PL1 - First Year
During intern year, the PL-1 serves as the patient's primary physician on inpatient and outpatient services under the supervision of a senior resident and an attending physician. Academic pediatric hospitalist faculty provide 24-hour in-house supervision for both general pediatric inpatient teams. Night coverage for the first-year resident is provided by a night team from Monday through Friday nights. On Saturday and Sunday, call is covered by PL-1 residents from the individual ward teams in a traditional night call format. There are four weeks of vacation and four weeks of call-free time.
PL2 - Second Year
During the second year, pediatric residents broaden patient care experience and skills. In some assignments, residents begin assuming leadership roles, both in the outpatient and inpatient areas. PL-2s rotate through Holy Cross Hospital (an affiliated community hospital) and the pediatric and neonatal intensive care units at the Children's National main campus. Broad exposure to all pediatric specialties exists at all times, but is more concentrated during elective and assigned specialty services. Night coverage for PL-2s is approximately every fourth to fifth night while on acute care units, plus two two-week night team rotations during the year. The ICUs generally have nights covered by residents on call every fifth night and a night resident “buddy” call. There are four weeks of call-free electives and four weeks of vacation.
PL3 - Third Year
During the third year, residents assume a position of leadership in all areas by supervising first-year residents' patient care and providing teaching on both the inpatient and ambulatory medical units. Third-year residents have eight weeks of elective time and four weeks of subspecialty electives. Night coverage for PL-3s is approximately every fifth night in the intensive care units (with night “buddy” call) plus two two-week night team rotations. There are four weeks of call-free electives and four weeks of vacation.