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Children's Hospital at Dartmouth Hitchcock (CHad)
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Overview and Block Schedule

Photo of pediatric residents

CHaD residents have high academic standards and expectations, and enjoy learning in our caring and personal learning environment. Residents are expected to play an active role in shaping their own education. We work hard to offer flexibility so residents can pursue their individual learning goals. Residents work closely with faculty, which enables frequent feedback and coaching. Most importantly, our program belongs to the residents who serve on work groups and committees for the residency program, in the hospital and in the community, because the voice of our residents is critical for making decisions about our residency program and the future of pediatrics.

Our curriculum is divided into two components: the core or required curriculum, and the individualized curriculum. There is some overlap between the two components because we believe that the core curriculum should be tailored to meet the distinct learning needs of each resident. For example, while residents are required to do 7 specialty rotations, the choice of which rotations to do depends on the learning needs and career plans of each resident.

The core curriculum across all three years is listed below. Options for individualized curriculum include choosing from a long list of established rotations or designing a new rotation (with the guidance and support of the program and mentor network) to meet the unique needs of the resident.

Core curriculum educational experiences by residency year

Each educational experience block is 4 weeks in length.

Educational Experience PGY-1 PGY-2 PGY-3
Ward 3 Blocks 1 Block 1 Block
PICU 1 Block 1 Block
Integrated Night Float* 2 Blocks 2 Blocks 1.5 Blocks
Nursery 1 Block 0.5 Blocks
Intensive Care Nursery 1 Block 2 Blocks 1 Block**
ED 1 Block 1 Block
Ambulatory Clinic 1 Block 1 Block
Community Practice 1 Week 1 Block 1 Block**
Pain Free / Anesthesia 1 Block
Development & Behavior 0.5 Blocks,
Combined with
Community Practice
Adolescent Medicine 1 Block
Development & Behavior 0.5 Blocks
Ambulatory Teaching Resident 1 Block
Inpatient Teaching Resident** 1 Block
Individualized/Specialty Rotations 3 Blocks 3 Blocks 3.5 Blocks

Educational experience footnotes

Because we encourage residents to tailor their experience to best meet their needs, many residents choose to design their own rotations. Residents also have the option of designing longitudinal rotations that occur across more than one block.

* Residents on integrated night float rotations will care for patients admitted to the Ward, Intermediate Care Unit, PICU, and Normal Newborn Nursery, and will respond to the Emergency Department for consults. This team will consist of a minimum of 3 team members.

** These rotations have some program-defined objectives, but can be tailored to meet the resident's learning needs and career plans.