Quick Facts about Our Program

Overview

  • Size: We have ~45 residents per year, making us one of the larger pediatric residency programs.
  • Tracks: Alaska Track (4 residents/year), Child Neurology Track (4 residents/year), Health Equity Track (4 residents/year), Genetics Track, and Research Track.
  • Seattle Children’s Hospital: Free-standing children’s hospital with 364 inpatient beds.
  • Training Sites: Residents also spend time at the following sites: University Washington Medical Center (for NICU and Newborn), Harborview Medical Center (for wards and ICU during R2 and R3 year) and WWAMI sites (2 months as R2).
  • Continuity Clinics: Residents travel to their continuity clinics ~ once per week. Check out the continuity clinics here.
  • Alumni: 60% of graduates go into general pediatrics (hospitalist, primary care, and urgent care), and 40% go onto fellowship, matching at the top programs in the country (check out our fellowship match here).

Perks

  • Food: Residents get lunch at noon conference and money to the cafeteria daily while on service at SCH.
  • Parking: Residents have free parking onsite at SCH daily. Residents have to pay for parking at UWMC and HMC. All of the hospitals are on public transit routes and generally along bike routes.
  • Supports: Inpatient teams have care coordinators who assist with getting outside records and scheduling follow-up appointments.
  • Vacations: 30 days + 4 days for a holiday of choice. Interns have an additional 5 days off at the end of the year.
  • Moonlighting: Residents can do “moonlighting” as R2/R3s
  • Read more about the Salary and Benefits for residents here. 
  • Residents are members of the union through UW.

Training

  • WWAMI: Unique to our program, each resident spends 2 months at a rural outpatient pediatric practice during their WWAMI rotation and gets experience managing patients without a nearby pediatric hospital. Read more about WWAMI here.
  • Volume: Residents typically carry 3-8 patients on inpatient services. Currently implementing caps for inpatient teams.
  • Didactics: Daily from 12:30 to 1:30, in addition to academic half days this year.
  • ICU Months: R1 have 1 month (NICU); R2 have 3 months (PICU, Harborview and SCH NICU); R3 have 2 months (PICU, Harborview)
  • Electives: Some popular electives include Wilderness Medicine, Advocacy, Hospitalist rotation in Montana, and Bioethics. Check out a full list on the Training Overview page.
  • EMR: All of the training hospitals (SCH, UWMC, and HMC) and some of the continuity clinics use EPIC. Some clinics and WWAMI sites use other EMRs.

Scheduling

  • Block schedule:We are on a “block schedule”, a total of 13 four-week blocks throughout the year. We do not currently have an x + y schedule. We are planning to transition to an x + y schedule once ACGME rules allow us to in 2025.
  • Nights: Inpatient blocks have night/day schedules, so residents do 3 weeks of days and ~ 1 week of nights during inpatient blocks.
  • Call: Interns are not scheduled for any 24-hour call shifts. R2s and R3s have some rotations with 1-2 24 hour shifts in the month; there are no longer any rotations with scheduled 24-hour shifts on a q4 or q5 basis. We only work 24hrs, not 28hrs (aka no post-call rounding).
  • Sign-out: Inpatient teams sign-out at 6:00 or 6:30 am, and 5:00 or 5:30 pm. We do not have a short call/long call schedule.
  • Days off: Typically fall on weekends. Residents can request weekends/days off before each block. The size of the program also makes it easy to trade shifts with other residents.

Frequently Asked Questions

Questions about the Program

Will I hear from the program after my interview day?

Our program does not contact students individually at the end of the interview season in keeping with the spirit of the match process. However, we are happy to hear from you and will answer any questions you may have. Please don’t hesitate to get in touch if there is anything we can do for you!

What are proposed program changes for next year?

Our program is continuously changing and adapting based on resident feedback. Executive residents host monthly conferences to review program changes and our Program Director hosts Townhalls to get resident feedback. Our Resident Committee (ResComm) is comprised of representatives from each class and meets with program leadership regularly to discuss changes. 

Some of the recent changes include: monthly intern academic half day, shifting ICU rotations from 24 hour call to day/night float system, starting a funded faculty supper club, return to in-person Grand Rounds and morning report, and shifting signout times earlier!

Do you like the size of the program?

SCH is one of the larger pediatric residency programs, but most residents will agree it doesn’t feel big. We all know each other well and feel supported by one another. The benefit of a larger program is that there is always someone willing to cover a shift for you. We also have enough residents for back-up call, making it easy if a resident has to call in sick or has something come up. 

Opportunities for Residents

What opportunities do residents have to teach?

So many opportunities! Senior residents on the wards often give chalk talks to their team during rounds or in the afternoon. There are a lot of medical students (MS3s and MS4s) who rotate through the wards, NICU, the ED, and the newborn nursery, so residents have lots of opportunities to teach students. 

There is also the RATL (Resident as Teachers and Leaders) curriculum, which helps us realize our full potential when teaching others. Additionally, residents are welcome to present morning report on an interesting case or noon conference on a project of interest. 

Does the program have other clubs or interest groups for residents to be engaged in?

Yes! We have a Primary Care Interest Group, Pediatricians for Climate Justice, and a Global Health Interest Group to name few. All of them were started by residents, the program will support you if there is something that you are interested in pursuing. Check out the Unique Aspects page under Resident Input to see a full list. 

Do you feel supported as a resident?

Absolutely, on every level. From the moment residents start on Day 1 of intern year, they comment on how supported they feel. The GME staff, Program Director, and attendings are all invested in teaching the residents and supporting them in any way they can.

And our co-residents are incredible. They are always willing to cover a shift for you, baby-sit your dog, or give you a hug on a hard day. We all feel so lucky to have each other.

The program also provides more formal support through Intern Support Group, a weekly meeting for first year residents to debrief their experiences. The University of Washington GME also has a ton of wellness initiatives for residents, including free counseling services for residents and their partners.

What opportunities are there for those interested in global health?

The REACH (Resident Education Advocacy for Child Health) Pathway has two tracks, one in which residents spend two months in Kisii, Kenya and one in which residents spend two months in Toppenish, WA during their third year. This track allows for dedicated time and structured learning about global and domestic health for two months in their second year. 

Other residents take advantage of call free electives to set up their own global health experiences. We also have a Global Health Interest Group lead by residents. 

Do most residents participate in research?

Our program encourages residents to pursue all their research interests – from bench research, to quality improvement, ethics, and everything in between. Each resident presents a Resident Capstone Presentation (RCP) in their third year of residency, but it can really be about anything of interest. If your goal is to participate in research during residency, SCH will support you. There is a research interest group that meets monthly to discuss research interests and put residents in touch with mentors. The addition of the Research APD has allowed this process to become more streamlined in recent years.

What is the patient volume like at Seattle Children's?

Seattle Children’s Hospital is a large referral center which means residents see a lot and learn through doing. But the program also wants to protect resident time. In recent years, the hospital has hired Advanced Practice Providers (or APPs) to carry patients on many of our inpatient services to offload volume and protect resident learning. In general, residents typically carry 3-8 patients.

We also have care coordinators on our inpatient teams who help with administrative tasks, like setting up follow-up appointments and obtaining outside records. This means residents have more time to focus on their patient’s medical care.

Life and Fun

What is the cost living like in Seattle?

Although the cost of living is lower than other large US cities (including Boston, New York, and San Francisco), it can still be expensive to live in Seattle. This site has a breakdown of the average rent by size of apartment. And Washington does not have a state income tax! This is a fun buzzfeed that one of our residents made to help describe various neighborhoods. 

Do residents have kids during residency?

YES! Some residents move to Seattle with children, and others choose to have kids during residency. Our program works with each resident to accommodate their schedule and support them as parents. UW has some awesome resources about parenting as a resident, including a mentorship program. We are also happy to put you in touch with pediatric residents to talk more about their experience.

What is the vacation structure?

All residents have 4 seven-day vacations throughout the year. Residents also receive a 4-day holiday of their choice off. This can be any 4 days during the year and is not limited to Christmas or New Years.

What systems are in place to support the mental health of residents?

Our residency program is committed to protecting the wellbeing of our residents. The UW GME offers free mental health counseling for all residents and their significant others.  Residents have wellness half days built into their schedules, which is time off from any clinical duties. Interns have a weekly get together called “Intern Support Group” to meet and reflect on their experiences. Additionally, we have a Residency Wellness Committee, which organizes gatherings to foster community among residents.

How do residents get to work/Do I need a car?

As mentioned under Perks, residents do have free parking at the Seattle Children’s Hospital. The hospital is also located along a bike path (the Burke Gilman) and numerous bus routes, so many residents choose to bike or run to work, or take public transportation. There are plenty of covered bike racks, including a locked bike cage to leave your bike during the day. Residents also receive a FREE ORCA card (public transportation pass) to use local buses and the light link rail (commuter train that runs from south of Sea-Tac airport, through downtown Seattle, Capitol Hill, across the street UWMC Montlake, and all the way up to Northgate). 

Parking is not provided at UW or Harborview during regular working hours, but residents can get an access card for pay-per-use parking at a reduced rate. There is free parking on nights and weekends at UW. A free shuttle runs from SCH to UW if residents want to park at SCH. Both UW and Harborview also have bike racks and are along public transportation routes.

Residents are assigned to a continuity clinic where they go approximately once per week. Some of them are located in Seattle, within a few miles of the main campus and along bus routes. There are a few sites that are further from the city and require a car. Residents complete a survey after match day to rank their continuity clinic preferences and can specify if hey they don’t have a car.

The majority of residents here have cars, or at least one car in their household. Seattle is pretty commuter and bike friendly, but most people use cars to explore the surrounding areas on the weekend. That being said, residents definitely make it work without cars. It is pretty doable in Seattle but can get a little trickier during WWAMI. Residents in the past have rented or borrowed cars to get to their WWAMI site.

Does it rain a lot?

Seattle has a bad reputation for the rain. However, the average rainfall is less than many other major cities, including Boston, Philadelphia, and Baltimore. But don’t tell the others! The days in the winter can be short (given how far north we are) but it does mean that residents are happy to spend the summer months basking in the average 25 days a month of sunshine.

Are there things to do in Seattle if I don't like hiking?

Yes, there are many nearby mountains for hiking, BUT there are also tons of other things to do. There was always a sports game (Seahawks/Sounders/Mariners/Kraken) to go to, a new coffee shop/restaurant to explore, and lots of local farmer’s markets, museums, and theatre. 

There is great opportunity for dog watching–there are about 50,000 more dogs than children in Seattle, don’t worry though the hospital is plenty busy.

Is the west coast really the best coast?

We’ll let you decide! Here are some thoughts from two current residents:

“As a resident from the west coast, I think it is! (I went to school on the east coast, so I feel like I am allowed to comment). There is no time of year here where it hurts your face to go outside, and it is so beautiful!”

“As a resident who has always lived on the east coast, I have loved living in Seattle. It is more difficult to travel home to my family on the east coast, but I feel lucky to have my residency family and a network of friends in the Pacific Northwest.”

Other questions or feedback the website? Get in touch with us below!