The Montreal Children's Hospital pediatric residency program is a 4-year program fully accredited by the Royal College of Physicians and Surgeons of Canada and by the Collège des Médecins du Québec. The first three years of training aim to give trainees a solid foundation in the breadth of pediatrics, including adequate exposure to general pediatrics, acute care pediatrics (NICU, PICU, and ER), subspecialties, and longitudinal care. After the 3rd year, residents continue to train in general pediatrics (after which fellowships are offered in Academic Pediatrics, Social Pediatrics and Neonatal) or they may go on to specialize in one of the pediatric subspecialties

Residents are eligible for the American Board of Pediatric exams after completion of 3 years of training and for the Royal College exams at the end of the fourth year of training. Residents are eligible for licensing in Quebec at the end of the fifth year of training. The academic calendar is divided into thirteen 4-week blocks. One block per year is used for annual vacation.

Year 1
The first year of training is mostly devoted to provide exposure to general pediatrics. Residents acquire major experience to inpatient pediatrics, and rapidly become comfortable with acute care neonatology. They also get exposure to the care of the critically ill child through the pediatric intensive care and Emergency medicine rotations. Four weeks of junior night float are also part of the first year. Outpatient exposures include developmental pediatrics, social pediatrics and the Residents Continuity Clinic. RAMQ-funded residents complete their first of three rural rotations while internationally sponsored residents are offered an additional general pediatrics rotation. The general philosophy of the programming of this year is to have residents gain rapid comfort in the assessment and preliminary treatment of the ill child in preparation for the significant autonomous functioning that occurs starting in the second year with the senior night float rotation.

Year 2
The second year of training continues with increased graded responsibility in the areas described above, but with significant elective time. For the elective time, priority is given to candidates' career choices, as this is the time when most will need to make decisions about their fourth and fifth years. The senior night float rotation (night duty on the general pediatrics wards) represents the first major rotation where residents' capacity for autonomous function is challenged. The general philosophy of the programming of this year is to provide subspecialty electives to aid the resident in career planning and to develop and exercise skills in autonomous function.

Year 3
The third year of training includes three months as the senior on the general inpatient CTU's. This experience could be characterized as the apex of the three core years of training. Residents function as the team leader for a diverse group of residents and students, under the tutelage of a staff physician, and consolidate their judgement, leadership, and teaching skills. In all of the environments where they rotate, the graded responsibility is appropriately increased to reflect their more senior level. The general philosophy of the programming of this year is to develop skills in executive function (leadership, decision making), teaching (and important part of the specialist's job), and excellence in clinical care.

Year 4
The fourth year includes rotations aiming to develop competencies in a junior staff role (Medical Day Hospital, Complex Care Service, an acute care rotation with a choice of either NICU, PICU or ER, and Community Pediatrics), four weeks of night float as well as sufficient elective time to prepare residents for their future practice or further training plans. 

The Resident Continuity Clinic runs throughout the first three years of residency in pediatrics. Fourth year residents may choose a continuity clinic in a subspecialty or may continue in a general pediatric clinic.

With respect to location, residents may undertake elective rotations at one of the other schools in Quebec via the CREPUQ system.

There are three mandatory months of rotations in rural centres in the three core years of training for RAMQ-funded residents. Gatineau and Val d'Or are our primary sites. The program views these exposures as an important part of training in that they help to provide perspective and exposure to another very important type of pediatric practice.

Number of Weeks/Year

Year 1:

In-patient wards - 12 weeks
Neonatology/Perinatology - 8 weeks
Emergency Medicine - 4 weeks
PICU - 4 weeks
Anaesthesia - 2 weeks
Community/Rural Pediatrics - 4 weeks
Developmental Pediatrics - 4 weeks
Social Pediatrics - 4 weeks
Normal Newborn Nursery - 2 weeks
Junior ward night float - 4 weeks

Year 2:

Emergency - 4 weeks
Senior ward night float - 4 weeks
NICU - 5 weeks
PICU - 4 weeks
Adolescent Medicine - 4 weeks
Subspecialty electives - 20-28 weeks
Regional Rotation - 4 weeks
Research - 0-4 weeks

Year 3:

In-patient wards - 12 weeks
NICU - 8 weeks
Intensive Care Night float (NICU/PICU) - 2 weeks
Emergency - 4 weeks
Subspecialty electives - 12 weeks
Regional rotations - 4 weeks
Research -0-4 weeks

Year 4:

Complex Care - 6 weeks
Medical Day Hospital/Pediatric Consultation - 6 weeks
Community Pediatrics/Rural - 4 weeks
Acute care (NICU/PICU/ER) - 4 weeks
Night float - 4 weeks
Research - 0-4 weeks