The BCRP curriculum is designed to provide increased responsibility during the first two years, culminating in a strong supervisory year. Rotations occur predominantly at Boston Children’s Hospital and Boston Medical Center, with a few rotations occurring at Brigham and Women’s Hospital and Tufts Medical Center. LEAD residents spend more of their primary care, emergency room, and general pediatrics experiences at BMC than categorical residents. The intern year focuses on building a foundation in general pediatrics, beginning to build a longitudinal ambulatory practice, and gaining experience in advocacy. The junior year is spent predominantly on subspecialty and acute care units, experiences that are often more challenging than those in the intern year and more suited to the enhanced capabilities of junior residents. Junior residents also acquire some supervisory experience, formal teaching experiences, and have more time to individualize their curriculum. The senior year focuses on supervisory experiences, acute care, individualized learning opportunities and research.