Curriculum
Diverse Clinical Experiences That Prepare You for the Career You Want
Our program provides residents with comprehensive training that prepares them for a career as a primary care pediatrician or a solid foundation on which to build if they choose to pursue a subspecialty after residency.
With a strong emphasis in academic excellence, our program offers a stable learning environment in which foundational experiences are interspersed with individualized curriculum opportunities through a selection of pediatric specialties.
Modified X+Y Schedule for Enhanced Continuity of Care
The program offers an innovative, modified X+Y schedule with an increased amount of ambulatory continuity clinics spread out throughout the year alongside longitudinal blocks.
This modified schedule models pediatrics’ comprehensive scope of practice and enhances the continuity clinic experience by reducing disruptions from other rotations and improving continuity of care between residents and patients. This training schedule also enhances residents’ long-term retention of knowledge and skills across all aspects of care delivery as residents gain greater exposure to diverse clinical experiences and patient populations. Using the X+Y template as a basis also improves patient care and safety by avoiding multiple care turnovers while residents are on inpatient services.
Longitudinal Blocks
- Community pediatrics and child advocacy
- Adolescent medicine
- Behavioral and developmental pediatrics
- Psychiatry
- Scholarly activity
- Independent study
- 3rd year Emergency medicine shifts
Required Subspecialty Rotations
- Multi-disciplinary rotation at Shriners Children’s Spokane
- Hematology/Oncology
- Cardiology
- Neurology
- Nephrology/Gastroenterology
- Endocrinology/Pulmonary
Sample Rotations
Block Schedule
| Rotation | # of Weeks |
|---|---|
| Inpatient Pediatrics | 4 |
| Longitudinal Experience | 2 |
| NICU | 4 |
| Longitudinal Experience | 2 |
| Shriners | 4 |
| Longitudinal Experience | 2 |
| Inpatient Pediatrics | 4 |
| Longitudinal Experience | 2 |
| Hematology/Oncology | 4 |
| Longitudinal Experience | 2 |
| Neurology | 4 |
| Longitudinal Experience | 2 |
| Nephrology/Gastroenterology | 4 |
| Longitudinal Experience | 2 |
| Endocrinology/Pulmonology | 4 |
| Longitudinal Experience | 2 |
| NICU | 4 |
Daily Longitudinal Schedule
| Day of Week | AM | PM |
|---|---|---|
| Monday | Continuity Clinic | Continuity Clinic |
| Tuesday | Community Pediatrics | Community Pediatrics |
| Wednesday | Continuity Clinic | Independent Study |
| Thursday | Scholarly Activity | Independent Study |
| Friday | Independent Study | Psychiatry |
In the second year of residency, trainees gain experience working in the Emergency Department and Pediatric Intensive Care Unit. They also begin to take on additional leadership roles within the pediatric inpatient team.
Block Schedule
| Rotation | # of Weeks |
|---|---|
| Inpatient Pediatrics | 4 |
| Longitudinal Experience | 2 |
| Cardiology | 4 |
| Longitudinal Experience | 2 |
| PICU | 4 |
| Longitudinal Experience | 2 |
| Inpatient Pediatrics | 4 |
| Longitudinal Experience | 2 |
| Emergency Medicine | 4 |
| Longitudinal Experience | 2 |
| Individual Curriculum* | 4 |
| Longitudinal Experience | 2 |
| Individual Curriculum* | 4 |
| Longitudinal Experience | 2 |
| PICU | 4 |
| Longitudinal Experience | 2 |
| Emergency Medicine | 4 |
*Individualized Curriculum: Child Abuse, Allergy/Immunology, Dermatology, Shriner’s Hospital, Infectious Disease, Dentistry, Rheumatology, Palliative, Genetics, Ophthalmology, Radiology, Rehabilitation Medicine, Otolaryngology, Anesthesia, Orthopedics, or repeating required rotations, inpatient or a subspecialty.
Daily Longitudinal Schedule
| Day of Week | AM | PM |
|---|---|---|
| Monday | Continuity Clinic | Continuity Clinic |
| Tuesday | Community Pediatrics | Community Pediatrics |
| Wednesday | Behavior and Development | Behavior and Development |
| Thursday | Scholarly Activity | Independent Study |
| Friday | Child Advocacy | Psychiatry |
In the third year of residency, trainees continue to build upon skills learned in the NICU as they work in the “well baby” nursery. They will also continue to gain leadership experience as they independently work nightshifts in the pediatric inpatient service and see their own patients in the Emergency Department while working with the attending assisting less experienced learners.
Block Schedule
| Rotation | # of Weeks |
|---|---|
| Inpatient Pediatrics | 4 |
| Longitudinal Experience | 2 |
| Term Newborn | 4 |
| Longitudinal Experience | 2 |
| Inpatient Pediatrics | 4 |
| Longitudinal Experience | 2 |
| Individual Curriculum* | 4 |
| Longitudinal Experience | 2 |
| Inpatient Pediatrics | 4 |
| Longitudinal Experience | 2 |
| Individual Curriculum* | 4 |
| Longitudinal Experience | 2 |
| Term Newborn | 4 |
| Longitudinal Experience | 2 |
| Individual Curriculum* | 4 |
| Longitudinal Experience | 2 |
| Individual Curriculum* | 4 |
*Individualized Curriculum: Child Abuse, Allergy/Immunology, Dermatology, Shriner’s Hospital, Infectious Disease, Dentistry, Rheumatology, Palliative, Genetics, Ophthalmology, Radiology, Rehabilitation Medicine, Otolaryngology, Anesthesia, Orthopedics, or repeating required rotations, inpatient or a subspecialty.
Daily Longitudinal Schedule
| Day of Week | AM | PM |
|---|---|---|
| Monday | Continuity Clinic | Continuity Clinic |
| Tuesday | Adolescent Medicine | Adolescent Medicine |
| Wednesday | Emergency Medicine | Emergency Medicine |
| Thursday | Scholarly Activity | Independent Study |
| Friday | Child Advocacy | Psychiatry |
Vacation
Vacation is taken during the subspecialty or individualized curriculum blocks. When a resident does not have enough of these blocks within a year, then the 20 vacation days would also be used during a longitudinal block in discussion with program administration.