Department of Pediatrics

Pediatric Residency Program Curriculum


Clinical Training

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PL1 Pedi Skills Casting 2016-2017

Over three years, residents spend approximately 75 percent of their training time at Texas Children's Hospital and 25 percent at various locations within the Harris Health System. The scope, balance, and flexibility of the program prepare the house officers for either general pediatric practice or subspecialty training.

Clinical training provides instruction in:

  • Well-child care
  • Normal and abnormal growth and development
  • General pediatrics
  • Acute and chronic medical and surgical specialties

Attending rounds for teaching and supervision inpatient care are conducted at both hospitals on all inpatient units. Department grand rounds are held weekly and there is the opportunity to attend a variety of other conferences on inpatient and outpatient units.


Primary Care

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Pediatric residents at the Pasadena Clinic

Approximately 40 percent of our graduates go into primary care. Our program offers a broad-based training experience that provides a solid framework of knowledge and skills whether one chooses to practice in a rural or urban setting. We have rotations that focus on community pediatrics. These rotations have learning experiences in:

  • School health
  • Virtual medicine / TeleHealth
  • Mental health
  • Care of the underserved
  • Car seat installation
  • The Emergency medicine system
  • Environmental health
  • Teaching children and parents about staying healthy

Continuity Clinic


Each week for the entire training period, residents participate in a half-day continuity clinic. Baylor College of Medicine offers three distinct practice sites for the resident to choose from upon entering the program.


Curriculum Overview


Our curriculum is divided into 13 rotation blocks (4 weeks each) per academic year with a combination of outpatient, inpatient and subspecialty pediatrics. We offer selective or elective rotations in each year including a rotation dedicated to caring for an underserved population (locally in the Houston area, at one of our health facilities on a Navajo Indian Reservation in New Mexico or Arizona, or at one of Baylor’s affiliated pediatrics centers in Botswana, Malawi, Eswatini, and Lesotho, Africa).

Our curriculum is designed to challenge our residents with a graded increase in the level of supervisory responsibility from their PGY-1 (teaching medical students) to PGY-3 (supervising residents and students) years. These supervisory experiences occur in outpatient, general inpatient, subspecialty and NICU rotations.

Each resident chooses an Individualized Curriculum track. View details.

Curriculum by Year

Details of each PGY year can be found below.


PGY 1: (8 blocks with night shifts)

  • General Outpatient Pediatrics – clinics in Harris Health System (1.5 blocks)
  • Pediatric Hospital Medicine – general inpatient at Texas Children’s Hospital (3 blocks)
  • Subspecialty pediatrics – inpatient and outpatient at TCH (3 blocks)
    • Nephrology, Pulmonary, Neurology, Endocrinology, or Infectious Disease
  • Selective in Outpatient Subspecialty Pediatrics –  TCH and HHS (1 block)
    • Rheumatology, Allergy & Immunology, Genetics, variety of subspecialties at HHS
  • Developmental Pediatrics – outpatient at Meyer Center for Developmental Pediatrics
  • Neonatal Intensive Care Unit – Ben Taub Hospital (1 block)
  • Newborn – Ben Taub Hospital (1 block)
  • Transitional Intensive Care unit – PICU for technology dependent patients at TCH (1 block)
  • Pedi 101 –introductory course with elements of teaching and communication skills as well as the effects of chronic illness, the in-home environment and the cultural background, and economic issues of health care. (0.5 block)

PGY 2: (5 blocks of night shifts / calls, 2 EC months with a variety of hours)

  • Adolescent medicine – inpatient and outpatient care TCH and HHS (1 block)
  • TCH Pediatric Emergency Center (2 blocks)
  • Subspecialty pediatrics – inpatient and outpatient at TCH (3 blocks)
    • Cardiology, Gastroenterology/Hepatology, and Hematology/Oncology
  • TCH Pediatric Intensive care unit (1 block)
  • TCH Neonatal Intensive care unit (1 block)
  • Underserved rotation (1 block)
  • Scholarly Project Rotation (1 block)
  • Selective based on Individualized Curriculum (2 blocks)
  • Pedi 201 – continuation of topics from Pedi 101 as well as supervisory skills (0.5 block)
  • Elective (0.5 block)

PGY 3: (4-5 blocks of calls, 1-2 EC months with a variety of hours)

  • General Outpatient Pediatrics Supervisor - clinics in Harris Health System (1 block)
  • Pediatric Hospital Medicine Supervisor – general inpatient at Texas Children’s Hospital (1 block)
  • Subspecialty pediatrics Supervisor– inpatient and outpatient at TCH (1 block)
  • Neonatal Intensive Care unit Supervisor - Ben Taub Hospital (1 block)
  • TCH Pediatric Emergency Center (1 block)
  • Community Pediatrics (1 block)
  • STaRS – Safety and Teaching as Resident Supervisors (1.5 blocks)
  • Ben Taub Emergency Center (0.5 block)
  • Elective (1 block)
  • Selective based on Individualized Curriculum (2 blocks)
  • Capstone based on Individualized Curriculum (1 block)
  • “Flex” – additional supervisory or EC month (1 block)