Pediatrics/Medical Genetics and Genomics Residency Curriculum

Typically, rotations are in blocks of four weeks, for a total of 13 blocks per academic year. Overall, combined pediatrics/ medical genetics residents will do two years of pediatrics and two years of genetics intermixed over four years.

Combined pediatrics/medical genetics residents spend the first year as interns in pediatrics. Over years two to four, residents will complete 13 blocks in pediatrics and 26 blocks in genetics. Second year, residents have six to seven blocks in pediatrics and six to seven blocks in genetics. Third year, residents have three to four blocks in pediatrics and nine to ten blocks in genetics. Fourth year, residents do three blocks in pediatrics and 10 blocks in genetics. Two residents are assigned to the inpatient genetics consult service rotation, and they share call from home while on this rotation. There are no home or in-house calls on other genetics rotations.  Residents also have three weeks of vacation each year.

A representative resident schedule is listed below.

Genetics Block Schedule

Pediatrics Rotations (13 blocks)

• A combination of rotations in the inpatient pediatric hospital medicine service and subspecialty services, NICU, newborn nursery, ambulatory pediatrics, Development/Behavioral pediatrics, transitional care unit, and basic pediatric procedures.  (see block schedule, link above)

Pediatrics Rotations (6 blocks)

• A combination of call rotations on subspecialty services (q4 call), NICU (q4 call), PICU (days and night float), and pediatric hospital medicine (days and night float).

Genetics Inpatient Consult Service (2 blocks)

• Participate in the management of inborn errors of metabolism for patients admitted to Texas Children’s Hospital or Baylor-St. Luke’s Hospital
• Provide inpatient genetics consultations for children and adults at Texas Children’s Hospital and Pavilion for Women, Baylor-St. Luke’s Hospital, Ben Taub Hospital and Texas Woman’s Hospital
• Work with nurses, genetic counselors and medical biochemical genetics fellows to assist physicians, parents and newborn screening nurses with patient management concerns

Metabolic/Skeletal Dysplasia – Texas Children’s Hospital (2 blocks)

• Participate in weekly outpatient diagnostic evaluations and chronic management of children and adults with inborn errors of metabolism
• Participate in monthly outpatient diagnostic evaluations and chronic management of individuals with skeletal dysplasias
• Participate in weekly outpatient diagnostic evaluations in the pediatric genetics clinic

Prenatal Genetics – Texas Children’s Pavillion for Women (2 blocks)

• Participate in outpatient prenatal consultations

TeleHealth – VAMC and Consultagene (1 block)

• Provide telehealth services for the VA region, Adult Genetics McNair and Smith Clinics, and through the online portal Consultagene

Adult Genetics - Harris Health, VAMC & Baylor Clinic (1 block)

• Participate in outpatient diagnostic evaluations and chronic management of adults with personal or family cancer risk, connective tissue disorders, cardiac disorders and others referred for genetic evaluations

Pediatrics Rotations (3 blocks)

• A combination of rotations in the inpatient pediatric hospital medicine service and subspecialty services, emergency medicine, community medicine, and adolescent medicine.

Genetics Elective/Individualized Curriculum (2 blocks)

• Outpatient experiences at resident’s discretion such as renal genetics, craniofacial clinic, cardiac genetics clinic, Angelman clinic, gender medicine clinic, Undiagnosed Diseases Network, ophthalmology genetics, etc.
• Participate in weekly outpatient diagnostic evaluations in the pediatric genetics clinic

Genetics Inpatient Consult Service (3 blocks)

• Participate in the management of inborn errors of metabolism for patients admitted to Texas Children’s Hospital or Baylor-St. Luke’s Hospital
• Provide inpatient genetics consultations for children and adults at Texas Children’s Hospital and Pavilion for Women, Baylor-St. Luke’s Hospital, Ben Taub Hospital and Texas Woman’s Hospital
• Work with nurses, genetic counselors and medical biochemical genetics fellows to assist physicians, parents and newborn screening nurses with patient management concerns

Adult Genetics - Harris Health, VAMC & Baylor Clinic (2 blocks)

• Participate in outpatient diagnostic evaluations and chronic management of adults with personal or family cancer risk, connective tissue disorders, cardiac disorders and others referred for genetic evaluations

Pediatrics Genetics Outpatient Clinic - Texas Children’s Hospital (2 blocks)

• Experience in outpatient general pediatric clinics, focusing on the diagnosis and management of genetic disorders.

Pediatric Hematology-Oncology – Texas Children’s Hospital (1 block)

• Participate in outpatient management of children with bone marrow failure, cancer genetic syndromes and syndromes with an increased risk of cancer

Pediatrics Rotations (4 blocks)

• A combination of call rotations in the inpatient pediatric hospital medicine service and subspecialty services

Genetics Elective/Individualized Curriculum (7 blocks)

• Outpatient experiences at resident’s discretion such as renal genetics, craniofacial clinic, cardiac genetics clinic, Angelman clinic, gender medicine clinic, Undiagnosed Diseases Network, ophthalmology genetics, etc.
• Participate in weekly outpatient diagnostic evaluations in the pediatric genetics clinic

Genetics Inpatient Consult Service (2 blocks)

• Participate in the management of inborn errors of metabolism for patients admitted to Texas Children’s Hospital or Baylor-St. Luke’s Hospital
• Provide inpatient genetics consultations for children and adults at Texas Children’s Hospital and Pavilion for Women, Baylor-St. Luke’s Hospital, Ben Taub Hospital and Texas Woman’s Hospital
• Work with nurses, genetic counselors and medical biochemical genetics fellows to assist physicians, parents and newborn screening nurses with patient management concerns

Pediatric Hematology-Oncology – Texas Children’s Hospital (1 block)

• Participate in outpatient management of children with bone marrow failure, cancer genetic syndromes and syndromes with an increased risk of cancer

Diagnostic Laboratory – Baylor Genetics Laboratory (2 blocks)

• Observe laboratory techniques and interpretation of laboratory results

Neurogenetics – Texas Children’s Hospital (1 block)

• Participate in outpatient diagnostic evaluations and chronic management of neurogenetic disorders and muscular dystrophy

Pediatrics Genetics Outpatient Clinic - Texas Children’s Hospital (1 block)

• Experience in outpatient general pediatric clinics, focusing on the diagnosis and management of genetic disorders.