Onboarding plan

Pediatric Surgeon Onboarding Plan (30-60-90 Days)

A practical, printable plan to take a new pediatric surgeon from first day to full productivity.

Updated By the Career Education Institute Curriculum Team
Pediatric Surgeon onboarding at a glance

Week one covers orientation, safety and shadowing. Days 1–30 build vocabulary and supervised practice on core procedures; days 31–60 move to independent work with competency sign-offs; days 61–90 focus on full productivity, cross-training and a credential plan.

Before day one

  • Confirm start date, schedule, pay and supervisor in writing
  • Verify required credentials: ABS pediatric surgery certification, General surgery board certification (as applicable)
  • Prepare equipment and access: pediatric surgical instruments; laparoscopic equipment; monitors; imaging
  • Assign a buddy or preceptor
  • Enroll the new hire in Pediatric Surgeon training so foundations are covered before or during week one

Week one: orient and protect

  • Workplace tour, emergency procedures and incident reporting
  • Use pediatric dosing and equipment
  • Follow time-outs
  • Keep infants warm
  • Minimize radiation
  • Shadow an experienced pediatric surgeon through a full shift
  • Training modules 1–3: role foundations, a day on the job and essential vocabulary (15 terms)

Days 1–30: learn

Goal: perform core tasks safely under supervision.

  • Supervised practice: explain surgery to parents
  • Supervised practice: evaluate a child with abdominal pain
  • Supervised practice: prepare for a newborn surgery
  • Training modules 4–7: duties, step-by-step tasks, tools and safety
  • 30-day check-in: confidence, questions and early wins

Days 31–60: contribute

Goal: handle a regular workload independently.

  • Evaluate children for surgery: independently
  • Repair congenital defects: independently
  • Perform appendectomies and hernia repairs: independently
  • Operate on newborns: independently
  • Competency sign-offs completed (see checklist below)
  • Training final knowledge check and certificate of completion
  • 60-day check-in

Days 61–90: own

Goal: full productivity and a growth plan.

  • Meet productivity and quality targets for the role
  • Begin cross-training on a secondary task
  • Agree on a credential goal (for example, ABS pediatric surgery certification)
  • Discuss the career path: Surgery Resident → Pediatric Surgery Fellow → Pediatric Surgeon
  • 90-day review

Competency checklist

Skill or taskTrainedObservedSigned off
Explain Surgery to Parents
Evaluate a Child with Abdominal Pain
Prepare for a Newborn Surgery
Pediatric surgery
Neonatal surgery
Laparoscopy
Trauma surgery

How to measure onboarding success

  • Days until the new hire works without a preceptor
  • Competency sign-offs completed on time
  • Documentation or charting error rate
  • 90-day retention

How Pediatric Surgeon training maps to this plan

  1. Introduction to the Pediatric Surgeon Role
  2. A Day on the Job
  3. Essential Pediatric Surgeon Vocabulary
  4. Core Duties and Responsibilities
  5. Common Tasks, Step by Step
  6. Tools, Equipment and Technology
  7. Safety, Compliance and Professional Standards
  8. Skills Employers Look For
  9. Launching Your Pediatric Surgeon Career
  10. Final Knowledge Check
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