Categorical Pediatric Program Curriculum

Our X+Y curriculum consists of 3 weeks of an immersive core rotation followed by 1 dedicated ambulatory Y week focused on continuity clinic and longitudinal experiences. This structure allows residents to remain focused within each clinical setting while reducing transitions and patient handoffs.

How X+Y Works

X Blocks: Three-week immersive clinical experiences including inpatient wards, PICU, NICU, Newborn Nursery, Emergency Medicine, Primary Care and Electives.

Y Blocks: Dedicated time for continuity clinic and longitudinal curricula, including Developmental Pediatrics, Mental Health, Community Advocacy and Resident Longitudinal Experiences (RLEs).

Benefits of X+Y Scheduling

  • Fewer interruptions and patient handoffs by eliminating the need to leave X-block rotations for continuity clinic.
  • More consistent continuity clinic scheduling, supporting longitudinal relationships with patients and families.
  • Improved team continuity, with residents able to remain focused on their primary clinical rotation.
  • Predictable ambulatory time every four weeks for continuity clinic, longitudinal curricula and other outpatient experiences.

Our Training Sites

Our residents train across three complementary hospital systems, all within a few miles of one another. Each site contributes something different to residency training, providing experience across tertiary and subspecialty pediatrics, safety-net and community care and newborn and neonatal medicine.

Phoenix Children’s

Phoenix Children’s Hospital - Thomas Campus is our primary training site and a freestanding pediatric hospital serving children from across Arizona and the greater Southwest. The hospital has more than 500 beds and broad representation across pediatric medical and surgical subspecialties, providing exposure to both common pediatric conditions and highly complex disease. Its specialized services include a Level I Pediatric Trauma Center, Level IV NICU, ECMO and transplant programs. 

Residents spend much of their training at Phoenix Children’s, with experiences spanning inpatient pediatrics, emergency medicine, critical care and inpatient and outpatient pediatric subspecialties. The breadth of faculty and fellowship programs also provides extensive opportunities for subspecialty exposure, mentorship, electives and career exploration throughout residency

Valleywise Health

Valleywise Health is a large public health system that provides care for many of the Valley’s underserved and medically vulnerable communities. Its pediatric services span inpatient, emergency and outpatient care, giving residents experience with general pediatrics as well as the social and structural factors that affect child health. Valleywise also cares for a diverse population that includes refugee and immigrant families. 

Residents rotate at Valleywise in inpatient pediatrics, outpatient pediatrics, newborn nursery and pediatric emergency medicine. Valleywise also serves as a continuity clinic site, allowing residents to build longitudinal relationships with children and families while developing experience in primary care and community-based pediatrics. 

St. Joseph’s Hospital and Medical Center

St. Joseph’s Hospital and Medical Center is a large community hospital serving the Phoenix metropolitan area. It serves as the primary delivery hospital for the Phoenix Children’s neonatal-perinatal program and includes a 70-bed Level III NICU, providing significant exposure to deliveries and neonatal care.

Pediatric residents rotate at St. Joseph’s in the NICU. The hospital also serves as one of our continuity clinic sites, providing additional experience in a community setting. These experiences provide focused training in the care of newborns, premature infants and high-risk neonates while complementing the complex referral-based neonatal care residents encounter at Phoenix Children’s Level IV NICU.

Curriculum Outline

PGY-1

Inpatient Wards

  • 9 weeks at Phoenix Children’s Hospital

  • 3 weeks at Valleywise Hospital

12 weeks

Outpatient Clinic

  • 3 weeks at Phoenix Children's clinic

  • 3 weeks at Valleywise clinic

6 weeks

Valleywise Emergency Medicine

3 weeks

Newborn Nursery

2 weeks

NICU

3-4 weeks

Subspecialty Outpatient Experience

4 weeks

Subspecialty Inpatient Experience

5 weeks 

Vacation

4 weeks

Y-week

- Continuity Clinic

- Yale Curriculum

- Developmental Pediatrics

12-13 weeks

PGY-2

Valleywise Wards Seniors

3 weeks

Blue Team (Trach-Vent Team)

3 weeks

Phoenix Children's Emergency Medicine

3 weeks

PICU

6 weeks

Inpatient Hematology/Oncology

3 weeks

Back Up / Cross Cover

2 weeks

Nursery Senior

2 weeks

NICU Senior 

3 weeks

Clinic Senior

3 weeks

Adolescent

4 weeks 

Electives

4 weeks

Vacation 

4 weeks

Y-week

- Continuity Clinic

- Individualized Curriculum

- Mental Health

- Yale Curriculum

12-13 weeks

PGY-3

Inpatient Wards Senior 

8 weeks

Emergency Medicine

6 weeks

Inpatient Cardiology

3 weeks

Inpatient Infectious Disease

3 weeks

Electives

11 weeks

Back Up / Cross Cover

4 weeks

Y-week

- Continuity Clinic

- Individualized Curriculum

- Board Study/Prep

12-13 weeks