Pediatric Level 2 (PL-2) and Pediatric Level 3 (PL-3)
The schedule for the PL-2 and PL-3 resident provides a progressive increase in supervisory responsibility as well as individual opportunities for subspecialty pediatric education. During these years, senior level residents actively participate in the education of pediatric interns and medical students on rounds, in the clinic setting and at educational conferences. Over the course of the two years, time is distributed between ward supervision, intensive care units, ambulatory pediatrics, and subspecialty electives. Ward supervision is gradually increased, giving second-year residents an opportunity to model after more senior clinicians. Neonatal intensive care unit supervision occurs in the PL-2 year and ICU education is augmented with PICU experience over the second and third years. Ambulatory rotations include the pediatric emergency department, general pediatric ambulatory clinic, full-term nursery, and other community rotations.
In addition to one half day a week of continuity clinics, PL-2 and PL-3 residents may choose to add an additional half day a week of continuity clinic experience as part of the Primary Care Track. Residents may also choose to enter a CARE Track (Community, Global, or Refugee Health), where the resident spends one half day per week involved in a child health advocacy project and community health. Residents not participating in either the Primary Care Track or CARE Track can select an additional half day per week of clinical experience in other areas.
Elective experience occurs throughout the PL-2 and PL-3 years, and is in addition to required rotations in adolescent medicine and developmental/behavioral pediatrics. Residents can select a traditional elective schedule in four-week block rotations or as part of the Primary Care Track. Residents may request to enter the Primary Care Track, where up to 16 weeks of electives can be as a longitudinal experience. Residents not participating in the CARE Track can still choose 2-4 week electives to work on a community project designed with community and university faculty mentors. Many residents choose an additional opportunity of completing one elective rotation away at an approved medical center, either in the United States or as part of an international experience.