Curriculum by Year

Pediatric Residency Program

We’re pleased to offer a truly unique pediatric residency program that combines the leading pediatricians and surgical specialists of the Nemours/Alfred I. duPont Hospital for Children with the outstanding academics of Jefferson Medical College of Thomas Jefferson University (TJU).

About Our Program

The primary teaching hospital for the program is the Nemours/Alfred I. duPont Hospital for Children, located in Wilmington, DE. The other hospitals in the program are the Thomas Jefferson University Hospital, just 30 minutes away in Philadelphia, and the Christiana Hospital, located right nearby in Newark, DE.

We accept 22 pediatric residents each year into the program. Throughout this 3-year training period, you’ll progressively gain more responsibility, not only in patient care but in the teaching and supervision of students, junior residents, and other health care professionals. And we offer the entire spectrum of pediatric medical and surgical subspecialties, with multiple physicians represented in each.


Community Preceptor Program

All residents participate in primary care experiences in private offices in Delaware, Philadelphia, and the surrounding Delaware Valley, while continuing to serve patients who are medically underserved at traditional inner-city hospital-based clinics.

You’ll have three to four one-week blocks in an assigned private practice office. You can elect to do further block rotations with other pediatricians in the area who practice out of solo, group, and managed-care practices. This office-based apprenticeship is designed to train you in a setting similar to your future practice, and will help you understand the daily practices of your referring pediatricians.

1st Year: What to Expect

Begin to Develop The Skills You’ll Need

In the first year of our residency program, you’ll begin to develop the skills necessary to become competent pediatricians. With an emphasis on general inpatient and outpatient pediatrics, neonatology, well-baby care, and emergency medicine, during the first year, you’ll:

  • rotate through the medical/surgical units, general pediatrics clinics, and newborn nurseries, as well as gain training in private practitioners’ offices
  • receive as much responsibility as possible, in a supervised educational environment
  • have the opportunity to make decisions, formulate diagnoses, and present your cases to supervisors. Our attending faculty members are very accessible and will give you support and direction
  • gain experience with common and uncommon pediatric diseases, as well as the various aspects of well-child care and normal growth and development
  • explore areas of special interest through a block of electives
  • be enrolled in Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation Program courses

Orientation

The annual orientation, which is kicked off with a social dinner at the program director’s home, will serve as your introduction to your residency. You’ll get to know your classmates in a casual setting through luncheons and/or welcome dinners scheduled with attendings and staff at each site, followed by tours.

The chief residents also host a dinner, where you’ll receive your schedule and can ask questions and learn about the day-to-day expectations. Orientation ends with a shadow day, with you following the team with which you’ll soon
be working.

2nd Year: What to Expect

Begin to Care for Patients with More Complex Needs

In your second year, we’ll emphasize developing skills and knowledge to take care of patients with more complex needs. The second-year program has additional flexibility, giving you a choice of ambulatory medical and surgical subspecialty experiences.

You’ll also gain increased responsibility and independence in the emergency department, and work with critically ill patients in rotations through cardiology, as well as the neonatal and pediatric intensive care units. You’ll begin to take on a supervisory role in general inpatient rotations, helping first-year residents organize rounds, triaging and assigning patients, and assuming overall coordination of clinical care.

To present a balanced curriculum in the second year, we offer a variety of electives. You also can increase your private office experience during much of the second (and third) year of training, while continuing traditional continuity clinics for a half day each week.

3rd Year: What to Expect

Become a Manager and Educator

During your third year, the emphasis will be on training to become a manager and educator, rather than on simply providing patient care. You’ll oversee and assist junior residents and students in the inpatient and outpatient settings, providing guidance and supervision. Team management, in conjunction with our attending faculty members, will become a major role you’ll take on this year.

You’ll also have ample opportunities for elective rotations in subspecialty areas of interest. Throughout your residency program, you’ll have a chance to work with community agencies that provide services to children. You’ll receive wide-ranging experience in developmental and behavioral pediatrics, as well as the evaluation and treatment of victims of child abuse.

Training in the Child Advocacy Center will teach you about the management of abused children. Off-site electives, including experiences abroad, are permitted during call-free rotations. Research electives also are encouraged.

A Day in the Life of a Pediatric Resident

Here’s what you can expect, in general, when you come to Nemours/Alfred I. duPont Hospital for Children’s Pediatric Residency Program:

 
6:30-8:30 a.m. Sign-In & Bedside Work Rounds on Inpatient Units

The intern will get sign-out from the outgoing night team and then collect vital signs and examine each patient being cared for by their team.

 
8:30-9 a.m. Morning Report

The house officers and attendings will discuss an interesting case presented by an upper-year resident. This is one of the highlights of our program, as it always leads to great discussions between the house staff, general pediatric attending, and subspecialty attendings. The morning report also is well-attended by the faculty.

 
9 a.m. to noon Family-Centered Rounds & General Patient Care

Bedside rounding is performed on each patient and involves medical students, house staff, nursing staff, and families. Our computer order entry system and portable computers allow most orders to be entered while the team is rounding. However, there is time after bedside rounds to complete notes, call consults, and handle any other patient care-related work.

 
Noon to 1 p.m. Protected Teaching Conference

Faculty members from the general pediatric division and subspecialties present lectures to the house staff and medical students. Each month, the house staff also attends seminars on ethics, case conferences, and morbidity and mortality conferences during this one-hour time period. This time is protected for the residents’ education.

 
1-5:30 p.m. General Inpatient Care or Continuity Clinic

This time is for residents to perform any additional work on their patients and to admit new patients to the hospital. This is also a good opportunity for you to receive even more instruction, by speaking with consultants who may have been called in that morning.

One half-day per week each resident works in one of our five local primary care centers. During this time, residents provide acute and well-child care to a group of patients with whom they build a relationship over the 3 years they’re assigned to that center.

 
5:30 p.m. Sign-Out to the Night Team

Contact Us

Cindy Chuidian

Program Coordinator
(302) 651-5795
cindy.chuidian@nemours.org

Apply for This Residency

Application Requirements
Deadline: Dec. 1, 2013
  • ERAS application
  • personal statement
  • board scores
  • three letters of recommendation
  • dean's letter
  • transcript

Note: Letter from the Chairman is not required.