During the PGY-3 year, there is continued emphasis on supervising junior residents and developing autonomy as residents prepare for either a fellowship or a career in general pediatrics. The PGY-3 resident oversees and assists junior residents and students on the inpatient units at Wolfson Children’s Hospital and in the intensive care units. He or she organizes and manages teams on the inpatient and outpatient services in conjunction with the faculty and is responsible for leading case discussions and patient care plans for the team.

Third-year residents prepare and present grand rounds which may be recent updates on a topic of general interest, a discussion focused on a clinical case or any scholarly work they have been involved with. They work closely with a faculty mentor in preparation. This provides an opportunity for the residents to inform and educate residents and faculty in a professional setting and to polish their public speaking skills, an essential leadership competency.

Inpatient Experience at Wolfson

PGY-3 residents complete two inpatient blocks during the third year, each providing a unique experience for the resident and provide supervisory experience by leading an inpatient general pediatrics team at Wolfson Children’s Hospital, with direct supervision and teaching of PGY-1/2 pediatric residents, medical students and physician assistant students. These two blocks are split into 2 week day/night shifts.

As a PGY-3 at night, residents share patient responsibilities with two additional junior residents, but function as the supervising resident for the inpatient service and admissions. The PGY-3 resident has hospitalist faculty on site until midnight. From midnight to 6 a.m. faculty are available by phone. This experience gives the residents much-needed autonomy to practice medicine in a controlled environment with indirect supervision and allows them to develop the confidence and clinical reasoning skills they need to practice once they graduate. There is a PICU faculty member in house at all times and the PICU team is available for all rapid responses and to help care for any critically ill patients when that need arises. All noon conferences are recorded and made available online for residents to be able to review either during their call or later when they are able to do so. Starting July 2025, there will be an additional PGY-3 resident also in house to assist the general pediatric team. The overnight subspeciality resident is also available to lend a hand if needed and not busy with subspecialty patients of their own.

NICU Experience

During the NICU rotation, the PGY-3 resident assumes complete responsibility for the NICU team, consisting of both PGY-1 and PGY-2 residents. The third-year resident is able to help manage patient care as well as build procedural and resuscitation skills.

PICU Experience

In the PICU, the PGY-3 resident again takes on a supervisory role over PGY-2 pediatric and emergency medicine residents. This month while primarily focused on taking care of critically ill pediatric patients may also provide another opportunity to perform common procedures such as intravenous line placement, naso-jujenal tube placement, bladder catheterization, intubation and lumbar puncture along with other procedures such as central line placement as and when available. The residents work closely with faculty and in addition to direct patient care, are involved in one-on-one didactics with the faculty.

WCH/Nursery Night Shift

Starting July 2025 as noted above, the PGY-3 will spend the first two weeks covering the newborn nursery shifts at UF at night and then move to WCH for the remaining two weeks of the block. They would help the general pediatric team there and also be responsible overnight for the hematology oncology patients.

Adolescent Medicine Experience

During the adolescent medicine rotation, residents learn about the medical and social issues affecting adolescents. Residents are exposed to a diverse population through experiences at a private preparatory school clinic, and JaxHATs (adolescent transition clinic for children with special health care needs).

Mental Health Rotation

During this outpatient mental health block, residents learn outpatient mental health screening, diagnosis and management of a variety of mental health conditions such as but not limited to ADHD, depression, anxiety, PTSD. This rotation is under the guidance of dedicated pediatric psychiatrists. An elective mental health block is also available for anyone interested during the PGY-2 year. This includes time at an addiction medicine facility once per week as permissable.

Research and Administrative Experience

The PGY-3 residents have the option to spend a month in an administrative role. They may also use this month to do another elective if they so decide. During this month, the administrative resident assists in running noon conferences as needed and may attend designated patient safety meetings. PGY-1, PGY 2 and PGY 3 residents also present a peer-reviewed, EBM article using the PICO methodology. This block also provides time for the third-year resident to work on completion of his/her scholarly and quality improvement projects as well as study for the boards.