Patients admitted to each of the general pediatrics services at Boston Children’s and BMC receive care at night from a dedicated “night team” consisting of an intern and supervising resident. Each “night team” rotation lasts two weeks, affording the team continuity of care and consistency between the intern and the supervising resident. On average, interns have two 2-week “night team” rotations on a general pediatric service over the course of the year. On-call rooms and meal allowances are provided for house officers on night duty.
For rotations that do not employ “night teams”, residents take in-hospital call every 4th night. On-call rooms and meal allowances are provided for house officers on call at all three hospitals. All rotations in the BCRP are in full compliance with the ACGME work hour regulations.
Hybrid X+Y Scheduling Model
The BCRP has transitoned several rotations to a Hybrid X+Y scheduling model. These rotations include: 1) in the intern year, the Pulmonary and BWH NICU rotations and 2) in the junior year, Cardiology, GI, MSICU and Oncology. In this scheduling model, residents have 2 weeks of inpatient day time shifts, one week of inpatient nights, and one week of outpatient experiences in their own primary care clinic as well as the subspecialy clinic associated with the rotation.