Pediatrics Residency

Our comprehensive program includes clinical training by more than 60 full-time faculty members as well as research opportunities.

The Texas A&M Health Science Center College of Medicine - Scott & White Pediatrics Residency is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME).

Our three-year program aims to prepare physicians to provide excellent, patient-oriented, comprehensive health care to children and adolescents, their families and their communities by teaching, modeling and promoting the principles and values which have established the practice of pediatrics as a respected discipline.

We accept seven positions each year.


Our program is dedicated to educating residents on the skills necessary to practice patient-based pediatrics. We aim to prepare physicians to provide excellent, patient-oriented, comprehensive health care to children and adolescents, their families and their communities by teaching, modeling and promoting the principles and values which have established the practice of pediatrics as a respected discipline.

Residents progressively increase their responsibility in patient care while under the supervision of experienced, dedicated faculty. The department has more than 60 full-time faculty members in:

  • General pediatrics
  • Adolescent medicine
  • Allergy/immunology
  • Pediatric anesthesiology
  • Cardiology
  • Child abuse/forensics
  • Dermatology
  • Endocrinology
  • Gastroenterology
  • Genetics
  • Hematology/oncology
  • Infectious disease
  • Intensive care
  • Neonatology
  • Nephrology
  • Neurology
  • Pediatric surgery
  • Pediatric otolaryngology
  • Pediatric neurosurgery
  • Pediatric podiatry
  • Pediatric radiology
  • Pediatric urology
  • Psychiatry
  • Pulmonology/sleep medicine
  • Orthopedics

Approximately two-thirds of recent graduates have chosen primary care and one-third have entered competitive academic fellowships such as neonatology, pediatric critical care, emergency medicine, hematology/oncology, pulmonology, endocrinology, adolescent medicine, child development, anesthesiology and gastroenterology.

During the first year of training, pediatric residents are introduced to the basic clinical and scholarly experiences upon which the rest of their training will be based. PGY-1 residents build upon their undergraduate medical education’s knowledge base and competencies in the ability to perform thorough but adequately focused age-appropriate histories and physical examinations in children of all ages in both the inpatient and outpatient settings.

Residents attend to behavioral, psychosocial, environmental and family-unit impact on children’s growth and development and on diseases in children. PGY-1 residents develop thoughtful patient assessments and management plans. While always maintaining a high sense of responsibility for their patients, residents learn to prescribe patient-appropriate care plans and to perform cost-effective diagnostic and therapeutic procedures as indicated. Residents also learn to identify the level of illness severity in a timely manner and to know when and how to seek help from upper-level residents or faculty.

As they progress through the first year, PGY-1 residents promote their scientific inquisitiveness by asking insightful questions, independently seeking knowledge and reading and critiquing the medical literature. They expand their pediatric knowledge base and acquire initial skills as teachers for student clerks as well as for patients and their families. They also develop the level of clinical efficiency that will allow them in subsequent years to function properly as supervisors of lower level residents.

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.

Med/surg unit (MSU) 3 months
Child development 1 month
NICU 1 month
Outpatient clinic 1 month
Nursery 2 months
Pediatric emergency department 1 month
Elective (one-month hem/onc; two months of varied - pedi ENT/ortho/radiology 3 months
Continuity care clinic 1/2 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 developmental and behavioral pediatrics, as well as in community-based pediatric and adolescent medicine. 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 show an increasing ability to practice medicine independently, to begin functioning in an effective supervisory role toward lower-level physicians in training and educate and consult with other members of the healthcare team.

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. As mid-level pediatric trainees, PGY-2 residents affirm their role as trusted child health advocates, preventive primary care providers and ethical and cost-effective practitioners.

Med/surg unit (MSU) 3 months


2 months
NICU 1 month
Adolescent medicine 1 month
Pediatric emergency department 1 month
Key electives 2 months

Individualized learning unit

2 months
Continuity care clinic 1/2 day per week

PGY-3 residents continue to expand their pediatric knowledge base through additional subspecialty, adolescent and emergency pediatric rotations. As they prepare for the American Board of Pediatrics certifying examination, 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 continuity care clinic (CCC) 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.

Med/surg unit (MSU) 3.5 months
Nursery 0.5 month
Outpatient clinic 1 month
Individualized learning unit 4 months
Urgent care/night clinic or pediatric emergency department 1 month
Elective rotations 2 months
Continuity care clinic 1/2 day per week

Our program strictly adheres to the duty hours restrictions outlined by the ACGME. The residency review committee requires a resident back-up schedule or alternate plan to provide coverage in the event that the assigned resident is unable to fulfill the assigned responsibilities. Our program has transitioned completely to a night float or night shift schedule; there is no traditional 24-hour in-house call.

Night Float

Night float is a one two-week block rotation of night shifts on the inpatient pediatric service. This is integrated into the inpatient month. The call begins promptly at 6 p.m. with afternoon check out by the MSU Chief and lasts until approximately 7 a.m. the next morning following morning check out to the incoming MSU team and staff.

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 or night shift. Residents are assigned to this coverage with as little interruption to their assigned monthly rotation as possible. Currently, three weekends for PGY-1, two weekends for PGY-2 and one weekend for PGY-3.

Jeopardy Call

The jeopardy call resident is available as back-up for MSU/PICU/NICU/nursery in the event of illness. Currently, PGY-2 residents cover two half-months and PGY-3 residents cover one half-month.

Attendance at scheduled conferences is monitored. A target level of attendance (number) is assigned based on PGY year and modified by the most recent performance on the In-Service Training Exam scores (ITE) for PGY-2 and PGY-3 residents. The entire conference series addresses the first three aims of the program, with a primary emphasis on Aim 2 (successful passage of the American Board of Pediatrics exam following completion of the training program).

Department of Pediatrics Grand Rounds

Grand rounds are held every Wednesday morning, except for the second week of every month. Speakers include Baylor Scott & White pediatric medical staff, guest lecturers and residents (CPC). 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. Periodically throughout the year, PGY-3 residents will present a clinical pathology conference during grand rounds to satisfy one of their scholarly activity/research requirements.

Critical Thinking Conference

This conference is conducted each Friday morning and is moderated by the program director(s). Topics include: Clinical Pathology Conference (CPC), Resident Journal Club (RJC), 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. RJCs are performed by PGY-2 residents using the PICOT format to answer a clinical question of their choosing. All residents are required to complete nine 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 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 are presented an average of three days a week by faculty and cover a broad range of topics that encompass both general and subspecialty clinical issues. Topics covered generally follow monthly "themes" (e.g., March is usually endocrine and genetics month). One day of the week is centered around resident wellness and one day is devoted to board review.

Journal Club

Quarterly residents will gather at a staff physician's home to discuss one to two journal articles chosen by residents. The residents are required to read the journal articles prior to attending in order to be able to effectively discuss the research methodology and interpretation of the findings.

Risk Management/Ethics Conferences

Residents are required to attend/complete six 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 encourages the practice of safer medicine.

In pediatrics, the residents perform mock codes every month under the supervision of one of the PICU/NICU physicians. The attending physicians also work one-on-one with residents throughout the course of their residency to become more comfortable with specific procedures.

Types of required projects include:

  • Research Poster: During the first year of training, PGY-1 residents are required to do a poster-style case report which will be presented at Resident Research Day. These case reports should present significant or rare observations with merit for publication. In addition to the poster, residents give a five-minute oral presentation summarizing their poster and its results.
  • Hypothesis-driven Research Project: All PGY-3 residents are required to complete a retrospective or prospective research study. Their research will be presented during Resident Research Day.

For each of the above projects, residents chose a research mentor, usually one of the staff members who were involved with the case they are discussing. They work hand-in-hand with their research mentor during the course of their project.

Residents are also given the opportunity to present at local, regional and national conferences. These presentations are fully funded by our GME department.

  • 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 December 1.

Application Requirements

Eligible applicants should also submit the following with their application:

  • A letter from the dean of the medical school
  • Three strong letters of recommendation
  • Medical school transcripts
  • USMLE or COMLEX transcripts for both Steps I and II
  • ECFMG certificate (applies to international medical graduates only)

Our program places emphasis on the following:

  • An impressive CV that includes volunteer service, academic awards/achievements, extracurricular activities, etc.
  • A score on the USMLE (>= 210)/COMLEX (>=550) on Steps I & II (no more than 2 attempts). A step II score is not required for application but should be passed prior to beginning residency.
  • A well-written personal statement
  • Evidence in the above materials that reflect good teamwork skills or leadership experience

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

Pediatrics Residency
Baylor Scott & White Health
1901 SW HK Dodgen Loop
Temple, TX 76502

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.

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