Our pediatric residency program complies with the Accreditation Council for Graduate Medical Education requirements for resident work hours. All call is in-house with varying responsibility, depending on the rotation and year of training. On any night there is at least one intern and one senior resident (PGY-2 or PGY-3) in house. Attending support is available from critical care, pediatric faculty, and subspecialty attendings.
During the first year, interns have seven weeks of night shift. The night shift intern admits patients to the pediatric ward for the general pediatric service and for subspecialists. The intern also responds to acute issues for pediatric ward patients. The intern has direct supervision from a third-year supervising night shift resident.
Upper level (PGY-2 and PGY-3) call is primarily night shift. Residents rotate on night shift in the pediatric intensive care unit for six weeks during PGY-2 and rotate as the inpatient night shift supervisor for six weeks during PGY-3. The PGY-2 night shift resident admits all patients to the pediatric intensive care unit and responds to acute issues in the unit. The PGY-3 night shift supervisor evaluates all patients admitted by the night shift intern and provides support and supervision. Night shift hours are 5 p.m. to 6:30 a.m., Sunday through Thursday.
During the weekends, interns work 12-hour shifts and are supervised by a PGY-2 or PGY-3. Upper-level residents take weekend call either Friday, 5 p.m. to 6:30 a.m. and Sunday, 7 a.m. to 5 p.m.; or Saturday, 6:30 a.m. to Sunday, 7 a.m. Upper levels have an average of 13 calls per year.