Schedule Overview

Female resident interacting with young toddler patient

The OSU/NCH program is geared toward giving residents a broad experience in Internal Medicine and Pediatrics.  

Residency at a Glance

  • Rotations occur on a 4 week block cycle with staggered intern and resident start dates (Mondays and Wednesday respectively) to provide improved continuity of patient care.
  • There are 13 total block rotations/year (see breakdown in table below).
  • The combined Med-Peds residency program is structured to provide increasing responsibility in both patient care and teaching supervision over the four years. The resident also has progressively more elective time throughout the program to allow for an individualized overall experience.
  • Each resident attends their own primary care clinic one half-day per week unless conflicting with Night Team duties.
  • Both Pediatric and Internal Medicine wards consist of general and subspecialty services.  During subspecialty rotations residents work directly with the subspecialty attending.
  • Pediatric ward rotations are covered by a combination of day and night shifts between a primary team of residents.Night coverage for ward teams starts at 5:30 pm.  Traditional night call on a every 4th or 5th night schedule provides coverage in the neonatal and pediatric ICUs.
  • Internal Medicine utilizes a Night Team system to provide coverage Sunday through Thursday nights, 6pm to 7 am.  Interns and residents on clinic and elective rotations cover Friday and Saturday nights from 6pm to 7am. Residents generally work one weekend of Night Team coverage per block while on outpatient or elective rotations. 

PGY-1: The first year curriculum gives practical skill in the management of both common and complex medical issues for adults and children, setting the framework for skills needed in leadership and patient management as a future supervisory resident.  The interns have level appropriate clinical experiences designed to expose them to the frequently encountered issues in both specialties.  These goals are accomplished through clinical experiences that introduce the intern to commonly encountered IM & Pediatric diseases.  These experiences include inpatient general medicine, inpatient pediatric infectious diseases, an ambulatory acute care month and the newborn nursery.

Interns are also taught the management of the very ill and the at-risk patients to help them develop decision making abilities, even in urgent or acute settings.  Activity in areas such as the medical ICU, the neonatal ICU/delivery room, cardiology and oncology provide this experience.  The intern lecture series focuses on emergent and urgent conditions and their management.  These lectures are recorded allowing residents to learn from lectures given when they are out (clinic, post-call, vacation, etc…) or to refresh previously learned material. The intern schedule rotates between Internal Medicine and Pediatrics every three blocks.

PGY-2/PGY-3: Years two and three are consolidated to provide a ‘second-year equivalent’ for both Internal Medicine and Pediatrics.  The education, at this level, is designed to provide our residents with supervisory experience in both specialties.   Four-week long rotations through our subspecialty systems, including emergency medicine, allow the residents to get exposure to most of the medical and pediatric subspecialties, while gaining additional practical exposure to potential career paths and mentors. 

More experiences in ambulatory care for adults and children (including developmental pediatrics, our IM-PECS program and block time in the combined Med-Peds clinic) and care for the undifferentiated patient provide generalist education in our program.  Our residents are also given an elective career development month during this period.  This rotation allows a resident to explore a desired career path through both clinical and scholarly activity.  Years two and three switch departments every four blocks.

PGY-4: Year four provides the ability for the senior to utilize ambulatory block time for experience in geriatrics and other outpatient medical subspecialty care.  There is a four-week long experience of being the senior resident in the hospital helping manage patient flow, acute care issues and consultations.  This experience helps residents feel comfortable in their management abilities while providing support and mentorship to more junior residents. The senior resident can significantly tailor much of the final year in our program to meet his/her specific career-based needs.  Year four alternates departments every three blocks.

Our schedule overview is graphically depicted below.


BLOCK 1 2 3 4 5 6
  IM IM IM Peds Peds Peds
  MICU Gen Med Heme ID/General Heme/Onc Acute Care
7 8 9 10 11 12 13
IM IM IM Peds Peds Peds Peds
Heart Night Flt Elect Pulm/ General NICU Well Baby Nursery Subspecialty Ward


BLOCK 1 2 3 4 5 6
  IM IM IM Peds Peds Peds
  ED Nephro Consult VA Hospital Peds ED Beh/ Dev
7 8 9 10 11 12 13
Peds IM IM IM IM Peds Peds
NICU Gen Med Onc GI Elective PICU Elective


BLOCK 1 2 3 4 5 6
  Peds Peds IM IM IM IM
  Prim Care Subspecialty Elective Night Flt Subspecialty Elective MICU IM-PECS
7 8 9 10 11 12 13
Peds Peds Peds Peds IM IM IM
Subspecialty Elective Subspecialty Elective Subspecialty Elective ICU Heart Gen Med Ward


BLOCK 1 2 3 4 5 6
  Peds Peds Peds IM IM IM
  Surg/ Sports Med Ward Adolescent Med Medical Consults Outpt Clinics Outpt Clinics
7 8 9 10 11 12 13
Peds Peds Peds Peds IM IM IM
Hosp Peds Elective ED Elective Geriatrics ID Consult Elective