Curriculum by Residency Training Year
| 2025 - 2026 Academic Year Cleveland Clinic Children's Residency Program |
PGY1 | PGY2 | PGY3 |
|---|---|---|---|
| Pediatric In-Patient Wards | 4-5 | 2 | 3 |
| Inpatient Senior Night Shift | N/A | 0.5 | 0.5 |
| Vacation | 1 | 1 | 1 |
| NICU | 1 | 0-1 | 0 |
| PICU | 0 | 1 | 1 |
| Normal Newborn Nursery | 0.5 | 0.5 | 0 |
| Adolescent Medicine | 0 | 1 | 0 |
| Community Pediatrics and Child Advocacy | 0 | 0 | 1 |
| Developmental-Behavioral Pediatrics | 0 | 1 | 0 |
| Primary Care Pediatrics | 1 | 0 | 1 |
| Pediatric Emergency Medicine | 1 | 1 | 1 |
| Elective/Subspecialty Rotations/Individual Curriculum | 3 | 4 | 4.5 |
| Total Modules | 13 | 13 | 13 |
X+Y Scheduling
Cleveland Clinic Children’s Pediatric Residency Program is proud to offer X+Y scheduling. Residents have a 4+2 schedule, meaning every 4-week block of inpatient/elective time is followed by a 2-week ambulatory block. This ensures that no resident is on wards for more than 4 weeks in a row. Exceptions may be made depending on individual resident schedules and requirements, but overall, this structure will be maintained throughout residency.
Below is a sample of our X+Y scheduling. Each module is four weeks in length. The color blocks represent inpatient or core elective rotations, and white blocks represent ambulatory blocks. Continuity Clinic will occur three half-days per week during the ambulatory blocks.
This schedule allows for longitudinal elective experiences. Furthermore, a second Continuity Clinic may be pursued during PGY-2 and PGY-3 years during ambulatory blocks. The schedule allows for a robust, expanded primary care experience.
Night Float
Interns do not work 24-hour shifts in our program. Intern night float consists of one week of nights while on inpatient modules. Interns arrive at 5 p.m. and sign out the next morning at 6 a.m. The remainder of their inpatient module consists of 3 weeks of day shift (6 a.m. to 5 p.m.).
Continuity Clinic
Our Continuity Clinics are held at three primary care offices within Cleveland Clinic Children’s large primary care network. These sites were selected for resident clinics due to faculty dedication to education, patient diversity, and their proximity to metropolitan Cleveland. Each resident attends their Continuity Clinic for three half days per week during their ambulatory blocks. They will work with the same group of preceptors at the same site throughout their training. As a result, our residents develop a robust and meaningful longitudinal experience serving as the primary pediatrician for their own patient panel. Prior to each clinic, residents can expect a mini educational conference focused on a blend of primary care and community pediatrics with staff members who are very familiar
with and active within their communities. Our engaged continuity clinic faculty are also invaluable resources for residents interested in developing quality improvement or clinical research projects in primary care.
Individualized Curriculum (Individualized Learning Plans/ILPs)
Residents have the opportunity to design their own individualized curriculum to spread over their elective time during their last two years of training. This could be a second Continuity Clinic, or it could be a continuity experience with a subspecialty patient population, such as in a dialysis unit or inflammatory bowel disease clinic. Additional rotations may include established electives, or they may be experiences designed by the resident and a faculty mentor. They may also include a combination of multiple subspecialties. Examples from previous years include cardiac imaging, bone marrow transplant service, surgical neonatal ICU, public health and many others.
Primary Care Track
Our primary care track is designed for residents who have a strong interest in primary care pediatrics. Clinical practice for residents completing this track is focused on preventative care, family-centered communication, and community health. Residents have additional opportunities to be immersed in primary care centered education and rotations including Dermatology, Allergy/Immunology, Sports Medicine, Breastfeeding medicine, Distance Health, Refugee Health, Public Health Clinics and Private Practice Medicine. Participation in this track includes monthly didactics and journal club.APB Elective Subspecialty Rotations
Residents will be required to fulfill a minimum of five core subspecialty rotations over three years. Remaining elective time is reserved for individualized rotations.
- Allergy/Immunology
- Cardiology
- Child Abuse
- Dermatology
- Endocrinology
- Gastroenterology
- Genetics
- Hematology/Oncology
- Infectious Disease
- Medical Genetics
- Nephrology
- Neurology
- Pulmonary
- Rheumatology
Additional pediatric electives offered:
- Ambulatory General Pediatrics
- Behavioral/Developmental
- Child Psychiatry
- ENT
- Emergency Medicine
- Palliative Medicine
- Pediatric Rehabilitation
- Psychiatry
- Radiology
- Research
- Sleep Medicine
- Sports Medicine
Rotation Descriptions
Pediatric Inpatient wardsOur inpatient census is divided into 4 teams: Red, Purple, Green and Orange.
Red Team: The Red Team is comprised of our general pediatric patients. This team consists of two interns and one senior and is supervised by a pediatric hospitalist.
Purple Team: The Purple Team is comprised of our nephrology patients, general pediatrics consult patients, and red team overflow patients. Additionally, Purple Team manages admissions during rounds for all floor teams. This team consists of one senior resident and one intern and is supervised by a pediatric nephrologist and pediatric hospitalist
Green Team: The Green Team is comprised of our hematology/oncology and endocrinology patients. This team consists of one senior and one intern and is supervised by a pediatric hematologist/oncologist and a pediatric endocrinologist.
Orange Team: The Orange Team cares for our pulmonology and gastroenterology patients, including liver and multi-visceral transplant patients. This team is made up of one senior and two interns and is supervised by a pediatric pulmonologist and a pediatric gastroenterologist.
Overnight Team: The inpatient units are managed by one senior and two interns overnight and an in-house pediatric hospitalist.
Neonatal Intensive Care Unit (NICU)
During your PGY-1 year, you will work directly with a Cleveland Clinic Children’s neonatologist in our community-based Level III NICU at Hillcrest Hospital or Fairview Hospital. You have the option to do a second NICU rotation in your PGY-2 year. Teams consist of neonatologists, NICU fellows, residents, and interns, as well as neonatal nurse practitioners. The experience includes management of deliveries, neonatal resuscitation, acute and chronic neonatal issues, and performance of invasive procedures.
Pediatric Intensive Care Unit (PICU)
During your PGY-2 and PGY-3 years, you will rotate through our 25-bed intensive care unit at Main Campus. You will be exposed to a variety of critically ill medical and surgical pediatric patients including but not limited to congenital heart disease, acute respiratory distress, toxic ingestions, encephalitis, and transplant recipients with the opportunity to perform a variety of procedures. You will work directly with our PICU staff, fellows, and nurse practitioners that are in-house 24/7.
Normal Newborn Nursery
This experience takes place at two of our Cleveland Clinic community hospitals, Hillcrest Hospital and Fairview Hospital, where over 4,000 deliveries occur annually. During your PGY-1 and PGY-2 years, you will work in the nursery with a pediatric hospitalist and become competent in the newborn exam, common newborn issues, and delivery room resuscitation skills.
Adolescent Medicine
The Adolescent Medicine Rotation is a required 4-week outpatient module designed to highlight the unique needs of this transitional age group. Clinic time is spent at Main Campus, Lakewood FHC, and various other community outreach centers. There is extensive exposure to the care of LGBTQ+ youth, the medically underserved, and patients with complex eating disorders, menstrual irregularities, sexually transmitted infections, and substance use disorders.
Community Pediatrics and Child Health Advocacy
The Community Medicine Rotation is a required outpatient rotation that introduces residents to the collaboration needed between pediatricians and community-based organizations to optimize the care we provide for our patients. The rotation also gives residents exposure to public health policy and child health advocacy. A variety of experiences is available and includes visits with multiple community-based organizations including Women, Infants, and Children (W.I.C.), Help Me Grow, the American Sickle Cell Anemia Association, Milestones Autism Resources, Ohio Guidestone, and Canopy Child Advocacy Center. Residents work in general pediatric clinics providing care to the medically underserved and multidisciplinary clinics which address public health issues such as obesity and lead exposure. While this rotation occurs during PGY-3 year, residents will be involved in a longitudinal advocacy project throughout their three years of residency.
Behavioral and Developmental Pediatrics
This rotation introduces residents to behavioral and developmental pediatrics. These experiences take place in one of our many ambulatory pediatric practices where residents work firsthand with our fellowship trained developmental behavioral pediatricians. These clinics address a variety of concerns, including ADHD and autism. Residents also have the opportunity to attend NICU follow up clinic, feeding clinic, and our cardiac neurodevelopmental support program.
Mental Health
Our Mental Health Rotation introduces residents to common mental health diagnoses that our pediatric patients face in the primary care setting. Residents attend scheduled clinical and didactic sessions with our pediatric psychology and psychiatry staff, aimed at providing experience in managing common behavioral and development concerns most frequently encountered in general pediatric practice. Residents may spend additional time in ADHD clinic and as part of the intake process for our Pediatric Pain Rehabilitation Program.
Pediatric Emergency Medicine
Residents will spend one four-week module each year in our Pediatric Emergency Departments located at Hillcrest Hospital and Fairview Hospital. Residents see and manage a variety of acute and life-threatening conditions under the supervision of our Pediatric Emergency Medicine staff. Residents have the opportunity to complete a variety of procedures and work with a multidisciplinary team, including PAs, NPs, respiratory therapists, and child life therapists.
Regional Hospital Medicine
Residents have the opportunity to complete a Regional Hospital Medicine Rotation at Hillcrest Hospital or Fairview Hospital in place of a 2nd NICU rotation during their PGY-2 year. This rotation allows residents to have increased exposure to common pediatric diagnoses, including bronchiolitis, asthma exacerbations, dehydration, nutritional insufficiency, and infectious disease processes. Residents work with a multidisciplinary team that includes nurse practitioners, pharmacists, and dieticians. This rotation builds on our current floor experience at Main Campus while allowing residents to see a unique population of patients, as well as learn to practice within the constraints of a regional hospital.Cleveland Clinic Children's Hospital for Rehabilitation
Residents have the opportunity to rotate in our free-standing Cleveland Clinic Children’s Hospital for Rehabilitation. This facility is home to Cleveland Clinic Children's Center for Autism, the Judith M. Power Pediatric Dialysis Unit, and Community-Based Services for Children with Special Needs. The rotation includes both inpatient and outpatient exposure to patients with complex medical needs, acute rehabilitation needs, and patients in our chronic pain program. Residents work with a multidisciplinary team including pediatric physiatrists, nurse practitioners, therapists (OT, PT, ST, RT), clinical psychologists, and dieticians.
Vacation
Residents have three (3) weeks of vacation each year that may be taken as either three 1-week blocks, or a 1-week block and a 2-week block. Residents receive an additional week for either the Christmas or New Year holiday.
