First Year
In the first year of residency the house officer experiences intense clinical exposure and is directly responsible for his or her own patients. The majority of the time is spent on the inpatient services: There are two teams with a mix of patient ages and conditions. The attending staff on the wards are members of the faculty group practice, community pediatricians, and subspecialty staff. Attending on the inpatient service is considered an honor, and the attendings are dedicated to education and the highest quality of patient care. The attendings are available seven days a week; formal attending teaching rounds are held four to five days a week. The first-year resident is responsible for the initial workup of 25 to 40 new patients each month; interns perform the history and physical examination, make clinical decisions, write orders, and communicate with parents. There are also rotations through the well-baby nursery, cardiology, and ambulatory pediatrics. All interns participate in the teaching of medical students.

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Second Year
The second year of pediatric residency provides the resident the opportunity to consolidate his or her learning and to assume a greater role as supervisor and teacher of the interns and medical students. In this year, there is more time to pursue the academic aspects of pediatrics, through participation in morning Intake Rounds geared directly to the junior and senior residents. Each second-year resident spends one month as the teaching resident on the ward services; the second-year resident also takes night call as the supervising resident. One of the strong points of the second year is that residents develop their diagnostic and management skills by learning how to quickly assess and to stabilize patients who present to the emergency room. The Pediatric Emergency Room at The Children's Hospital of New York is one of the busiest of all volunteer hospitals in New York City, providing an exposure to a rich variety of medical and surgical disorders.

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Third Year
By the third year, the senior residents are major resources as supervisors and teachers in the training program. As supervisors, the senior residents refine leadership as well as medical skills and have primary responsibility for the daily management of the patients on the wards, in the emergency room, and in the intensive care units.