Clinical Training Program
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 demyelinating disorders.
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.
Inpatient services include the Primary Neurology Service, the Epilepsy Monitoring Unit, the Neurology Consult Service, ICU consult service and the Neurocritical Care Consult Service.
Primary Child Neurology Section
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.
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.
ICU Consult Service
This service allows residents to learn and manage neurological complications of non-neurologic pediatric critical illnesses. The team includes one shared attending faculty child neurologist who also supervises the Neurocritical Care consult Service, one child neurology resident, and one adult neurology resident. The team provides consultation services on patients admitted to Medical and Surgical Pediatric ICU, Neonatal ICU, and Cardiovascular ICU.
Neurocritical Care Service
Texas Children’s Hospital recently opened the Legacy Tower, a freestanding tower housing new and expanded operating rooms and a new 84-bed pediatric ICU, including a 13-bed dedicated Neurocritical Care unit with built-in multimodal EEG monitoring. Our residents now has the opportunity to participate in the care of patients with primary neurologic conditions requiring critical care, such as acute stroke, traumatic brain injury, refractory status epilepticus, brain tumors, and other acute neurologic emergencies. The team includes one shared attending faculty child neurologist, who also supervises the ICU consult service, and one child neurology resident.
An adjacent 17-story outpatient building (Texas Children’s Hospital Mark Wallace Tower) 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. 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.