Pediatric Residency Program

10 weeks – MGH Inpatient Medicine (6 weeks of day shifts and 4 weeks of night shifts)
8 weeks – Pediatric Emergency Medicine (at both MGH and Cambridge Hospital)
4 weeks – Newton-Wellesley Hospital Community Inpatient Pediatric Medicine
4 weeks – MGH NICU
4 weeks – MGH Newborn Nursery
4 weeks – Development & Behavioral Pediatrics
4 weeks – Ambulatory Medicine
4 weeks – Outpatient Subspecialty Medicine
4 weeks – Electives/Individualized Curriculum
2 weeks – Scholarship (academic work including QI, research, or advocacy which can be combined with additional elective experiences)

8 weeks – MGH Inpatient Medicine (6 weeks of day shifts and 2 weeks of night shifts)
8 weeks – PICU
6 weeks – Pediatric Emergency Medicine
4 weeks – Newton-Wellesley Hospital Community Inpatient Pediatric Medicine
4 weeks – Brigham & Women’s Hospital Birth & Transitions
4 weeks – Adolescent Medicine
4 weeks – Ambulatory Medicine
2 weeks – Mental Health
6 weeks – Electives/Individualized Curriculum
2 weeks – Scholarship (academic work including QI, research, or advocacy which can be combined with additional elective experiences)

8 weeks – MGH Inpatient Medicine (6 weeks of day shifts and 4 weeks of night shifts)
8 weeks – Pediatric Emergency Medicine (at both MGH and Cambridge Hospital)
4 weeks – MGH NICU
4 weeks – Resident as Educator
2 weeks – Electives/Individualized Curriculum
2 weeks – Scholarship (academic work including QI, research, or advocacy which can be combined with additional elective experiences)

The experience in adolescent medicine is a 4-week block rotation for second year residents taught by a multi-disciplinary staff of providers in a wide variety of settings where adolescents seek care. Settings include adolescent focused primary care practices, tertiary care center subspecialty clinics (e.g. mental health and substance abuse, sports medicine, gynecology, etc.), and community-based experiences.

Ambulatory Medicine is a total of 8-weeks over the first and second year of training. The rotations will expose residents to the value of community health organizations while completing clinical experiences serving the needs of several populations in Boston and the Greater Boston community including, but not limited to, families experiencing homelessness, families who have recently migrated to the US or are seeking asylum status, and LGBTQ+ youth. Each resident will also become familiar with the services of the MGH Community Health Centers which serve as medical homes for communities with the greatest needs. Finally, residents will complete rotations through various clinics that collectively empower residents with foundational knowledge necessary to be excellent general pediatricians, such as urgent care, dermatology, general surgery clinic, and allergy clinic.

The overall goal of the second year resident BWH neonatal medicine rotation is to develop the ability of residents to evaluate, resuscitate and manage newborns in the delivery room, and immediately thereafter. At the Brigham, pediatric residents have the opportunity to lead the initial evaluation and management of neonates in the delivery room (including neonatal resuscitation as appropriate), triage and evaluate neonates presenting with distress or illness in the first hours of life, provide appropriate care for neonates in a level 2 nursery, and appropriately counsel pregnant women and their families who are likely to have a premature baby as consultants. The rotation is based in a metropolitan referral hospital that boasts nearly 10,000 deliveries per year.

The emergency department rotation at The Cambridge Hospital offers MGH pediatric interns the opportunity to evaluate and treat a wide range of pediatric illness in the community setting. The department sees 32,000 patients per year which includes 15% of patients aged 18 years and younger. Interns work directly with on-site attending emergency physicians as the pediatric expert and primary caregiver to the pediatric patients. Rotators will have exposure to front-line community medicine including bedside procedures such as orthopedic splinting, abscess incision and drainage, and laceration repairs. The rotation provides a comprehensive community experience that will also educate interns about disposition planning and care coordination in a setting with more limited pediatric resources and sub-specialist availability than the tertiary care center, MGH, where they will also rotate.

The continuity clinic model for pediatric residents at Mass General for Children provides a diverse and enriching training experience by pairing each resident with a dedicated preceptor and a panel of patients at a variety of primary care clinics throughout Boston and the surrounding areas. These clinics range from small, independent practices that cater to local communities, to large Federally Qualified Health Centers (FQHCs) serving under-resourced populations, to community health centers affiliated with MGH that act as medical homes in communities with the greatest needs. This model allows residents to select clinics and preceptors that align with their interests and skills, such as working with newly immigrated patient populations or utilizing their Spanish language abilities. The continuity of care enables residents to build strong, long-term relationships with their patients while fostering close mentorships with their preceptors. This unique arrangement allows preceptors to closely observe and guide the clinical development of residents, shaping their growth as compassionate and skilled pediatricians.

The Developmental-Behavioral Pediatrics Rotation is a 4-week rotation during the intern year. During the rotation residents are given the opportunity to learn from a wide variety of community and clinical providers to gain a better understanding of child development and the systems in place that support children. The Lurie Center for Autism serves as the core site for the rotation where residents meet and work with a developmental-behavioral pediatrician mentor to see how to apply general development and behavioral principles into practice.

In response to the mental health crisis affecting children, adolescents, and young adults in the US, all pediatric residents will engage in a comprehensive mental health curriculum and rotation. During their first year, interns will participate in a curriculum integrated into the academic half-day, focusing on the basics of diagnosing, treating, and managing common mental health conditions such as depression, anxiety, and ADHD. In their second year, residents will build upon this foundation through a two-week rotation that includes clinical experiences with the consult liaison service, partial day programs at McLean Hospital for patients with eating disorders, and time with the state-run psychiatry outpatient consultation service, among other valuable experiences.

The goal of the MGH pediatric inpatient medicine rotation is to develop the ability of residents to evaluate and manage patients with a broad range of medical problems and make decisions about need for hospitalization, changes in status necessitating intensive care, and readiness for discharge. The rotation is based on a general pediatric ward in a tertiary care setting with patients aged birth to 21, and exposes residents to complex, referral-based medical problems. Learning will occur in a multidisciplinary team-based system. First year residents will be the primary caregivers for their patients, under the close supervision of third year residents, who will serve as team leaders. Residents will benefit from guidance by admitting pediatric and subspecialty attendings, as well as the service attending who will round with the team on a regular basis. Second year residents will work in pairs managing a separate general medical service, overseen by a pediatric hospitalist, allowing them to expand their independent management of patients with appropriate faculty support.

The goal of the MGH newborn rotation is to expose first year residents to the well-baby care and develop their ability to evaluate newborns and counsel new families. The rotation is based in a busy urban newborn nursery with a large referral obstetrical service. Frequent teaching sessions are provided by members of the newborn hospitalist service on topics such as rashes, circumcisions, septic risk evaluation, breastfeeding, hypoglycemia, and anticipatory guidance after leaving the hospital. In addition to caring for well newborns, interns will attend deliveries to learn the basics of neonatal resuscitation, a skill set that is further developed in our rotation at Brigham and Women’s Hospital.

The goal of the MGfC Emergency Division rotation is to develop the ability of residents to triage, evaluate and manage children with a broad range of medical and surgical problems with varying levels of acuity. The rotation is based in an urban referral pediatric emergency department designated as a level I pediatric trauma center. Patients will include those aged birth to 21 years who live in the area, as well as those referred to this tertiary care hospital emergency department for higher levels of care. First, second and third year residents will all participate in this rotation. The residents will work closely with other team members, including other pediatric residents, emergency department attendings, subspecialists, nurses and support staff to triage and care for patients who present to the pediatric emergency room. The intern emergency medicine rotation combines shifts at both MGH, as well as shifts at Cambridge Hospital, a local community hospital.

The goal of the MGH NICU rotation is to develop the ability of residents to evaluate and manage critically ill infants with a broad range of medical and surgical problems. The rotation is based in an 21-bed level IV neonatal intensive care unit. Learning will occur in a multidisciplinary team-based system. Interns will be the primary caregivers for their patients, under the close supervision of staff, neonatologists, and intensive care fellows. The most important goal of the intern experience in the NICU is to develop a comprehensive knowledge of one’s patients and establish a relationship with the family as the primary physician on the NICU team. Residents return to the MGH NICU as senior residents in a supervisory role and have opportunities to teach as well as further develop their neonatal intensive care skills while covering the patient care overnight every fourth night. The NICU Senior rotation is designed to allow seniors to demonstrate the confidence and competence necessary to manage an intensive care unit for critically ill neonates.

Newton-Wellesley Hospital is a community hospital in Newton, a suburb of Boston. It has a wide service area in the western suburbs. The spectrum of pediatrics at NWH includes the Pediatric Inpatient Unit, Newborn Nurseries, SCN, Pediatric Subspecialty Clinics and the Pediatric Emergency Department. Residents rotating at NWH manage a general pediatric inpatient unit under the supervision of attending hospitalists and community pediatricians. All house-staff operate under the supervision of the patient’s attending physician. Residents provide daytime coverage at NWH; overnight coverage is provided by NWH hospitalists and moonlighters. The team consists of one PGY-2 supervisory resident and one intern, joined by medical students from Tufts University and PA students from the Massachusetts College of Pharmacy and Health Sciences. Many of our own MGH graduates join the Newton-Wellesley community after residency.

The NWH intern rotation is designed to allow interns to learn how to manage common pediatric illnesses in a community inpatient setting. Skills in working with a variable patient/family population, including those that are highly educated and knowledgeable are necessary for this rotation. There is a strong emphasis on the teaching of medical and PA students on this rotation.

The NWH Supervisory Resident rotation is designed to allow junior and senior residents to supervise a team admitting patients to an inpatient pediatric ward in a community hospital. Leadership and supervision skills are paramount for the successful resident on this rotation. Communication and the management of transition to higher level of care when necessary are critical components.

The Outpatient Subspecialty Experience rotation provides PGY-1 residents with early exposure and hands-on experience to various pediatric subspecialties of their choosing, emphasizing comprehensive patient care in an outpatient setting. Residents will engage in multidisciplinary collaboration, honing their skills in diagnosis, management, and long-term follow-up for children with complex health conditions across subspecialty clinics across Mass General for Children. Subspecialty services include the following:

• Allergy & Immunology
• Anesthesiology
• Cardiology
• Child Abuse Prevention
• Child and Adolescent Psychiatry
• Dentistry
• Dermatology
• Endocrinology
• Gastroenterology
• Hematology/Oncology
• Hospice and Palliative Care
• Infectious Disease
• Medical Genetics
• Nephrology
• Neurology/Neurodevelopmental Disabilities
• Ophthalmology
• Orthopedic Surgery
• Otolaryngology
• Pediatric Surgery
• Pulmonology
• Physical Medicine & Rehabilitation
• Radiology
• Rheumatology
• Sleep Medicine
• Sports Medicine

The MGfC PICU is a busy 14-bed mixed medical and surgical pediatric ICU embedded in a quaternary referral center. The goal of the PICU rotation is to help cultivate the clinical acumen of junior residents, providing them with the tools to assess and treat critically ill children with a broad range of pathophysiologies. Residents are the responding clinicians, working closely with fellows and attendings as part of a multi-disciplinary team. Trainees are exposed to interventions specific to the ICU setting, including ECMO, CPR, CVVH, non-invasive and invasive mechanical ventilation, ICP monitoring, management of severe shock, poly-trauma, multi-organ failure, and post-operative management of various high-risk surgeries. Residents receive a core curriculum in addition to teaching on rounds; they also play an active role in our scheduled simulation-based team training exercises. Procedures are a mainstay of critical care, many of which residents have the potential to experience: IV placement, arterial puncture, bag mask ventilation, central venous line placement, intubations, and thoracentesis. As a major referral center, the PICU receives patients from throughout New England, as well as specific burn patients referred from Shriners Hospital for Children, complicated airway reconstruction patients from the Mass Eye and Ear Infirmary, and at times, children transferred from distant parts of the US and the world.

A preponderance of evidence supports simulation in augmenting development of clinical skills. As a result, our program has developed a novel longitudinal simulation to support clinical reasoning acquisition in addition to urgent and emergent simulated scenarios in the clinical learning environments.

Here at MGfC, we encourage residents to tailor their residency training to meet their unique educational goals. Instead of placing residents into predefined “tracks,” we offer opportunities to explore diverse interests and create a residency that aligns with their individual learning and career goals. A total of 40 weeks of curriculum is dedicated to individualized learning, which are planned and co-created with input from mentors. Residents can choose from a variety of subspecialties or create unique curricular experiences. We have seen residents create incredibly rich and diverse experiences, such as working on a hospital boat in Cambodia, collaborating on comparative zoology with veterinarians, developing an emergency medicine curriculum in Kenya, and partnering with the Chief Quality Office of the hospital. At MGfC, we recognize that one size does not fit all; no two residents have the same training experience because no two residents are alike. We value individuality and autonomy in designing training that meets each resident's unique needs.

Our electives include:

• Allergy & Immunology
• Anesthesiology
• Cardiology
• Child Abuse Prevention
• Child and Adolescent Psychiatry
• Dentistry
• Dermatology
• Endocrinology
• Gastroenterology
• Hematology/Oncology
• Hospice and Palliative Care
• Infectious Disease
• Medical Genetics
• Nephrology
• Neurology/Neurodevelopmental Disabilities
• Ophthalmology
• Orthopedic Surgery
• Otolaryngology
• Pediatric Surgery
• Pulmonology
• Physical Medicine & Rehabilitation
• Radiology
• Rheumatology
• Sleep Medicine
• Sports Medicine

The Ward Teach rotation is a 2 to 4-week rotation in the PGY-3 year which combines medical student teaching with mentored large group teaching opportunities. During this rotation, the resident runs Morning Case Conference twice a week and one Wednesday noon conference every other week. Each Ward Teach resident is paired with a faculty mentor for 1:1 teaching and feedback on this large group teaching during the rotation. The conferences are designed to allow the residents to improve teaching skills while educating the residents about recent admissions to MGfC. Residents of all three years, the hospitalist and teaching attendings, as well as medical students, attend the conferences. Additionally, the ward teach spends a significant amount of time with the medical students on their pediatric clerkship in their first clinical year. The ward teach observes medical students’ presentations on rounds, observes their initial histories and physicals when admitting new patients and reads their admission notes and gives them feedback verbally and in writing. The ward teach also leads 1-2 teaching sessions for the medical students, helps them with their physical exam skills in the newborn nursery, and leads 1-2 simulation sessions for the medical students. During this rotation, residents can also elect to participate in YSIM, a community –based youth program that seeks to expose children and adolescents from underserved communities to careers in healthcare through simulated patient encounters. The overall goal of the senior resident ward teach rotation is to provide residents with the opportunity to teach in different settings to different levels of learner in a mentored setting in which they receive feedback through a structured “Resident as Educator” curriculum.

Employee Benefits

• Medical, dental, vision and disability insurance offered by the hospital at a reduced rate
• Malpractice insurance coverage by the hospital
• Assistance in managing initial costs of rental housing (Mass General Brigham Lease Guaranty Program)
• Subsidized parking and preferred access to selected parking facilities on the main campus or satellite facilities
• Facilities for parking and storage of bicycles

More details about all of these benefits can be found on the Mass General Brigham GME website.

Personal Benefits

• Reduced membership rates at the nearby Charles River Park Health Club
• Nearby child care options available with the Mass General Children's Center including backup child care in an emergency
• Mass General partnership with Parents in a Pinch for in-home childcare options

Mass General Brigham offers a wide range of benefits and a competitive salary for residents and clinical fellows.

Salary scale for residents starting July 1, 2023

• PGY 1: $78,540
• PGY 2: $82,500
• PGY 3: $86,350
• PGY 4: $90,750
• PGY 5: $95,150
• PGY 6: $99,000
• PGY 7: $104,500
• PGY 8:  $110,000

Mass General Brigham requires that a contract be issued to each resident and clinical fellow annually.

Stipend

Beginning in academic year 23/24, residents and clinical fellows in most GME office approved programs will receive a $10,000 stipend annually. The stipend is intended to assist with the cost of housing, child care, or any other financial challenges. This stipend is in addition to the salary paid to the trainee

Trainees who have questions about their specific circumstance (i.e. program, year in program) and eligibility should discuss this first with their program director, who can then discuss this with the Director of GME.

• Harvard Medical School Countway Library
• Mass General Treadwell Library
• Mentoring and career advising opportunities within the Mass General Brigham community
• Massachusetts Medical Society membership
• American Academy of Pediatrics
• The American Board of Pediatrics
• The New England Journal of Medicine