Program Structure

The five-year program is evenly split—30 months in pediatrics and 30 months in emergency medicine—completed in 3- to 6-month blocks. This rotation structure ensures residents experience the full seasonal variation of illnesses, a factor especially valuable in developing expertise in pediatric care.

Clinical Rotations/Core Curriculum Requirements

PGY1

During the first year, residents gain broad exposure across multiple disciplines, including pediatrics, adult and pediatric emergency medicine, critical care, ultrasound, and trauma. This foundational experience helps residents build core skills that they will expand on in subsequent years. Continuity of care is a key component of pediatric practice, with residents participating in regular continuity clinic sessions throughout their pediatric rotations.

PGY2

Building on foundational skills, residents gain increased exposure to critical care settings, including the MICU and NICU, as well as trauma and subspecialty rotations. This year continues balanced experience in both adult and pediatric emergency departments. A formal OB/GYN rotation allows residents to become proficient in pelvic examinations, newborn delivery, and managing common gynecologic problems and emergencies.

PGY3

This year marks the full transition to senior resident status. Residents assume greater supervisory responsibilities in both pediatric and adult populations while continuing to refine their clinical skills. Rotations at the R Adams Cowley Shock Trauma Center provide hands-on opportunities to enhance trauma management and airway techniques through Trauma Anesthesia.

PGY4

In year four, the focus is on leadership and advanced clinical responsibility. Residents participate in a pediatric trauma rotation at DC Children’s Hospital and continue supervisory roles in both pediatric and adult emergency departments. Additionally, elective rotations allow residents to explore individual interests and broaden their expertise.

PGY5

The final year emphasizes advanced practice in both pediatric and adult emergency medicine. Residents complete senior rotations in the PICU, trauma ICU, pediatric anesthesia, and ultrasound, while elective experiences allow for further specialization and pursuit of individual clinical passions.