Education

Medicine-Pediatrics Curriculum

Master
Content

The combined Medicine-Pediatrics residency program at Baylor College of Medicine is fully integrated within the categorical internal medicine and pediatric programs and meets all of the requirements set forth by the Accreditation Council for Graduate Medical Education. The program is integrated by block assignments over four years alternating between the two categorical programs. The four years of training provide a total of 12 months of internship (six months in pediatrics/six months in medicine) and 36 months of residency (18 months in pediatrics/18 months in medicine) for a total of 48 months (24 months in pediatrics/24 months in medicine). Electives on internal medicine can be done at any of the affiliated training sites including MD Anderson. The academic calendar each year is divided into 13 four-week blocks. Residency start date is June 24, 2017.

Key for Hospital Sites

*BT = Ben Taub Hospital
*SL = Baylor St. Luke's Hospital
*TCH = Texas Children's Hospital
*VA = Michael E. DeBakey VA Medical Center

Heading

Internship

Content

In the first year, interns switch between medicine and pediatrics approximately every twelve weeks (the 13th block is divided into two weeks of pediatrics and two weeks of medicine rotations). Half of the intern class starts on pediatrics rotations, the other half will start on medicine rotations and after the first twelve weeks will switch to the other discipline. Throughout all rotations, residents are assigned to our continuity clinic at MLK approximately one half-day per week. Below is an example of the intern year schedule.

 

Pediatrics

Medicine

BT Newborn NurseryBT Emergency Medicine Rotation
TCH Pediatric Hospital Medicine (general wards)BT General Medicine Wards
TCH Pediatric Hospital Medicine (general wards)VA General Medicine Wards
TCH Subspecialty Selective (ie. pulmonology, endocrinology, ID, neurology)BT or VA Medical Intensive Care Unit
TCH Hematology/OncologyBT or VA Cardiac Care Unit
Pediatrics 101/HCHDInpatient Consult Elective
Pediatric Skills (2 weeks)Night Float (2 weeks)

 

Heading

Residency

Content

In the second and third year of residency training at Baylor College of Medicine, residents alternate between medicine and pediatrics every four-five blocks. This results in having one year on predominantly medicine rotations (eight medicine/five pediatrics blocks) and one year on predominantly pediatrics (eight pediatrics/five medicine blocks) rotations. The curriculum was designed in this fashion to allow for summer and winter seasons in each discipline, providing clinical exposure to illnesses with seasonal variation. Below is an example of what to expect during the PGY-2/3 years.

Second and Third Year Rotations

Pediatrics

Medicine

TCH Inpatient Wards - Liver/GIVA General Wards Supervisory Rotation
TCH Pediatric CardiologyVA General Wards Supervisory Rotation
TCH Inpatient Wards - ARRRG (A&I, Rheumatology, Renal, Retrovirology, and Genetics)BT or VA Neurology
Adolescent MedicineBT or VA General Medicine Consult Service
Pediatric DevelopmentBT/VA/SL Cardiology Consult Service
TCH Neonatal Intensive Care UnitAmbulatory Geriatrics (2 weeks) + 2 week ambulatory selective
TCH Pediatric Intensive Care UnitIntensive Care Night float (2 weeks) + 2 week ambulatory selective
TCH Pediatric Hospital Medicine Supervisory RotationInpatient Consult Elective
TCH Pediatric Emergency MedicineInpatient Consult Elective
BT Pediatric Emergency MedicineInpatient Consult Elective
Ambulatory General PediatricsInpatient Consult Elective
Pediatric ElectiveAmbulatory Elective
Pediatric ElectiveAmbulatory Elective

 

The fourth year of residency at Baylor College of Medicine is designed similar to the first year, alternating between medicine and pediatrics every three blocks and a 13th block that is split into two weeks of pediatrics and two weeks of medicine. The fourth year of residency training is primarily in a supervisory role in both disciplines.

Fourth-Year Rotations

Pediatrics

Medicine

TCH Pediatric Hospital Medicine Supervisory RotationBT General Medicine Wards Supervisory Rotation
BT Neonatal Intensive Care Unit Supervisory RotationBT General Medicine Wards Supervisory Rotation
Community PediatricsBT or VA Medical Intensive Care Unit Rotation
STAR/Newborn Chief/Subspecialty SupervisorMed-Peds Continuity Clinic Chief
Pediatrics ElectiveTransition Medicine
Pediatrics ElectiveMedicine Elective
TCH Pediatric Emergency Medicine (2 weeks)Medicine Elective (2 weeks)

 

 

Heading

Mentors and Evaluation

Content

Each resident is assigned a faculty advisor. The advisor acts as counselor for both professional and personal matters. The system for evaluating is designed to help each resident reach his or her full potential. Residents are evaluated following each rotation by their attending physician and supervising resident or fellow. Resident evaluations are based on their new core competencies or patient care, medical knowledge practice based learning and improvement, interpersonal and communication skills, professionalism and systems based practice.

Evaluations are continually reviewed by the resident's advisors as well as by the director and/or co-directors. The faculty steering committee meets quarterly to discuss resident evaluations. In order to provide an analysis to aid in improving fund of knowledge, the American Board of Pediatrics and the American Board of Internal Medicine in service examinations are offered to residents annually.