 ACGME Program Requirements for Graduate Medical Education in Pediatrics the RPTC and its standing Committees redesigned the residency program curriculum while maintaining compliance with new program requirements. Our aim was to create an innovative curriculum that provided rigorous pediatric training, met curricular needs, and provided flexibility for professional development. We believe the new BCRP curriculum reflects the mission, vision, and values of our program and enhances the academic focus of residents, a focus that sets us apart as a pediatric residency program nationally.
BCRP Administration and Operations
The BCRP is the union of prior residency programs at Boston Children’s Hospital (BCH) and Boston Medical Center (BMC) and functions as a one integrated program with the leadership at each institution working collaboratively. At each site there are weekly meetings of the program leaders (program directors, chief residents, administrative staff, and, when appropriate, department chairs). The Executive Committee is comprised of all program leaders and meets monthly and alternates sites.
Regular class meetings every few months allow for exchange of ideas, information, and areas of needed improvement. Town hall meetings of the entire residency serve a similar function and occur every two to three months. These gatherings provide an open forum for discussion on a variety of topics related to residency education.
Progress Notes, a weekly newsletter, written by the chief residents, features a column, Program Directors’ Corner, in which the leadership provides an opportunity for real time discussion of events, ideas for curricular change, areas of success to celebrate or areas of improvement that need action.
In these multiples venues, we hope to continue to foster bidirectional exchange of information, ideas, and issues with the ultimate goal of constantly improving the education and training within the BCRP
Residents serve as a driving force for change in the program. They play a key role in the Residency Program Training Committee and the resident voice at class meetings and town hall meetings is pivotal to curricular development. The wonderful collaboration of residents with chief residents and program leadership is a significant feature of the BCRP.