International College of Pediatricians

Training Program

Applicants must complete three years of pediatric training in programs accredited by Program Council as follows:

Y-1: The first postgraduate year in general comprehensive pediatric training in an accredited program.

Y-2: The second postgraduate year, following R-1, in general comprehensive pediatric training in an

accredited program, but with increased responsibility for patient care and for the supervision of junior

house staff and medical students.

Y-3: The third postgraduate year, following R-2, in general comprehensive pediatric training in an

accredited program, but with increasing responsibility for patient care and supervision of junior house

staff and medical students.


The trainee is expected to assume progressive responsibility for the care of patients and satisfactorily complete at least 12 months at each training level. Refer to the section “Absences from Residency Training” for the vacation and leave policy. Supervisory experience must be an integral part of the total three-year program

Program directors of general pediatrics residencies and pediatric fellowships must complete a final evaluation for residents or fellows who are in their last year of training. ost training certificates attest to the achievement of a minimal level of competence or to the fulfillment of an employment contract. Program directors are urged not to issue certificates of successful completion of training when the resident is deemed not to have met those standards. Therefore, the program director’s final evaluations submitted to the Program Council will take precedence over the certificate from the hospital. The ProgramCouncil must have the program director’s assurance that an applicant meets the standards expected of a certified pediatrician.

Evaluation of trainee competency as a continuum that begins during training and concludes with the certifying examination following formal training. The program director is able to provide a meaningful overview of the resident’s or fellow’s professional competence, especially in skills such as patient care and procedural skills, medical knowledge, interpersonal and communication skills, professionalism, practice-based learning and improvement and systems-based practice.

The tracking and evaluation program is part of the certifying process of the. The program director is required to indicate annually whether each resident’s or fellow’s performance is satisfactory, marginal or unsatisfactory in overall clinical competence and whether the evaluation in professionalism is satisfactory or unsatisfactory. A marginal rating implies that more time and information are needed to determine whether the performance is satisfactory or unsatisfactory

Unsatisfactory Clinical Competence

An unsatisfactory evaluation in clinical competence for a year of training means:

  • The trainee will receive no credit for this evaluations period.
  • The trainee must repeat the year in the same program or another program.
  • The program director will communicate with the trainee to inform him/her of unsatisfactory evaluation.

Marginal Clinical Competence

The program director has two options from which to choose:

1. Marginal with Advancement to Next Level: Marginal evaluation at the end of the academic year: full credit for the year of training is given and the trainee moves to the next PGY level.

o The trainee will be awarded 12 months of training credit for current PGY year

o The trainee will advance to next PGY year

o Remediation may occur while the trainee is training at the next PGY year

o The trainee may receive credit for the training year if he or she receives a marginal rating in clinical competence; however, if the following year of training is also marginal, no credit is allowed for the latter year

2. Marginal with Extension at Same Level: This evaluation means more time is needed to make a valid assessment while the trainee continues to train at the same level. If the resident must repeat failed rotations, there must be an extension of training beyond the usual three years, even if the resident is successful on the repeat rotation. At the end of the extended period of training, the programrequests an evaluation of the full year of training. It is also possible that the evaluation at the end of the extension will remain marginal with advancement to the next level or become unsatisfactory with no credit.

o No partial credit for the level will be recorded, as this is an interim evaluation

o The total time in training must be extended beyond the usual duration of training as a result of this extension

o The program director will be asked to provide the anticipated completion date of the extension of extended year of training will be completed on

o The program director will re-evaluate this trainee’s clinical performance at the end of this extended period

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Fellows whose performance is marginal should be rated as marginal as the options described above are not applicable to fellowship training.

A resident or fellow may receive credit for the training year if he or she receives a marginal rating in clinical competence; however, if the following year of training is also marginal, no credit is allowed for the latter year.

If a resident or fellow transfers after receiving a marginal evaluation with partial credit and then receives an unsatisfactory evaluation at the same training level, no credit for the year of training will be granted.

Residents in combined medicine-pediatrics training will receive a separate evaluation in each specialty and the number of months of credit in each specialty is collected. If either clinical evaluation is marginal or unsatisfactory, the yearly evaluation will be recorded as marginal or unsatisfactory.

In addition to the evaluation, the program directors are asked to provide the number of months of credit the resident received in each specialty.

The following table illustrates the consequences of receiving an unsatisfactory or marginal evaluation in clinical competence at the end of each level of training. Residents and fellows must receive a satisfactory rating in each of the components of clinical competence during the final year of required training.

If a trainee’s clinical performance is marginal at the end of the final year of training it is expected that the year be repeated. It is the resident’s or fellow’s responsibility to arrange for any additional training required.

*Educational Unit = 4 weeks or 1 month OR outpatient longitudinal experience of 32 half-day sessions OR inpatient longitudinal experience of 200 hours

**Additional Subspecialty includes 3 units from 3 different subspecialties from the following list: 

  • medical genetics
  • pediatric allergy and immunology
  • pediatric cardiology
  • pediatric dermatology
  • pediatric endocrinology
  • pediatric gastroenterology
  • pediatric hematology-oncology
  • pediatric infectiousd iseases
  • pediatric nephrology
  • pediatric neurology
  • pediatric pulmonology


Individuals who have completed subspecialty training or those who have interrupted fellowship training to complete general pediatrics requirements should not complete additional experiences in that subspecialty during the general pediatrics residency.

For instance, an individual who has completed 12 months of clinical neonatology fellowship should not take more than suggested NICU experience in the table above.

  • No more than three months of subspecialty training may be completed in any one subspecialty.
  • No more than two months of elective experiences may be taken outside of the accredited program.
  • Leave in excess of one month/year must be made up. Continuity of care experience should be emphasized for indivi


Continuity of care experience should be emphasized for individuals who have missed accredited categorical pediatric training, allowing some leeway for program directors to determine how much additional experience is needed.

Absences from Training

In order to meet the training requirements to apply for certification by the Program, an individual must train in an accredited program, and the program director must certify that the individual has met the training requirements. The duration of general pediatrics residency and fellowship training is 36 months.

Satisfactory completion of 33 months of clinical training is required. One month of absence is allowed each year for time away from training which includes, vacation, sick, or family leave.

Training must be extended to make up any absences greater than three months during the three years of residency/fellowship.

However, the program director has a waiver of up to two months of elective training only in the following circumstance if the trainee:

  • Had a medical or family leave;
  • Is deemed competent by the Clinical Competency Committee;
  • Has met all training requirements except elective training; and
  • Has met the scholarly activity requirement, if the trainee is a fellow.


The request for a waiver must be submitted no earlier than the final three months of training. We encourages trainees to take yearly vacation, and strongly discourages “banking” vacation from year to year as it negatively affects trainees’ health and well-being. recognizes that leave policies vary from institution to institution and expects the program director to apply local requirements within these guidelines to ensure trainees have completed the requisite period of training. views educational leave, which includes attendance at training-related seminars as bona fide educational experiences, and it need not be counted as part time away from training. Trainees in combined training or special training pathways are not eligible for a waiver of pediatric training. 

Interruption in Training

Residents who experience an interruption in general pediatrics training, medicine-pediatrics, or other combined training for greater than 24 continuous months and who wish to re-enter residency training in general pediatrics must petition the Program Council to determine whether credit may be awarded for prior training.

The request for credit must be submitted by the candidate or the residency program director before the candidate re-enters residency training in general pediatrics. 

Non-accredited Training Experience

No more than a total of six months of the required three years of residency training may be taken outside of an accredited pediatrics residency program.

These elective experiences must be approved by the program director, must have goals and objectives for training, and must provide an evaluation of the resident’s performance. 

Military Service

Military service, unless as a pediatric resident in a military training program, cannot be substituted for training requirements

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