Outstanding Clinical Experience
Fellows have a minimum of 12 months of inpatient service in three years. Fellows rotate through three inpatient teams. The first year of fellowship consists of six months of inpatient service, (two months of time on each of the inpatient teams.) The second and third years of fellowship consist of three months of inpatient service (one month of time on each of the inpatient teams) When not on inpatient service, time is spent in the Continuity and Cystic Fibrosis clinics, elective rotations, preparing educational presentations or engaging in quality improvement projects and scholarship/research activity. The fellows also participate in structured outpatient rotations in flexible bronchoscopy, asthma education for first-year residents, and interpretation of pulmonary function tests.
Inpatient Service Rotations
Fellows are expected to take primary responsibility for the evaluation and management of their list of patients under direct supervision of an attending pulmonologist and are allowed graded autonomy over three years. Hospital follow-up is frequently arranged with the fellow which allows longitudinal learning experiences. The fellows leads a team of residents in the care of patients admitted to the pulmonary service. During consult rotations, patient rounds are tailored to the individual fellow’s learning and are conducted mainly by the fellow and attending in collaboration with services requesting a pulmonary consultation.
Fellows maintain their own panel of patients over three years in their continuity and CF clinics. Fellows have one half-day of general continuity clinic and one half-day of CF continuity clinic per week. Each fellow is assigned a supervising attending pulmonologist. The fellow establishes a long-term relationship with patients and families which is considered a critical part of training.
During the 2nd year of the program, fellows complete a hybrid inpatient/outpatient rotation dedicated to lung transplant, a community clinic rotation, as well as a subspecialty outpatient clinic rotation in which fellows see patients in a variety of the highly specialized pulmonary clinics:
- Life-Threatening Asthma (LTA)
- Muscular Dystrophy
- Sickle Cell
- Pulmonary Hypertension
- Lung Transplantation
- Cystic Fibrosis
- Sleep Medicine
Robust Academic Experience
Learning opportunities are a blend of section-specific, departmental, and college-level offerings. Fellows are immersed in an academic environment that fosters intellectual discussion and exchange of knowledge in all of the ACGME competencies and beyond.
At the end of the first year, fellows will be asked to select a track to individualize their second and third year electives. The curriculum is tailored to reinforce clinical interests and academic niches that fellows may want to develop. Examples include critical care, CF, community, and airway tracks.
Department of Pediatrics
Pediatric Fellows College
Fellows College is an innovative and collaborative approach to sub-specialty training implemented at Baylor College of Medicine in 2011. The primary focus is to provide educational seminars for pediatric sub-specialties to meet the core curriculum (quality improvement, patient safety, communication, professionalism & medical writing) required by the ACGME and the ABP. In addition to the sessions offered to meet the core curriculum, Fellows College offers educational series on topics such as Fellows as Educators, Academic Career Development, Quality Improvement, Leadership, and Research.
Expanded curricular opportunities provided by Fellows College help to prepare sub-specialty fellows for their future careers. Furthermore, fellows have a wider range of opportunities to network and interact with an extended community of learners and leaders participating in Fellows College.
Pediatric Grand Rounds
Grand Rounds is held every Friday at Texas Children’s Hospital and open to pediatric physicians, residents, and fellows of Texas Children’s Hospital / Baylor College of Medicine. Grand Rounds fulfills the need for regular updates on advances in the fields of general pediatrics and pediatric sub-specialties. Educational methods include lectures and question/answer sessions and is designated as an educational activity for AMA PRA category 1 credit.
As members of Baylor College of Medicine, Fellows are encouraged to take advantage of additional offerings in research, education & opportunities for advanced degrees.