​​​​​

Pediatrics Residency

Welcome! Thank you for your interest in our program.  The Texas A&M Health Science Center College of Medicine  Baylor, Scott & White Pediatrics Residency is a three year program fully accredited by the Accreditation Council for Graduate Medical Education (ACGME).

Our program mission is to transform medical students into skillful pediatricians who provide compassionate care for patients, families, and the community while retaining the joy in medicine and academic curiosity.  We accomplish this mission through our five aims:

  • To train Pediatricians we would personally choose to care for our children and loved ones
  • 100% pass rate on the American Board of Pediatrics certifying exam
  • Support residents as front-line physicians and also as people with lives outside of medicine
  • Graduate residents who consistently place in the practice or fellowship of their choice
  • Develop life-long advocates for children in our community and beyond

Curriculum

Our program is dedicated to educating residents on the knowledge and skills necessary to practice patient-based pediatrics.

The department has more than 60 full-time teaching faculty specializing in: (some say pediatrics and some do not, but I would not want someone to think that we do not have pediatric subspecialists in the other specialties)

  • General Pediatrics
  • Adolescent Medicine
  • Allergy/Immunology
  • Pediatric Anesthesiology
  • Pediatric Cardiology
  • Child abuse/Forensics
  • Pediatric Dermatology
  • Pediatric  Endocrinology
  • Pediatric  Gastroenterology
  • Genetics
  • Pediatric  Hematology/Oncology
  • Pediatric  Hospital Medicine
  • Pediatric  Infectious Disease
  • Pediatric  Intensive Care
  • Neonatology
  • Pediatric  Nephrology
  • Pediatric  Neurology
  • Pediatric Surgery
  • Pediatric Otolaryngology
  • Pediatric Neurosurgery
  • Pediatric Podiatry
  • Pediatric Radiology
  • Pediatric Urology
  • Child Psychiatry
  • Pediatric Pulmonology/Sleep medicine
  • Pediatric  Orthopedics

Approximately 60-70 percent of our graduates have entered primary care and 30-40 percent have entered pediatric academic fellowships such as neonatology, critical care, emergency medicine, hematology/oncology, pulmonology, endocrinology, adolescent medicine, child development, anesthesiology and gastroenterology.

During the first year of training, our pediatric residents are introduced to foundational clinical and scholarly experiences through integration into varied clinical settings with exposure to a diverse patient population.  PGY-1 residents build upon their undergraduate medical education competencies in the ability to perform thorough but focused age-appropriate histories and physical examinations in the inpatient and outpatient settings. PGY-1 residents develop patient appropriate assessments and management plans with the guidance of their upper level residents and faculty. They learn to identify level of illness severity and begin to address psychosocial and environmental influencers to care delivery. In the first year of training, residents will begin to establish their panel of continuity clinic patients at their continuity clinic site.

As they progress through the first year, PGY-1 residents are encouraged in their ability to independently seek knowledge and critique the medical literature through a structured evidence based medicine curriculum. They are coached in their ability to be “Residents as Educators” for both their teammates and their patient families. They are also introduced to Quality Improvement concepts and begin a project relevant to their career interests, with the guidance of an experienced faculty mentor.

Throughout the first year of training, residents establish a framework of understanding of pediatric practice that incorporates issues of child health advocacy, preventive health care, clinical ethics and effective cost containment into each aspect of their future experiences.

PGY-1

In-Patient (MSU)

3 blocks

In-Patient Sub-Specialty (Heme/Onc)

1 block

In-Patient Selective

0.5 block

Child Development

1 block

NICU

1 block

Out-Patient Clinic

1 block

Nursery

2.5 blocks

Forensics (Child Protection Team)

0.5 block

Radiology

1 block

QI

0.5 block

Emergency Department

1 block

Continuity Care Clinic

½ day per week

The second year of pediatric training builds upon the skill and knowledge base established in the first year and uses evidence-based medicine to enhance patient care and self-improvement. During the year, PGY-2 residents refine their clinical assessment skills. They also broaden the scope and complexity of the health care problems they address and critically analyze their performance and patient outcomes.

PGY-2 residents are exposed to in-depth experiences in a variety of subspecialty areas, including adolescent medicine and community-based pediatrics. They expand their practice experience and demonstrate greater clinical competency and efficiency in providing care to patients with a broader range of disease complexity. In the primary care setting, residents gain increasing responsibility and autonomy to begin functioning in an effective supervisor role for interns and medical students.

Residents enhance their teaching role at the bedside and expand their teaching efforts in the conference room. They learn to develop effective group teaching sessions and to efficiently utilize available teaching materials and literary resources. Via exposure to an expansive number of pediatric experiences, the PGY-2 residents begin to focus their career planning deliberations through discussions with faculty advisors and mentors and successfully develop or confirm their future practice interests. PGY-2 residents affirm their role as trusted child health advocates, preventive primary care providers and ethical and cost-effective practitioners.

PGY-2

In-Patient (MSU)

2.5 blocks

In-Patient Sub-Specialty (Heme/Onc)

1 block

In-Patient Selective

0.5 block

PICU

1 block

NICU

1 block

Adolescent Medicine

1 block

Emergency Department

1 block

Electives

4.5 blocks

QI

0.5 block

Continuity Care Clinic

½ day per week

PGY-3 residents continue to expand their pediatric knowledge base through additional supervisory, subspecialty, and intensive care rotations. As they prepare for the American Board of Pediatrics certifying examination, there is opportunity to spend dedicated time to study.  Residents further refine their competence in clinical diagnostic evaluations and technical procedural skills as well as in their patient stabilization, office preparedness and telephone triaging abilities. They practice pediatrics efficiently and effectively with a significant degree of independence and demonstrate level-appropriate leadership, confidence and supervisory capabilities.

PGY-3 residents assert their preceptorial and group-teaching skills as they expand their capacity to critically evaluate the medical literature and to teach other healthcare professionals and multiple level learners in a “round” format with a concurrent, patient-care service function. Residents complete a scholarly activity that will be submitted for presentation and/or publication. Third-year residents develop focused sign-out skills to facilitate continuity of care and learn how to expand these skills to apply to the community practice setting. They bring appropriate closure to their resident continuity care clinic  experience and, while establishing successful lifelong learning habits, they complete plans for their future careers in primary care practice or in additional fellowship training. PGY-3 residents participate at the community level in preventing or solving problems in child healthcare, publicly promote preventive healthcare and advocate for the causes of children. Residents provide children with ethical, cost-effective medical care.

PGY-3

In-Patient (MSU)

4 blocks

In-Patient Selective

0.5 block

PICU

1 block

Out-Patient clinic

1 block

QI

0.5 block

Urgent Care/Night Clinic

1 block

Electives

4.5 blocks

Board Review/Self-Directed Study

0.5 block

Continuity Care Clinic

½ day per week

Our program has transitioned completely to a night float or night shift schedule; there is no traditional 24-hour in-house call. Our program strictly adheres to the duty hours restrictions outlined by the ACGME, with zero duty hour violations. There is also a resident back-up schedule to provide coverage in the event that the assigned resident is unable to fulfill the assigned responsibilities.

Night Float

Night float is a two-week rotation of night shifts on the inpatient pediatric service. This is integrated into each PICU and MSU inpatient rotation.

Cross Cover

Cross cover is assigned to residents on the weekend to cover a service other than the rotation the resident is currently assigned to for the month. Residents serve a role at their level of training on an inpatient service for a weekend shift. Currently each PGY level is assigned 2-3 weekends annually. 

Jeopardy Call

The jeopardy call resident is available as back-up for inpatient rotations (MSU/PICU/NICU/nursery) in the event of illness. Currently, PGY-2 residents cover 2-3 half blocks PGY-3 residents cover 1-2 half blocks.

Attendance at scheduled conferences is monitored, with a goal of 70% attendance to account for clinical obligations and time off. The entire conference series addresses the first three aims of the program, with a primary emphasis on successful passage of the American Board of Pediatrics exam following completion of the training program. During the CoVID-19 pandemic, conferences are held via videoconference to allow for the safety and wellness of our residents and staff.  Our conferences are recorded and can be viewed at any time.

Department of Pediatrics Grand Rounds

Grand rounds are held weekly with some exceptions during the academic year.  Speakers include Baylor Scott & White pediatric medical staff, guest lecturers and residents . Several of the guest speakers are known nationally or internationally in their area of expertise. General and subspecialty clinical issues, health policy and pediatric research are some examples of the types of topics presented.

Critical Thinking Conference (CTC)

This conference is conducted weekly and is moderated by the program director(s). Topics include: Clinical Pathology Conference (CPC), Risk Management Conference (RMC), intern presentations and leadership updates. CPCs are presented by PGY-3 residents and consist of case discussion, differential diagnosis, work-up in diagnosis and final diagnosis.  All residents are required to complete six RMCs, including risk management/ethics lectures/modules over the course of their residency. These lectures are given by individuals from the hospital’s legal office and cover issues such as jousting, confidentiality, sexual harassment, HIPAA and informed consent. Intern presentations consist of interesting cases from the inpatient/outpatient services. Leadership updates focus on providing information regarding ongoing changes in health care delivery in the outpatient and inpatient settings.

Core Curriculum (Noon Conference)

A series of lectures and interactive learning sessions presented three days weekly by faculty. They cover a broad range of board-relevant topics that encompass both general and subspecialty clinical issues. Lectures are recorded for later review.  Additional topics such as excellence in telemedicine, billing/coding, child advocacy, residents as teachers, evidence based medicine, quality improvement and effective signout/feedback supplement the core medical knowledge series. Up to 2 days per block are centered around resident wellness and one day is devoted to board-specific review.

Journal Club

A discussion based, multidisciplinary journal club series based on a nationally recognized curriculum is facilitated by PGY-2's who are mentored by faculty in their areas of clinical expertise. Residents  read an article of current literature to facilitate discussion and focus on mastering evidence based medicine concepts through guided practice.

Risk Management/Ethics Conferences

Residents are required to attend/complete six (it states 9 above?) risk management/ethics lectures/modules over the course of their residency. These lectures are given by individuals from the hospital’s legal office and cover issues such as jousting, confidentiality, sexual harassment, HIPAA and informed consent. As residents progress through the conferences, live sessions can be substituted with online learning modules.

Simulation Training

Simulation is shifting the paradigm of medical education from didactic lectures to a hands-on approach. Simulation also supports the practice of safer medicine.

In pediatrics, the residents perform mock codes both in the simulation center and at the bedside every block under the supervision of one of the PICU/MSU physicians. The attending physicians also work one-on-one with residents throughout the course of their residency to become more comfortable with specific procedures, including bag-valve mask technique, neonatal and pediatric intubations, central line placement, IV placement, and other resuscitation skills.

Wellness

Our residency wellness events vary from balint-type group discussions to social gatherings as well as annual program wide and class specific retreats. 

Quality improvement- Residents participate in ONE quality improvement project that impacts their learning or patient care environment to facilitate the delivery of safer, more effective patient care or high impact learning. They also have the option to engage in a multitude of ongoing projects within the institution.  All QI projects are done with the guidance of a faculty mentor.

AND

Residents will choose one or more additional option from below:

  • Hypothesis driven Research project
  • Poster & Case Report write-up to be submitted for publication
  • QI project (additional)- with particular attention to publishing and/or presenting at conference

For each of the above projects, residents work closely with a research mentor

Residents will have the opportunity to present their scholarly activity at Resident Research Day. Residents are strongly encouraged to present at local, regional and national conferences. These presentations can be funded by our GME department.

Innovation from system-wide to patient’s bedside

We believe research is an integral part of innovation. That's why we host an Annual Pediatric Scholarly Activity Forum where our residents showcase their original research and quality improvement initiatives.

Care that extends beyond the hospital walls

Here, being a pediatrician is more than a job, it is a calling. Our residents regularly volunteer at a free area clinic our former residency program director established to care for underserved children's medical needs, teach local students about online safety, attend the Texas Pediatric Society advocacy day at the Texas state capitol, volunteer at local pediatric camps, write news articles highlighting pediatric health and safety, and give news interviews on the local broadcast channel.

  • Care that extends beyond the hospital walls

    Here, being a pediatrician is more than a job. Our residents regularly volunteer at a free area clinic our residency program director established to care for underserved children's medical needs.

  • Innovation from bench to bedside

    We believe research is an integral part of innovation. That's why we host an Annual Pediatric Research Forum where our residents showcase their original research.

How to Apply

Applications are accepted through the Electronic Residency Application Service (ERAS). Our program participates in the National Resident Matching Program (NRMP) and adheres to its policies and guidelines.

Application deadline is January 10.

Application Requirements

Eligible applicants should also submit the following with their application:

  • Three letters of recommendation
  • Medical school transcripts
  • USMLE or COMLEX transcripts for both Steps I and II
  • ECFMG certificate (applies to international medical graduates only) (We can only accept a J1 visa)

Our program places emphasis on the following:

  • A CV that includes volunteer service, academic awards/achievements, extracurricular activities, etc.
  • A passing score on the USMLECOMLEXon Steps I & II (no more than 2 attempts). A step II score is not required for application but should be passed prior to beginning rank list submission.
  • A personal statement
  • Evidence in the above materials that reflect excellence in teamwork, service, and/or leadership

Pediatric residency administration reviews all applications received and grants interviews on a competitive basis. Accepted applicants are contacted via email to schedule an interview.


Learn more about Baylor Scott & White's housestaff appointment eligibility, including guidelines for international medical graduates.

Contact Us

Kessiah Foster, BBA
Program Administrator
Phone: 254.935.5063
Kessiah.Foster@BSWHealth.org

Pediatrics Residency
Baylor Scott & White Health
1901 SW HK Dodgen Loop
MS-CK-300
Temple, TX 76502
PediatricResidency@BSWHealth.org

Working at Baylor Scott & White Health

Compensation and Benefits

In addition to competitive stipends, we offer our residents a full menu of employee benefits. We help offset the cost of many of these benefits; others are options you can choose to pay for yourself.

Life in Temple

Temple uniquely offers a combination of access to big-city conveniences while maintaining a small-town atmosphere. Temple has also been ranked among the Top 20 Fastest Growing Cities in Texas and one of America's most affordable places of 2015.

Why Baylor Scott & White

As the largest not-for-profit health care system in Texas and one of the largest in the United States, Baylor Scott & White Health includes 48 hospitals, more than 900 patient care sites, more than 6,000 active physicians and more than 40,000 employees.

Check out all of our programs in North and Central Texas