Our Pediatric Surgery Fellowship program offers one position per year, creating a dynamic structure where first- and second-year fellows collaborate in managing inpatient care. Each fellow leads their own service, supported by faculty who are evenly divided and aligned by subspecialty. This model fosters strong mentorship and continuity of care, as fellows and faculty work alongside general surgery residents, medical students, and a dedicated team of nurse practitioners. Faculty rotate through a surgeon-of-the-week system, with one faculty member serving in that role each week, while a second faculty member takes call each day for 24 hours. Together, they complete rounds, evaluate new consults and trauma patients, and perform emergent or unplanned surgeries.