House Staff Responsibilities by Year

First (PL-1) Year

The first-year resident serves as the primary physician for all patients admitted to Bellevue and Tisch Hospitals, as well as for patients visiting Bellevue's pediatric clinics and emergency service. In both the in-patient and out-patient setting, diagnostic and management plans are formulated and implemented by the first-year resident under the supervision of senior house staff and faculty.

During the year, residents will have block rotations in:

• ambulatory pediatrics
• pediatric emergency medicine
• neonatal intensive care
• subspecialty pediatrics
• general medicine, including the in-patient wards at Bellevue and Tisch Hospitals

Continuity clinic is attended once weekly for a full day throughout the year where the resident is not responsible for any other patient care duties: Night call is covered during regularly scheduled blocks of time constituting the “night float” week.

Second (PL-2) Year

The residents' experience in the second year expands in scope to include:

• supervisory duties
• direct care of critically ill neonates and children
• subspecialty pediatrics.

Block rotations include:

• ambulatory/emergency care pediatrics
• general medicine
• term nursery
• neonatal intensive care
• pediatric intensive care
• behavioral-developmental pediatrics
• adolescent health care
• subspecialty pediatrics

Continuity clinic is attended once weekly for a half/full day depending on the block rotation.

Third (PL-3) Year

In year three, residents supervise the in-patient medical teams at Bellevue and Tisch, the intensive care unit and the pediatric emergency service. Teaching is a key part of the year.

Block rotations include:

• ambulatory/emergency pediatrics
• general medicine
• neonatal intensive care
• pediatrics intensive care
• subspecialty pediatrics

As in years one and two, continuity clinic is attended weekly for a half/full day depending on the block rotation.

Chief Residency (PL-4)

Each year, two PL-4 chief residents are appointed based on demonstrated excellence in leadership, teaching, and clinical performance. The chief residents represent a vital clinical and academic link between house staff and faculty; they manage the house staff program and direct the house staff patient-care services at Bellevue and Tisch Hospitals, play a major role in education and clinical decision making, organize many of the departmental conferences, and perform diverse administrative functions.