First Year, PL-1

The intern year experiences are intended to develop a foundation of pediatric knowledge, along with the practical skills and confidence needed to work independently and supervise other residents in the subsequent years of the residency.

Interns getting fit tested during rising intern orientation!

Interns take front-line responsibility for the care of patients in the inpatient wards, ambulatory clinics, and emergency departments at both BCH and BMC, as well as in the NICUs at BMC and Brigham and Women’s Hospital (BWH). In these settings, interns learn how to care for patients with a wide range of pediatric illnesses and illness acuities. Interns also participate in teaching medical students from Harvard Medical School and Boston University School of Medicine.

Interns practice procedures during rising intern orientation!

Building the foundation: Most of the inpatient experiences during the intern year involve covering the pediatric wards at both BCH and BMC. These teams are geographically based and comprise a mix of general pediatric and subspecialty patients. Interns also cover the Intermediate Care Program (a PICU step-down/floor step-up unit at BCH). Neonatal experiences take place in the newborn nurseries and NICUs at BMC and BWH. Finally, interns work in the Emergency Departments of BMC and BCH. Interns also get an introduction to subspecialty care during their four-week Pulmonary rotation, a primarily inpatient service with one week of outpatient clinic.

Ambulatory experiences:
 All residents belong to a Continuity Clinic, where they care for their personal patient population panel over the course of three years including occasional work in Urgent Care. In addition to this, interns participate in longitudinal ambulatory experiences in Developmental and Behavioral Pediatrics and in Adolescent Medicine during the Keystone blocks. Interns are also exposed to subspecialty ambulatory clinics during their Pulmonary rotation.

Interns practice giving testimony at the State House during their Keystone block

Advocacy experiences: All interns participate in 4 total weeks of formal advocacy training during their Keystone blocks. During this time, they gain knowledge of community resources and local and state advocacy programs, skills in media and legislative advocacy, and broader understanding of career opportunities in advocacy, public policy and global health.

PL-1 Rotation Schedule


Service Units (1U=4 wk) Night/Weekend Call
Inpatient Day Service
(BCH Gen Peds, 7Subs, BMC Ward)
2-4 Work 2 wknds.
Off 2 wknds
Inpatient Day Service
0-0.5 No overnights,
Work 6 days/wk
Inpatient Day Service
1 2 wks of day shifts, 1 wk night shifts, 1 wk outpt
Inpatient Night Service (BCH Gen Peds, 7Subs, BMC Ward) 0-1 Work 5 nights on night float, off 2 nights
Neonatal Intensive Care Unit 1-2 BWH: 2 wks of day shifts, 1 wk night shifts, 1 wk outpt
BMC: Day shifts. On 2 wknds, off 2 wknds
Newborn Nursery 1 No overnights. Work 2 wknds. Off 2 wknds
Keystone: Child Development,
Adolescent Medicine and Community Health and Advocacy
1 4 to 5 nights in ICP dispersed throughout Keystone block
Emergency Medicine 0.5-1 Day and evening shifts
Intermediate Care Program 0-1 Work 2 wknds.
Off 2 wknds.
Back Up 0-0.5
Vacations Two 2-wk breaks
Continuity Clinic 1 afternoon/wk on average Increased frequency of clinic during outpatient “Y” weeks