Photograph of two people wearing scrubs and masks in a hospital hallway

Clinical experience

Over their three years of training, our residents spend 50% of their time in ambulatory settings and 50% in inpatient settings. We believe in longitudinal exposure to both general pediatric and subspecialty medicine throughout training with increasing autonomy and supervision of more junior trainees as you progress through the curriculum. Our unique design of three week rotations allows every resident the opportunity to rotate on every subspecialty and enhances their learning through repetition at different stages of training. As a result of this structure, residents have six Individualized Curriculum (IC) rotations that can truly be individualized and help each resident prepare for their unique career needs. Residents attend continuity clinic once each week as well. Our clinical exposure by year includes the following:

PGY-1 rotations

  • Inpatient general pediatrics x 6 (days x 4, nights x 2)
  • Outpatient general pediatrics x 3-4
  • Inpatient subspecialty pediatrics x 1
  • Newborn nursery x 1
  • NICU x 1
  • Individualized curriculum x 1
  • Community Health/Advocacy x 1
  • Palliative Care x 0.5
  • Child Abuse and Neglect x 0.5
  • Infectious disease x 1
  • Emergency Medicine x 1
  • Vacation x 3 weeks
  • Holiday block x 5 days

PGY-2 rotations

  • Supervisory inpatient  pediatrics x 2
  • Outpatient general pediatrics x 1
  • Inpatient subspecialty pediatrics x 1
  • Hematology/oncology  inpatient x 1
  • Hematology outpatient x 1
  • PICU x 1
  • NICU x 2
  • Individualized curriculum x 2
  • Community  Health/Advocacy x 1
  • Subspecialty care x 4
  • Emergency Medicine x 1
  • Vacation x 3 weeks
  • Holiday block x 5 days

PGY-3 rotations

  • Supervisory inpatient  pediatrics x 2 (days x 1, nights x 1)
  • Supervisory inpatient subspecialty pediatrics x 1
  • Lead Resident Educator x 1
  • Outpatient general pediatrics x 2
  • PICU x 2
  • NICU x 1
  • Individualized curriculum x 3
  • Adolescent medicine x 1
  • Subspecialty care x 2
  • Emergency Medicine x 1
  • Developmental/behavioral x 1
  • Vacation x 3 weeks
  • Holiday block x 5 days

Supplemental experience

To supplement residents' clinical learning, we have a number of unique additional curricula. With these experiences, residents learn more than just the day-to-day of being a resident; they learn about the "real world" and develop skills that will help prepare them for the next stage of their career and life.

Community health and advocacy curriculum

Our longitudinal advocacy curriculum includes the Child and Adolescent Community Health (CACH) rotations in the first and second year as well as our monthly scheduled Advocacy Special Interest Groups (SIGs) and advocacy skills training.

Third Thursdays

As part of our comprehensive Community Health and Advocacy Training, we want to ensure that our residents all have the skills to address the needs of children through policy change. Our Third Thursday curriculum complements the resident experiences in CACH by having residents work through a real problem affecting Oregon children to develop a real solution. We collaborate with community based organizations, legislators and other public officials and families to develop the expertise and skills to effectively advocate for children. The entire experience is based on collaboration, small group and individual work, with the goal that everyone who graduates from our program has the knowledge and skills to effect change in their communities.

Becoming an Effective Senior Resident curriculum

For one week in the spring, we focus on enhancing resident teaching and supervisory skills including workshops on subjects like giving feedback, grading medical students, and facilitating bedside rounds. The week culminates with in situ simulated rounds where rising seniors can practice their newly learned skills with medical student and faculty actors.

Intern collaborative experience

A weekly curriculum led by the Chief Residents and spans the first 10 weeks of the intern year. The goal is to facilitate interns building an essential skill set to include clear verbal and written communication, contingency planning, teaching skills, providing feedback, and working within teams. The sessions are interactive and hands-on, rather than lecture-based drawing from the principles of experiential education, pairing small group activities with facilitator-guided debriefing and building on the group's development of trust over time.Writing in Medicine –this curriculum helps residents to develop necessary writing skills for advocacy, scientific, legislative, educational or personal endeavors.

Quality Improvement curriculum

This monthly curriculum is led by the Director of Quality for Doernbecher and the residency Program Director. Residents experience real-time learning about quality improvement science while working on a patient care improvement project selected by the residents.

The Well Resident: This novel curriculum was created by one of our own residents and has been expanded to include all the primary care specialties at OHSU. The curriculum explores wellness topics like sleep, yoga, mindfulness-based stress reduction, cooking and food culture, nutrition and exercise. Speakers include many well-known individuals in the Portland wellness community. This curriculum supplements the OHSU Resident and Faculty Wellness Program that provides individual coaching and counseling as well as educational workshops and wellness resources.

Mock Code curriculum

Serious life-threatening events occur infrequently in inpatient pediatrics. Furthermore, biennial NRP and PALS certification are insufficient to maintain critical clinical and team management skills. Through a series of 'boot camps' and mock codes, residents practice managing medical emergencies and utilizing crew resource management skills in order to be well prepared when true emergencies occur.

Global Health

Working alongside the OHSU Global Health Center, we have developed a longitudinal global health curriculum that draws upon the expertise of faculty at OHSU and other national and international leaders in the field.  The curriculum covers both core global health subjects and enrichment curriculum. Residents have the opportunity to participate in overseas electives tailored to their career interests. OHSU is also working with Mahidol University and Siriraj Medical School in Bangkok to develop sustainable education, research, and clinical initiatives and opportunities for resident exchange in SE Asia.