Clinical Training Program - Overview
The Pediatric Neurology Residency Program at Baylor College of Medicine is a fully accredited program that provides exceptional opportunities to study neurological diseases of children from infancy through adolescence. BCM has 35 full-time faculty in the Division of Pediatric Neurology and Developmental Neuroscience including 25 clinical teaching faculty actively involved in resident education. Our teaching faculty offer tremendous educational experiences in general child neurology as well as expertise in many pediatric neurology subspecialties including epilepsy, headaches, movement disorders, neuromuscular disease, sleep medicine, stroke, autism, and multiple sclerosis.
- St. Luke's Episcopal Hospital
- Michael E. DeBakey Veterans Affairs Medical Center
- University of Texas MD Anderson Cancer Center
- Ben Taub Hospital
- Texas Children's Hospital
During the three years in the program, pediatric neurology residents spend approximately two-thirds of their training time at Texas Children's and one-third in the affiliated Adult Neurology Training Program . The program provides broad instruction in Neurology, Child Neurology, and several subspecialties including epilepsy, movement disorders, stroke, neuromuscular disease, headaches, neurodevelopmental disorders, and multiple sclerosis.
Attending supervision for teaching and patient care are conducted at all hospitals and in all inpatient units and clinics. Departmental Grand Rounds are held weekly and a variety of daily conferences are offered on all inpatient and outpatient units.
The scope, balance, and flexibility of the program prepare the house officers for either general child neurology practice or subspecialty training.
Texas Children's Hospital
Opened in 1954, Texas Children's Hospital is one of the nation’s largest pediatric hospitals and the primary pediatric teaching hospital for Baylor College of Medicine. Texas Children's serves as both a primary community hospital and a tertiary referral center. All medical, laboratory and nursing services are geared to the unique requirements of the child and adolescent. With its complex diagnostic and therapeutic equipment, including its own operating rooms, MRI unit, CT scanners, interventional radiology unit, EEG and EMG laboratory, nuclear medicine unit, and cardiac catheterization laboratory, the hospital is recognized for its leading-edge technology. BCM professors serve as service chiefs and staff physicians of Texas Children's more than 40 health care centers and clinics.
Texas Children’s provides extensive training in treating the special and demanding needs of infants, children, and adolescents, including those with the most complex diagnostic and treatment conditions. Given the diverse patient population at the hospital, Pediatric Neurology residents have opportunities to see a variety of conditions to include both primary neurological conditions as well as neurological complications of other pediatric diseases.
Inpatient services include the Primary Neurology Service, the Epilepsy Monitoring Unit, the Neurology Consult Service, and the Neurocritical Care Service.
Primary Child Neurology Service
The Primary Neurology Service allows residents to directly manage patients admitted to Texas Children’s Hospital secondary to a neurological disorder. This includes patients with epilepsy, stroke, demyelinating disease, and acute neuromuscular conditions among others. The Primary Service Team is comprised of one attending faculty child neurologist, one child neurology resident, one pediatric resident, one pediatric intern, and medical students. Under attending supervision, the child neurology resident leads daily rounds to include preliminary review of the impression, evaluation, and treatment plan as presented by the pediatric resident, intern, or medical student taking part in the care of the individual patient. The child neurology resident counsels families about patient diagnoses and management plan under the supervision of the attending faculty.
Epilepsy Monitoring Unit
The Epilepsy Monitoring Unit allows residents the opportunity to have additional training in the evaluation and management of children with medically refractory epilepsy. The child neurology resident has the opportunity to work directly with a pediatric epileptologist while the day-to-day care is handled by a pediatric nurse practitioner. The unit will soon be expanding to 12 beds.
Child Neurology Consult Service
This service allows the resident to see patients with neurological complications of other pediatric diseases. The consult team includes one attending faculty child neurologist, one child neurology resident, one adult neurology resident, one pediatric resident, one pediatric intern, and medical students. The team provides consultation services on patients admitted to other services at Texas Children’s Hospital including the Emergency Center, General Pediatrics floors, Hematology/Oncology, Cardiology, and Neurosurgery among others.
Neurocritical Care Service
This service allows for additional training in the care of patients admitted to the intensive care units at Texas Children’s Hospital. The team consists of an attending child neurologist, a child neurology resident, and an adult neurology resident. The team provides consultation service to patients admitted to the Pediatric ICU, Neonatal ICU, and Cardiovascular ICU.
An adjacent 17-story outpatient building (Texas Children’s Hospital Clinical Care Center) houses a variety of general medical, surgical, and specialty clinics including the Blue Bird Circle Clinic for Pediatric Neurology. The 18 room Pediatric Neurology Clinic is fully staffed with specialty nursing care, medical assistants, social workers, and a number of volunteers from the Blue Bird Circle Charity Organization. Two full-time neuropsychologists additionally provide dedicated neurocognitive evaluations for patients seen in the clinic. Along with attending their weekly continuity clinic, residents rotate through a number of subspecialty clinics in the Pediatric Neurology Clinic area.
An important component of resident education in Child Neurology involves active involvement in educating other residents, medical students and colleagues. A number of opportunities allow residents to not only teach, but also to learn how to become effective clinician educators through a variety of on-site seminars. Principal teaching opportunities include leading daily rounds under attending supervision. This allows the child neurology resident to educate rotating pediatric and adult neurology residents as well as medical students on how to approach a variety of neurological problems to include instruction on aspects of the clinical history, neurological examination, differential diagnosis, evaluation strategy, and management plan. Bedside teaching is also included as part of the resident teaching experience. In addition, utilizing a standardized curriculum, the child neurology resident gives didactic lectures to the pediatric residents and medical students.
Medical students, general pediatrics residents, and adult neurology residents from BCM also receive their pediatric neurology training at Texas Children's Hospital. Working with all of these groups, the child neurology resident is provided with academic challenges and stimulation, the opportunity to teach, and assistance in the care of patients. The level of supervisory experience increases as residents progress through each year of training.
Special Interest Opportunities
Six months of elective time, distributed in the second and third years, provide residents the opportunity to concentrate on areas of special interest or to pursue areas of individual need.
Research activities at BCM and its affiliated hospitals add an important facet to the Pediatric Neurology Residency Program. BCM has several nationally renowned pediatric research facilities:
- Jan and Dan Duncan Neurological Research Institute, dedicated to translational research for pediatric neurological diseases
- Children's Nutrition Research Center, one of six USDA/ARS human research centers in the country.
- One of the nation's three Pediatric Clinical Research Centers located in children's hospitals.
- One of 14 Child Health Research Centers designated by the National Institute of Child Health and Human Development to expedite the application of molecular medicine to Pediatrics.
The extensive research conducted in these institutions provides house officers with access to current diagnostic and therapeutic modalities, often before they are generally or commercially available. Specific seminars help residents to learn basic research skills to include devising a research protocol and publication design. Faculty members offer strong support for those residents who choose to participate in research projects.
Clinical Training Program - Neurology Resident Benefits
The Baylor Affiliated Hospitals Residency Program provides the following benefits:
Professional meeting: Each house officer is provided the time and opportunity to attend a professional meeting every year. Residents in their Adult Neurology year may attend a local meeting, and second and third year Child Neurology residents may attend a five-day meeting within the United States. The time off provided for this activity is, of course, in addition to vacation time.
Free institutional permit: Although a Texas state medical license is not required for residency or fellowship training in Texas, those without a full medical license must obtain a Texas Physician In Training permit. The fee for training permits is reimbursed by the Department of Pediatrics.
Resident orientation, including:
- Pediatric Advanced Life Support
- Orientation lectures
- Computer orientation
- Hospital orientation
Social functions: A variety of other social functions, including a welcome party for new residents, holiday parties, and a house staff graduation banquet are hosted by the department. Additionally, the house staff themselves arrange a variety of social events throughout the year. These include sporting events and competitions as well as holiday parties.
Resident's Lounge: Texas Children's Hospital provides a lounge for residents. Amenities include a large screen television, a DVD player, multiple computer work stations, a full kitchen and exercise equipment.
Three weeks of paid vacation yearly
Professional liability insurance
Medical and dental insurance
Life insurance (1.5 times annual salary)