Ambulatory Practice Curriculum: 
Practice - 7 half-days per week  
Continuity - 1 half-day per week 
Behavior & Development - 1 half-day per week (or integrated into ambulatory)  
Community Pediatrics (or other longitudinal experience) - 1 half-day per week 
 
Night Float: 
All residents do approximately 6 weeks of night float experience during the second and third year. This is done in one or two week assignments to the inpatient service. The night float resident is on call Sunday through Thursday night, from 5:30 pm to 7:30 am.

Inpatient Service Structure: 
There are three inpatient teams named for colors of the CCMC logo:

Purple Team - The Purple Team is lead by a PL-2 senior resident who rounds daily with the team and the hospitalist (IMT) service attending, and a team of PL-1 residents or PL-1 equivalent residents from one of the two family medicine programs, psychiatry interns, emergency medicine interns, or one from a team of APRN's. The APRN's are integrated into the services to make the assignments manageable, enhance education and meet duty hour standards. The Purple Team provides care for IMT patients for outside Primary Care Providers (PCPs) and a variety of subspecialist faculty services.

Green Team - The Green Team is lead by mostly PL-3 seniors who have greater autonomy and responsibility. The seniors lead a group of PL-1 residents or PL-1 equivalent residents for rounds four days each week with the IMT teaching attending and with a chief resident. The Green Team provides care for all pediatric Pulmonology patients and patients from CCMC Primary Care as well as patients from a variety of other subspecialty faculty groups.

Red Team - The Red Team has leadership of a PL-3 senior with PL-1 residents, and an APRN. The Red Team has the supervision of the Hematology/Oncology faculty since the Team admits all patients of that faculty group.

The Purple and Green Teams provide care for patients of community pediatricians and subspecialists. The patients are distributed among these teams, and the primary responsibility for care is given to pediatric residents.  Surgical subspecialty patient s are followed by residents on Purple and Green Teams as well.  The goals of the latter consultative interactions are to enhance knowledge and care in these areas, and to learn consultative pediatrics without overburdening residents with the added direct care. General pediatric Surgery is taught in the ED, PICU, and NICU by consults on inpatient service, and by elective experiences.

Work Duty Hours: 
The program has recently completed the process of adjusting our program into full compliance with the new ACGME Duty Hour standards. This was accomplished through the joint effort of faculty and residents, and included the addition of senior night float assignments. The changes have been favorably received and our duty hours policy is stated below.

University of Connecticut Pediatric Residency Program  
Duty Hour Policy

As required by the ACGME and the University of Connecticut, the Pediatric Residency Program has developed the following policy: It should be noted that the University of Connecticut Office of graduate Medical Education has an existing institutional policy that applied in full with this policy (see policy at www.residents.uchc.edu) and the institutional policy adds the opportunity for residents to report duty hour violations via a hotline telephone reporting system.

The two policies are complimentary and both apply to all pediatric residents. This duty hour policy is designed to help meet the educational needs of the resident, the needs of patients and families, including patient safety, and continuity of care. This policy is in compliance with institutional policies as well as with requirements of all relevant accrediting bodies, including the ACGME and RRC for Pediatrics. The Pediatric Residency Program requirements are as follows:

1. Duty hours are defined as all clinical and academic activities and include patient care (inpatient and outpatient), all administrative duties related to patient care, in-house call, scheduled academic activities (e.g., conferences, morning report, lectures, etc.), and required research.
2. Duty hours, as defined above, are limited to 80 hours per week, averaged over a four-week period. Note: Schedules may be developed that require a resident to work up to 10% over the 80 hours in a week, yet must meet the 80 hour limit when averaged over four weeks. That is to say the maximum scheduled and served duty hours for any one week will be 88.
3. Residents will be provided with a mandatory one-day in seven free from all clinical and academic activities, averaged over a four-week period. One day is defined as a continuous 24-hour period.
4. Residents will be given a required ten-hour rest period between all daily duty periods and after in-house call. Note: Rest is defined as a period free of any of the activities listed in #1).
5. In-house call will occur no more frequently than every third night, averaged over a four-week period. All current pediatric call schedules are either every fourth night on average or in a one or two weeknight float assignment that meets duty hour standards. This rule will require that the Chief Residents and the program director be notified if residents wish to trade or modify call schedules. These modifications need to be reviewed to be sure that they do not result in any violation of any duty hour rules.
6. Continuous on-site duty, including in-house call, will not exceed 24 consecutive hours. Residents may remain on duty for up to six additional hours to participate in required didactic activities, transfer care of patients, and for morning continuity clinic if that is arranged.
7. Residents will not be assigned or accept new patients after 24 continuous hours on duty. Note: A new patient is defined as a patient for whom the resident has not previously provided care.
8. At-home call is not counted toward the duty hour limit. However, if the resident must come into the hospital, the in-house time will be applied to the duty hour limit. If residents come into the hospital, they must still have the opportunity for at least 4 hours of sleep or this call will be counted as an overnight call in-house call, and will require that the above rules be observed accordingly. At-home call does not have to be limited to no more than every third night. Residents taking at-home call will still have one day in seven free from all clinical and academic responsibilities, averaged over a four-week period.
9. Moonlighting activities must comply with the institution's policy on moonlighting. Moonlighting as part of a program (additional time in the program for an additional stipend), or moonlighting at any institution affiliated with the University of Connecticut ("internal moonlighting"), will be counted toward the duty hour limit and must comply will all other duty hour requirements.

The pediatric program director submits quarterly duty hour reports to the University of Connecticut Office of Graduate Medical Education. This report includes the duty schedules for all residents, notation of any duty hour violations, and steps taken to prevent repeat violations. The Graduate Medical Education Committee (GMEC) reviews and monitors the quarterly duty hour reports. They periodically ask residents to complete written surveys, and conduct random unannounced interviews of residents to verify compliance with duty hour standards. Pediatric residents cooperate with these GMEC efforts to verify the compliance of the pediatric residency program.