Pediatric Otolaryngology Fellowship
Broad-based clinical and surgical training enabling graduates to become leaders in pediatric otolaryngology
- 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.
- Faculty: Nine pediatric otolaryngology faculty provide the majority of the training experience. Three Neuro-otologists provide adjuvant otologic experience.
- Education: Fellows enjoy a structured, didactic program with weekly conferences, formal lectures, and multidisciplinary conferences.
- Supervision: 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.
- Hospital Affiliation: Texas Children's Hospital, the largest children's hospital in the United States.
- Case Load: The large volume of patients seen at TCH 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.
- Otolaryngology Residents: Baylor College of Medicine otolaryngology residents rotate at TCH 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.
High Caliber Training
Our Pediatric Otolaryngology Program was established in 1992 and has been training fellows every since that time. In 1998, our program became one of the first fellowship programs to obtain Accreditation Council for Graduate Medical Education (ACGME) 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 TCH 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 over 6900 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.
Texas Children’s Hospital
Our program is affiliated with Texas Children’s Hospital, the largest children’s hospital in the United States. Consistently ranked among the top children's hospitals in the nation, Texas Children's has recognized Centers of Excellence in multiple pediatric subspecialties including the Cancer and Heart Centers, and operates the largest primary pediatric care network in the country. Texas Children's has completed a $1.5 billion expansion, which included the Jan and Dan Duncan Neurological Research Institute; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; and Texas Children's Hospital West Campus, a community hospital in suburban West Houston.
Texas Children's Hospital is nationally ranked among the nation's top children hospitals by U.S. News & World Report (2000 to 2013) and Parents (2007) magazine.
TCH is a large, busy, tertiary care children’s hospital with 489 inpatient beds and opportunities to match its size. It has more than 3.1 million patient encounters a year and, in 2011, logged 1.44 million outpatient visits (including the Health Centers), 82,049 ER visits, 8,655 inpatient surgeries and 21,744 admissions. This patient volume provides an extensive variety of high quality consultations.
Facilities include the Gordon Emergency Center, 22 pediatric surgery suites, a 31-bed Pediatric Intensive Care Unit, and a 21-bed Cardiac Intensive Care Unit. The Texas Children’s Cancer Center, housed at the hospital, is one of the largest cancer research treatment centers in the country and includes a 36-bed inpatient unit and a 15-bed bone marrow transplant unit.
Our Level III Neonatal Intensive Care Unit has 76 beds and is supplemented by 62 Level II NICU beds for less critical babies. 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. More than 40 medical and surgical outpatient services are available to children. In addition to its ranking as #2 in the nation for neonatology, Texas Chldren's has also held Magnet status, a national designation from the American Nurses Credentialing Center, since 2003. In fact, in 2012, Texas Children's Hospital was designated as Level IV NICU, the highest level of care available for preterm and critically-ill newborns.
Texas Children's new Fetal Center is one of only a few worldwide to offer the full spectrum of fetal therapies. Physicians at the Fetal Center are internationally recognized leaders in fetal medicine and in fetal and neonatal surgery. The Fetal Center attracts parents from around the world. Advances in fetal medicine have allowed the hospital to offer therapies not previously available to patients with conditions such as congenital diaphragmatic hernias, spina bifida and previously fatal heart diseases and EXIT procedures.
TCH is renowned for its expertise and breakthrough development in treatment of cancer, premature infants, cardiogenic disorders, diabetes, asthma, HIV/AIDS and attention-related disorders.
Since opening its doors in 1954, the Texas Children’s Hospital Integrated Delivery System has cared for more than 1 million children from all corners of the globe. Our award-winning medical staff includes more than 1,580 board-certified, primary-care physicians, pediatric sub specialists, pediatric-surgical subspecialists and dentists, in addition to a highly skilled nursing and support staff of more than 6,000.
Texas Medical Center
Houston is known internationally as the home of one of the best medical communities in the world. That’s not surprising since the Texas Medical Center, the largest medical center in the world, is just 10 minutes from downtown Houston.
TMC is housed on 1,300 acres, and is home to 54 nonprofit and government institutions, including 14 teaching hospitals, two medical schools, four colleges of nursing, a dental college, a college of pharmacy and a college of optometry. Altogether 7.1 million patients visit them each year.
Houston ranks among Kiplinger's 1- Best Cities for Young Adults (2010) and is the 4th largest city in the U.S.
Touted as one of the best cities in the country to live, work and play, Houston is a thriving urban metropolis that supports some of the most vivid cultural arts and culinary scenes in the county. Houston’s temperate climate sustains tropical vegetation and allows the city’s residents an enviable outdoor lifestyle. Houston averages only 18 days per year with temperature of 32˚F or less and 99 days with high temperatures of 90˚F or more. Temperatures rarely reach 100˚F.
- Low cost of living and affordable housing
No state or local income taxes
Expanding economy in diverse industries
- Multicultural population of more than 5.5 million in the greater Houston area
More than 40 colleges and universities
An "urban forest" with 350 parks and more than 200 green spaces
NASA’s Johnson Space Center
8,000 restaurants serving every type of cuisine
- Nearby beaches and lakes
Application and Selection Process
We select two fellows each year. We participate in the San Francisco match program and applicants must register for the Match program. The use of the Central Applications Service (CAS) is mandatory for applicants and programs. Applicants only need to fill out one application form and provide three letters of recommendation from physicians with whom they have worked closely. Applications and documents are distributed to specified programs using the online system.
An interview is required and is considered based on your completed application and supporting materials. We usually have two on-site interview days in the spring each year. There is a welcome dinner the evening preceding each interview day so that applicants can meet the current faculty and fellows.
The program is a subspecialty program and requires previous otolaryngology training (minimum 5 years in length). The Fellowship requires a Postgraduate Physician Permit or Texas medical license to practice medicine in Texas.
Download the Otolaryngology Pediatric Fellowship brochure
Carla Giannoni, M.D.
Director, Pediatric Otolaryngology Fellowship Program
Texas Children’s Hospital
6701 Fannin, Suite 610.25
Houston, TX 77030