The Pediatric Otolaryngology fellowship program at Baylor College of Medicine was established in 1992 and has been training fellows ever since that time. In 1998, our program became one of the first fellowship programs to obtain Accreditation Council for Graduate Medical Education accreditation. We have been continually accredited since that time and are proud to announce that our program has recently undergone a meticulous review and successful re-accreditation.
The Pediatric Otolaryngology service at Texas Children’s Hospital was responsible for 7,964 operating room cases and 11,621 outpatient visits last year at our main campus alone. Fellows typically log 1,200-1,500 cases as surgeon or assistant during their year of fellowship. In addition, 30 to 40 percent of the cases fellows perform are on neonates, infants and children less than 2 years of age and 30 to 40 percent of cases involve medically complex children with an ASA status of 3 or above. In particular, the Texas Children's Hospital and the new Pavilion for Women house 173 NICU beds, making the hospital the largest level-3 NICU in the nation and providing our fellows with an extensive experience in congenital and neonatal otolaryngologic disorders.
The Bone Marrow Transplant Unit provides fellows with tremendous exposure to patients with many challenging otolaryngolic infections and disorders of the immune and hematologic systems. The Pediatric Pulmonary service cares for a large cystic fibrosis population and has an active lung transplantation program which provides ample opportunities for fellows to care for the otolaryngologic needs in this population of patients.
There is an active otologic component to the fellowship. The TCH Audiology Department logged more than 6,900 audiologic visits. The multi-disciplinary Hearing Center logged more than 1,200 outpatient encounters last year. Our service averages 30 to 50 cochlear implants per year.
Outpatient care is an important focus of fellowship education. Fellows have an independent, one half-day outpatient clinic session each week. Operative cases generated from these clinics are performed with the faculty member of the fellow’s choosing.
Fellows also participate in radiology conferences, craniofacial team meetings, aerodigestive meetings, airway conference, Grand Rounds, pediatric otolaryngology seminars, research planning and tumor board meetings.
Multiple multidisciplinary clinic involvement includes the aerodigestive clinic, cleft and craniofacial clinic, Down syndrome clinic, and microtia and congenital hearing loss clinic. The aerodigestive clinic is a multidisciplinary clinic including pulmonary, otolaryngology, and gastroenterology, focusing on complex patients with airway and swallowing disorders. In addition, there is a multidisciplinary voice and swallowing clinic being developed partnering otolaryngology and speech pathology.
While research is not required, for the interested fellow there are ample opportunities to pursue clinical research projects. With Baylor College of Medicine, Texas Children’s participates in approximately 400 research projects and receives more NIH research funding than any other pediatric hospital in the nation. Pediatric otolaryngology faculty and fellows have a long history of collaboration on projects with other services including sleep medicine, infectious diseases, molecular biology and other services.
Program Length and Scope
Our one-year clinical program comprises an extensive clinical experience covering surgical cases, outpatient clinics, hospital consults, emergency center evaluations, and didactic sessions.
Nine pediatric otolaryngology faculty provide the majority of the training experience. Three Neuro-otologists provide adjuvant otologic experience. Our philosophy is to encourage incremental learning and development of independent, critical thinking skills. Faculty support is always available and required in the operating room by hospital bylaws.
Fellows enjoy a structured, didactic program with weekly conferences, formal lectures, and multidisciplinary conferences. Residents rotate at Texas Children’s Hospital during their training. In addition to the faculty, the pediatric otolaryngology team includes a PGY-2 resident, a PGY-3 resident and our two pediatric otolaryngology fellows.
The large volume of patients seen at Texas Children’s provides broad and extensive exposure to pediatric otolaryngology cases. Tertiary care cases include otologic procedures (including cochlear implants), airway surgery (including laryngotracheal reconstruction and laser surgery of the airway), complex neck masses, voice, VPI, and sinus surgery.