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Primary Care Track

With the goal of the resident becoming highly competent in the delivery of pediatric primary care, interested first year residents may choose to enter the Primary Care Track (PCT) beginning in the second year. One of the most popular tracks in the training program, the PCT has been in existence since the 1970s. The resident chooses and works with a primary care preceptor in his or her office over the course of two years by spending a half day per week in the primary care setting. (All residents have a continuity clinic practice at one of the two hospital sites; the PCT resident has an additional 1/2 day per week in a site of his or her choice.) The resident builds a panel of patients within the practice and develops increasing primary care experience, including direct patient care, office management skills, and knowledge of practitioners' roles in the community.

The PCT resident participates in all aspects of care for well and ill children, and children with acute, chronic, and recurrent illnesses. The resident is exposed to children with both normal and abnormal growth, behavior, and development. Ample opportunities exist to evaluate and follow patients and their families from prenatal visits to college physicals as well as caring for them during illnesses. Additionally, residents can round with the preceptor on inpatients and newborns. As an R3, the resident may cover telephone calls for the office practice with backup by his or her preceptor.

Aside from this extra half day of primary care practice, the PCT resident can design elective time as a longitudinal experience. With the assistance of the pediatric chief residents, the PCT resident can customize up to 16 weeks during his or her R2 and R3 years as longitudinal rather than block elective time, satisfying required subspecialty and optional electives.