Every intern has at least three months of general inpatient pediatrics experience. Inpatient teams at Boston Children’s Hospital (BCH) are typically location-based, allowing closer relationships with nurses, more contact with families, and less time spent commuting between floors. During the junior and senior years, residents assume a supervisory role in the care of general pediatrics patients. Supervising residents are team leaders and provide much of the bedside teaching to the interns and medical students. Inpatient ward teams are divided into “day” and “night” teams. Each of the BCH general pediatrics team is combined with a subspecialty team that has approximately 1-3 additional patients.
Organization of general inpatient services:
- BCH 9 East (Gen Peds A – Nephrology and Gen Peds B-Rheumatology/ Allergy/Immunology): one senior resident and two interns (Gen Peds A), one junior resident and two interns (Gen Peds B), a nurse practitioner and up to four medical students.
- BCH 7 West (Gen Peds C – toxicology and 7 subs-Adolescent, Endocrinology): one senior resident, and two interns on one team, one junior resident and two interns on the other team. There is a nurse practitioner who helps both teams and up to four medical students divided between the two teams. Resident teams switch between Gen Peds C and the subspecialties after two weeks.
- BCH 6 Northeast (Hematology, End-Stage Renal Disease): two junior residents (one on the inpatient service, one in outpatient clinics and consult services), one intern, and up to two medical students. Junior residents spend a total of four weeks on the rotation, divided evenly between inpatient and outpatient/consults. Interns rotate for two week blocks on the inpatient side.
- Boston Medical Center Inpatient Wards (BMC): one senior resident, one junior resident, three pediatric interns, one family medicine intern, and three to four medical students on a 22-bed unit. The pediatric ward team cares for general pediatrics patients and patients from subspecialty services, including endocrinology, gastroenterology, hematology, neurology, and pulmonology. The two resident teams alternate rounding with the inpatient attending allowing increased autonomy for supervising residents on days when they round by themselves.