The Yale Pediatrics Residency Program is designed to combine intensive learning in clinical care settings with supplemental, broad-based didactic experiences. Faculty, fellow, chief and senior resident guided learning at the bedside and in the ambulatory setting form our program's core learning opportunities. Electives and opportunities for concentration in areas such as research, global health, advocacy, quality improvement, leadership and medical education provide opportunities to explore individualized pathways for learning. Our curriculum is carefully evaluated yearly and continuously improved with significant resident input to the review process. A recent innovation for our program was a move to an immersion clinic schedule in which the outpatient experience no longer occurs in weekly continuity clinics but in 4-6 two-week blocks scattered throughout the year, also known as an "x+y" design. The clinic blocks are modeled to resemble a real outpatient practice with a mix of well-child and urgent visits in the same sessions. Likewise, the inpatient experiences are left largely undiluted, allowing residents to focus entirely on their patient panel and inpatient education. Please see our yearly summary schedules below for each of our three years of training. Importantly, each resident receives 4 weeks of vacation, spread over two 2-week periods; an additional 4 days surrounding a major holiday is also given if your vacation does not fall over a holiday.

In 2015, we initiated an exciting change in our block scheduling. Known as an "ambulatory immersion schedule" or, at Yale, 4+2+2, this method of scheduling allows our residents to spend uninterrupted time in both inpatient and outpatient settings. Core inpatient rotations, such as those on our wards and in our ICUs, span four weeks without disruption in patient care or team continuity. In turn, we offer dedicated two-week blocks of outpatient care that include continuity clinics, urgent visits, a dedicated primary care pediatric curriculum, administrative and patient advocacy time, and opportunities to rotate in local, community pediatric practices. While the primary goal of immersion scheduling is the enhancement of the ambulatory experience, this strategy leads to other positive consequences including significant decreases in the number of patient hand-offs, a reduced need to interrupt resident electives for continuity clinics, and an improved inpatient experience.

• Inpatient Units (22 weeks) (including night float weeks)
• Pediatric intensive care unit (4 weeks)
• Neonatal intensive care unit (4 weeks)
• Emergency department (4 weeks)
• Outpatient general pediatrics/continuity clinic (8 weeks)
• Development and behavioral pediatrics (2 weeks)
• Newborn nursery (2 weeks)
• Elective (2 weeks)
• Continuity clinic (1/2 day per week during ED and elective blocks only, all other continuity clinic time is folded into the clinic blocks)
• Vacation (4 weeks)

• Inpatient Units (16 weeks)
• Pediatric intensive care unit (4 weeks)
• Neonatal intensive care unit (6 weeks)
• Emergency department (4 weeks)
• Outpatient general pediatrics/continuity clinic (8 weeks)
• Newborn Nursery (included in inpatient community hospital rotation) (2 weeks)
• Development and behavioral pediatrics (2 weeks)
• Electives (8 weeks)
• Continuity clinic (1/2 day per week during ED and elective blocks only, all other continuity clinic time is folded into the clinic blocks)
• Vacation (4 weeks)

• Inpatient Units (12-16 weeks)
• Pediatric intensive care unit (0-4 weeks)
• Emergency department (4 weeks)
• Outpatient general pediatrics/continuity clinic (8 weeks)
• Electives (20 weeks)
• Continuity clinic (1/2 day per week during elective blocks only, all other continuity clinic time is folded into the clinic blocks)
• Vacation (4 weeks)