Journal of palliative medicine
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To describe our institutional experience with a four-week pediatric HPM elective rotation and its impact on residents' self-rated competencies. ⋯ A pediatric HPM elective can significantly increase residents' self-rated competency. Such rotations are an under-realized opportunity in developing the primary HPM skills of pediatricians, but wider adoption is restricted by the limited availability of pediatric HPM rotations and limited elective time during training.