Pediatrics

Rotations, Call and Electives

The University of Toledo Pediatrics Residency Program follows an X+Y scheduling model. During the X portion, which consists of three weeks, residents rotate through core clinical experiences such as inpatient, the intensive care units, and the emergency department. The Y portion is a one‑week block dedicated to continuity clinic and longitudinal educational experiences. Each year of training includes a distinct longitudinal curriculum that is led by various faculty members and designed to build skills progressively across the residency.

PGY-1

Intern year is a time of rapid growth as residents gain foundational experience and begin to find their footing in clinical pediatrics. Approximately half of the year is spent on inpatient medicine, allowing interns to build strong skills in managing hospitalized children and working within multidisciplinary teams. Interns also rotate through the Newborn Nursery, Adolescent Medicine, Endocrinology, and other subspecialty areas.

A key highlight of the PGY‑1 year is the longitudinal advocacy rotation. During this experience, interns learn core principles of pediatric advocacy and develop a community‑focused project that addresses a need within the local population. This rotation helps residents understand their role as advocates and leaders beyond the clinical setting.

PGY-1 rotations include the following: Inpatient, Inpatient Night Shift, Newborn Nursery, Pediatric Emergency Medicine, Pediatric Endocrinology, Developmental and Behavioral Pediatrics, Community Ambulatory, Adolescent Medicine, Elective/Individualized Curriculum, and Ambulatory Week (Outpatient Continuity Clinic with Acute Care, Longitudinal Advocacy Curriculum, Half Day Administrative Time).

PGY-2

The second year of training builds on the foundation established during intern year and provides broader exposure to subspecialty care. Residents spend significant time on elective rotations such as Cardiology, Infectious Disease, Gastroenterology, and several other pediatric subspecialties that help deepen their clinical knowledge and support career exploration.

PGY‑2 residents are also introduced to caring for critically ill children through rotations in both the PICU and the NICU. Mental health education is a key component of this year as well. Residents participate in a longitudinal behavioral health experience in continuity clinic and complete a dedicated two‑week psychiatry rotation to enhance their understanding of mental and behavioral health concerns in children and adolescents.

PGY-2 rotations include the following: Inpatient (supervising role), Inpatient Night Shift, NICU, PICU, Pediatric Emergency Medicine, Psychiatry, Developmental and Behavioral Pediatrics, Elective/Individualized Curriculum, and Ambulatory Week (Outpatient Continuity Clinic, Longitudinal Behavioral/Mental Health Curriculum, Subspecialty Longitudinal Clinic, Half Day Administrative Time). 

PGY-3

The third year emphasizes leadership, teaching, and increasing clinical independence. Residents take on greater supervisory roles and actively precept interns and medical students, particularly in continuity clinic and on inpatient services.

PGY-3 residents also have access to advanced elective experiences that function as acting fellow roles on the inpatient pediatric floor, in the NICU, in the PICU, and in the emergency department. These electives help prepare residents for fellowship or independent practice by strengthening decision-making and team leadership skills.

Additional outpatient experiences, including rotations in community clinics and adolescent medicine, round out the year and ensure graduates are confident in both inpatient and outpatient pediatric care.

PGY-3 rotations include the following: Inpatient (supervising role), Inpatient Night Shift, NICU, PICU, Pediatric Emergency Medicine, Adolescent Medicine, Newborn Nursery, Elective/Individualized Curriculum, Community Ambulatory, and Ambulatory Week (Outpatient Continuity Clinic with Acute Care, Clinic Supervisor, Subspecialty Longitudinal Clinic, Half Day Administrative Time). 

Electives

During their three years of training, residents can select from a wide range of electives that allow them to tailor their educational experience to their interests and career goals. Available electives include Infectious Disease, Pulmonology, Hematology and Oncology, Cardiology, Endocrinology, Gastroenterology, Ophthalmology, Orthopedic Surgery, Neurology, Allergy and Immunology, Delivery Rotation, Dentistry, and Sedation.

Nights, Call and Jeopardy System

Night responsibilities vary by year of training. PGY-1 residents complete five weeks of night coverage, PGY-2 residents complete two weeks, and PGY-3 residents complete three weeks. Each week of nights generally consists of five consecutive night shifts from Sunday through Friday. In addition, residents on their inpatient rotations typically work two to three weekend shifts per month, which may be 12- or 24-hour shifts depending on their level of training. Residents on elective rotations provide cross coverage on the weekends.

During ambulatory weeks, PGY-2 and PGY-3 residents participate in clinic home call. This is great practice for learning how to answer phone calls and triage patients in the outpatient setting. A jeopardy system is also in place for PGY-2 and PGY-3 residents on elective rotations. This system is activated when additional coverage is needed, such as during emergencies, unexpected illness or periods of increased patient volume, ensuring safe and reliable staffing across services.

Vacation

PGY‑1 residents receive three weeks of vacation as well as five sick days. PGY‑2 and PGY‑3 residents receive four weeks of vacation annually, along with additional sick leave as needed. Schedules are arranged to maintain service coverage while prioritizing resident well‑being and adequate time for rest and personal needs.

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