First Year of Residency (PGY-1)

Pediatrics Residency
PGY-1 Rotations
Rotation Blocks Overnight Call
Inpatient Wards 3.5-4 2 weeks night shift during two of the general pediatric inpatient blocks
Pediatric Emergency Department 2 Shift Work
Newborn Nursery 1-2 1 week night shift and 3 weeks day shift
Neonatal ICU 1 None
Endocrinology
(inpatient/outpatient blended experience)
1 None
Ambulatory Clinic 1 Weekend Pool
Community and Societal Pediatrics 1 Weekend Pool
Elective 1.5-2 Weekend Pool

The emphasis during the PGY-1 year is on learning the basic principles needed to take care of children. Through close interaction with senior residents and faculty, the PGY-1 resident develops a personal sense of responsibility for patient care while learning the tools required for a life-long commitment to learning and medical education. Each resident develops teaching skills by supervising medical and physician assistant students, thereby broadening his or her own educational experience.

All PGY-1 residents also attend an all-day required teaching seminar to further enhance their teaching skills.

Inpatient Experience

The inpatient experience is primarily at Wolfson Children’s Hospital (WCH). Here, residents take care of general pediatric patients from all socioeconomic groups, as well as a variety of pediatric and surgical subspecialty patients. All inpatient experiences are supervised by faculty. Senior residents have the opportunity to supervise their junior colleagues, thus gradually preparing them for the independent practice of medicine. Residents will participate on both the general pediatrics inpatient teams as well as the hematology/oncology inpatient team. During the general pediatric in-patient months, interns will spend two weeks on night shift and two weeks on day shift during two of the blocks.

Pediatric Emergency Medicine Experience

The pediatric emergency department (PED) at UF Health Jacksonville has more than 22,000 pediatric patient visits annually. Here, PGY-1 and PGY-2 residents are exposed to the rapid diagnosis and management of acutely ill patients across the pediatric spectrum. Residents also have the opportunity in both the PGY-2 & PGY-3 years to do an elective rotation in the ED at WCH, in addition to their required emergency room rotations at UF Health Jacksonville. Both facilities are approved as pediatric trauma centers by the state. Residents learn basic procedures such as incision and drainage of an abscess, simple laceration repair, venipuncture, suturing, splinting and management of simple fractures and also participate in the care of trauma patients, resuscitations and performing gynecologic examinations. Under the supervision of ED faculty, PGY-1 residents are required to do a procedure based simulation during this rotation.

Newborn and NICU Experience

In the newborn nursery and NICU rotations (at UF Health), residents have extensive exposure to a variety of neonatal conditions and receive formal training in both newborn management and resuscitation of critically ill neonates. Residents will also participate in procedures such as circumcision, peripheral venous blood draws, neonatal intubation, umbilical central line placement and more.

Several initiatives have recently been introduced to enhance the educational experience of the residents during the NICU and nursery months. These include:

  • NRP mock code for all years on a preemie mannequin
  • Active interaction between NICU and nursery for QI projects
  • Interaction with OB and maternal fetal medicine for monthly perinatology conferences during these rotations

These experiences include residents at all levels of training.

Subspecialty Experience

During the first year, residents will rotate for one block with the endocrine team, working one-on-one with faculty and fellows. Their in-patient time on this blended rotation is spent rounding on inpatients on the service and seeing consults for two weeks. Residents then spend two weeks in the out-patient clinic, learning about a wide spectrum of endocrinology diseases and conditions. They are also encouraged to spend at least 1-2 half days with the diabetes educators learning specifically about insulin pumps so as to better educate their patients. They are given a dedicated reading list during that month to facilitate learning and discussion. PGY-1 residents get 2 weekends off during this block and work on Saturday only during the other two weekends.

Ambulatory Experience Including the Longitudinal Outpatient Experience

All residents have a longitudinal primary care outpatient experience in a setting that provides a medical home for a full spectrum of pediatric patients. PGY-2 residents can also choose to have another outpatient primary care ambulatory month in one of the UF clinics. In the PGY-3 year, residents can continue this same experience or may choose to divide their experience between a subspecialty clinic as well as their primary clinic site. The residents develop a sense of personal responsibility for not only the patient but also their families. This includes a focus on wellness and prevention, coordination of care, longitudinal management of children with special health care needs and chronic conditions. In addition, pediatric residents benefit from the supervision provided by experienced UF College of Medicine – Jacksonville faculty. Residents have a choice of longitudinal (continuity) clinics that include Federally Qualified Health Centers (FQHCs), UF College of Medicine – Jacksonville satellite clinics and private offices.

Community Experience

The community and societal pediatrics (CSP) rotation introduces residents to the concepts of child rights, social justice and health equity through reading, faculty teaching sessions and visits to community sites and resources. Residents will learn ways to identify and advocate for resources in underserved populations. This rotation also gives residents the opportunity to gain perspective on the social and environmental determinants that impact the health of children in our community. They also learn about different health care disparities and working with underserved/underprivileged populations

Residents with a strong interest in community pediatrics and advocacy may elect to do a community advocacy initiative (CAI) project where they may select a population or health gap of interest and further explore, develop and implement an advocacy initiative in this area. Further, residents with a strong interest in this area may choose to be on the CSP track. Faculty and community mentors are matched with residents to provide guidance and support throughout the implementation of their advocacy initiatives. While working with children, families and community-based organizations, residents begin to explore cultural competence, advocacy and population-based medicine.

Community based experiences include but are not limited to: child protection team, children’s medical services cleft palate clinic and early steps.