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Pediatrics - Hospital Medicine

Houston, Texas

BCM pediatricians care for children in various clinical and hospital environments.
Pediatric Hospital Medicine
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Pediatric Hospital Medicine Fellowship: Curriculum

Clinical Experiences

The trainee is expected to be an astute clinician who utilizes consultative services wisely and ancillary testing appropriately in order to provide high quality, efficient, and responsible inpatient health services to hospitalized children. In order to gain that level of expertise, the trainee works in the following settings:

Inpatient clinical commitment

Eight months of inpatient pediatric hospital medicine service:
· Four months in the first year- with gradual increase in patient load and supervised autonomy
· Four months in the second year
One month each of:
· Progressive Care and Special Needs (first year)
· Nursery: 2 weeks of Neonatology, 2 weeks of Nursery (first year)
· Scholarly Work Intro (Quality/Teaching/Administration) in Sept/Oct (first year, 6 weeks)
· Sedation (first year, 2 weeks)
· Pediatric Emergency Center (second year)
· Community Hospital at TCH West Campus (second year)

Elective Experiences (five months)

· Sedation, Anesthesia and Procedures
· Observation Medicine
· Teaching/Medical Education
· Quality
· Child Protection and Advocacy
· Pediatric Infectious Disease
· Global Health
· Pediatric Cardiology
· Pediatric Nephrology
· Pediatric Pulmonology
· Special Needs
· Genetics
· Pediatric Allergy and Immunology
· Pediatric Radiology
· Pediatric Rheumatology
· Pediatric Physical Medicine and Rehabilitation
· Pediatric Gastroenterology and Hepatology
· Pediatric Hematology and Oncology
· Pediatric Neurology
· Pediatric Surgery
· "Designer"- design your own rotation with set learning objectives and preceptor

Research

Five months dedicated to completing a scholarly activity that includes:
· A case report completed and submitted for publication
· Attendance at PFCCScourse during in the second year
· Attendance at the PEM/PHM Section didactic research conferences
· Prospective research project completed and mentored by one internal and two external faculty members
· Submission of an APA/AAP/SHM abstract submission (and presentation if accepted)
· Attendance at one academic meeting per year
· Presentation of case conference with PEM, journal club and morbidity/mortality conference.

Education

The trainee receives specific instruction in communication, teaching and feedback. S/he also is expected to:
· Receive ongoing mentoring of teaching by senior faculty
· Develop lectures for medical student/residents and ancillary staff at Texas Children's facilities
· Present journal club for the pediatric hospital medicine section
· Present inpatient clinical cases for the pediatric emergency and hospital medicine sections
· Present inpatient Morbidity & Mortality conference annually

Administration

Administration is incorporated in the trainee's experiences with a goal that s/he will be able to develop an academic hospitalist program upon completion of their two-year training.
The trainee is expected to:
· Complete a one-month administration rotation during either the first or second year
· Develop a familiarity with patient safety
· Participate actively in one to two administrative committees
· Gain knowledge in billing and accreditation
· Engage in community advocacy
· Develop leadership skills including running meetings, creating agendas, giving feedback, and engaging in effective communication and conflict resolution
· Participate in quality improvement projects and committees

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