Pediatric Hospital Medicine Fellowship - San Antonio

About the Program

The Baylor College of Medicine/CHRISTUS Children’s Pediatric Hospital Medicine Fellowship is a two-year fellowship program with one fellow position per year. Our program consists of a core block and longitudinal curriculum designed to develop advanced skills in clinical practice, teaching, research/quality improvement, and administration/leadership. Fellows in this program will complete an advanced QI course and gain first-hand experience leading quality improvement initiatives. Teaching and procedural skills, including a robust sedation curriculum, will be a focus of the clinical care blocks. Our goal is to train future leaders in Pediatric Hospital Medicine.

In February 2013, Baylor College of Medicine and Texas Children’s Hospital entered into a partnership with CHRISTUS Santa Rosa Health System to create the first free-standing children’s hospital in San Antonio, Texas. CHRISTUS Children’s is currently undergoing a $185 million dollar transformation with an 800,000 square-foot expansion. Renovations and expansion are now complete in the medical/surgical inpatient units, PICU, Intermediate Medical Care Unit, NICU, Emergency Department, Voelcker Clinical Research Center, 6600 square-foot state of the art Simulation Center, two-story lobby, teaching kitchen and cafe, and Child Life Activity Center.

Basic Information at a Glance

Number of fellows per year: One

Length of Fellowship: Two years

Focus: Pediatric Hospital Medicine Core Competencies, Clinical Research/Quality Improvement, Clinical Education/Teaching Skills, Administration/Leadership, Career Development

Clinical Time: 32 weeks + Individualized Curriculum

Options for advanced degree or certificate: Possible with pre-approval by Program Director and Division Chief

Do you Accept Visas? No

Participating in the upcoming NRMP match: Yes

Curriculum

Over the course of our two-year Pediatric Hospital Medicine Fellowship program you will spend 32 weeks focused on each of three areas:

Core Clinical PMH Skills
Systems and Scholarship
Individualized Curriculum

The curriculum meets all the ACGME Common Program Requirements for Pediatric Hospital Medicine.

Throughout the program, you will have a total of eight weeks vacation/PTO and work an average of one weekend out of every four weeks.

PHM Inpatient Service

• Hospital Medicine Teaching Services include a variety of clinical experiences such as general inpatient medicine, complex care, higher acuity in the intermediate care unit, newborn care, consultation, and co-management of surgical and subspecialty patients
• Community site PHM rotation (4 weeks)
• Pediatric Sedation Service (4 weeks)
• Blend of day and night shifts with initial direct supervision transitioning to indirect supervision by PHM faculty
• One weekend per block (two clinical shifts)

During these blocks, the fellow will acquire knowledge and skills necessary to conduct scholarly projects and thus further the rising subspecialty field of pediatric hospital medicine. The fellow will choose one area of focus for their scholarly work. Possible areas of focus include:

Quality Improvement
Clinical & Translational Research
Medical Education
Leadership
Practice Management
Patient Safety
Advocacy

The fellow will also:

Attend the Texas Children’s Hospital AQI Course during the PGY-4 year
Participate in the Topics in Research longitudinal curriculum
Gain a level of competency in QI and exposure to clinical research principles
Learn how to critically assess the scientific merit of published research and lead peers in dialogue about practice change by preparing and leading thematic journal clubs
Acquire knowledge in basic clinical epidemiological principles and biostatistics
Complete a scholarly project with mentoring through a faculty member and the Scholarly Oversight Committee
Participate in the annual CHRISTUS Children’s Research Symposium
Submit an abstract to a national conference through the AAP, APA, and/or SHM and present at the conference if accepted
Prepare a manuscript as the final product of the scholarly project
Collaborate with the Voelcker Clinical Research Center

This portion of the curriculum includes clinical and non-clinical activities based on the learning needs and career plans of each fellow.

Encouraged Electives

Pediatric Infectious Disease
Pediatric Complex Care Clinic (ComP-CaN: Comprehensive Peds for Complex Needs)
Pediatric Emergency Medicine
Pediatric Critical Care
Pediatric Newborn Care
Pediatric Sedation, Anesthesia, Pain Management, and Procedures
Teaching/Medical Education/Educational Leadership
Leadership/Administration/Hospital Operations

Additional Elective Options

Child Maltreatment and Advocacy
Clinical Informatics
Community Hospital Medicine (additional time)
Further Study in Systems and Scholarship
Global Health
Pediatric Cardiology
Pediatric Dermatology
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Genetics
Pediatric Hematology and Oncology
Pediatric Nephrology
Pediatric Neurology
Pediatric Physical Medicine and Rehabilitation
Pediatric Radiology
Pediatric Pulmonology
Pediatric Rheumatology
Pediatric Radiology
Pediatric Surgery/Surgical Subspecialties
"Designer"- design your own rotation with set goals, learning objectives, and preceptor

Teaching

Participate in Fellow-as-Teacher Longitudinal Curriculum
Develop expertise in leading family-centered rounds
Prepare and present lectures to Baylor College of Medicine and University of Incarnate Word medical students, 4th year medical students, pharmacy students, pediatric residents, family medicine residents, and staff during morning report, Noon Conference, and didactic sessions
Present at Grand Rounds
Attend the CHRISTUS Children’s Faculty Development Lecture Series
Learn how to give effective feedback to residents and students with observation and mentoring
Receive ongoing mentoring of teaching, communication skills, and interpersonal skills

Administration/Leadership

Participate in a Leadership Longitudinal Curriculum in the PGY-5 year
Join 1-2 administrative committees as an active member based on individual interest
Participate in all PHM Division meetings
Participate in Continuous Quality Improvement (CQI) initiatives
Participate in patient safety initiatives
Gain proficiency in billing and reimbursement processes
Gain exposure to marketing and financial management in healthcare

Career Development

Develop and maintain an Individual Learning Plan recognizing that self-directing life-long learning is essential for a successful career
Develop and maintain a Curriculum Vitae
Create an Educator Portfolio
Understand principles of academic advancement
Learn about and participate in Maintenance of Certification
Receive and provide mentorship
Create a 5-year plan that addresses critical domains of academic medicine with a focus on career longevity

Admissions and Benefits

The Baylor/San Antonio PHM Fellowship Program utilizes the Electronic Residency Application Service (ERAS).

Application Requirements

Complete applications include the common application, a CV, a personal statement, and three letters of recommendation. Applicants must be board certified or board eligible in pediatrics upon entering the fellowship program.

The Baylor/San Antonio PHM Fellowship Program participates in the National Resident Matching Program Pediatric Specialties Fall Match.

Insurance

Medical and Dental Insurance
Life Insurance (1.5 times annual salary)
Short and Long Term Disability
Professional Liability Insurance

Education

Membership in all three academic societies for pediatric hospital medicine: American Academy of Pediatrics, Academic Pediatric Association, Society of Hospital Medicine
Membership in AAP Section on Hospital Medicine
Membership in Texas Pediatric Society
Membership in the Society for Pediatric Sedation
Reimbursement to attend one national academic conference per year
Reimbursement to attend the PHM Fellows Conference in Park City, Utah each year
Access to the Texas Medical Center Library, UpToDate, and other databases
Fellow annual CME stipend
Reimbursement for General Pediatrics Certifying Board Exam
Global Health Month (optional for PGY-5) with up to $2,900 for travel expenses