About the Program
The Baylor College of Medicine-Texas Children’s Hospital Pediatric Rehabilitation Medicine Fellowship Program is a two-year ACGME-accredited clinical fellowship designed to develop advanced competency, skills and knowledge in the diagnosis and management of children and adolescents with disabilities, by providing a broad base of didactic teaching and clinical exposure to all aspects of pediatric rehabilitation medicine.
Training Site
Texas Children’s Hospital is one of the largest pediatric hospitals in the country, JCAHO accredited, with over 700 beds across three campuses having a full complement of pediatric medical and surgical subspecialty services. The medical center hospital has a Level 1 trauma status designation. A community branch hospital referred to as the “West Campus”, a Pavilion for Women and Neurological Research Institute were also added as part of the Vision 2010 endeavor. The Woodlands hospital opened in 2017 and houses our motion lab.
Admissions and Benefits
Requirements for Fellowship Candidacy
- Completion of an ACGME accredited residency program in Physical Medicine and Rehabilitation (PM&R), or
Completion of separate ACGME accredited residencies in Pediatrics and PMR. - American Board of PM&R certification or eligibility.
- Successful completion and passing of USMLE Step I, II, and III.
Baylor College of Medicine/Texas Children’s Hospital Pediatric Rehabilitation Medicine Fellowship is accredited for a total of four (4) fellow positions. Up to two positions may be offered to select candidates each year who have met the above qualifications. Funding for this position is through Texas Children’s Hospital (TCH).
Please apply via the Electronic Residency Application Service (ERAS®). For more information, please contact the Pediatric Rehabilitation Fellowship Coordinator, Nichelle Franklin at 713-798-3518.
Application Process:
Interested physicians should submit all applications through ERAS. ACGME program number: 3464821015. NRMP match participant.
- College provided health, life, and AD&D insurance
- $2,000 towards conferences
- Education Fund for each fellow that may be used for boards, books, and other education-related materials (may be reimbursed up to $2,000 per year)
- 15 work days (three weeks) of paid vacation per academic year
- 14 days of sick leave
- 9 days of Paid Time Off (PTO)
Information about stipends and other benefits are available on the Graduate Medical Education website.
Curriculum
Inpatient Rehabilitation Unit and Consults
Inpatient Rehabilitation Unit (IRU) is an 12-bed CARF accredited unit located on the 12th floor of the West Tower Bldg. of Texas Children’s Hospital, providing state-of-the-art comprehensive rehabilitation program to help improve function and outcomes.
A robust and busy inpatient rehabilitation consult service at TCH to assist our colleagues in the evaluation and management of post-acute care rehabilitation needs
Outpatient Rehabilitation and Multidisciplinary Clinics
- Cerebral Palsy (Multidisciplinary Clinic)
- Spasticity Clinics (Multidisciplinary Clinic)
- Spina Bifida Clinic (Multidisciplinary Clinic)
- Muscular Dystrophy Clinic (Multidisciplinary Clinic)
- Brachial Plexus Injury and Peripheral Nerve Clinic (Multidisciplinary Clinic)
- Limb Deficiency Clinic (Multidisciplinary Clinic)
- Spinal Cord Injury Clinic
- Traumatic Brain Injury Clinic
- Neuro-oncology Clinic (Multidisciplinary)
- Angelman’s Syndrome Clinic (Multidisciplinary)
- Gait and motion analysis Lab (TCH Woodlands Hospital)
- PRM Fellow Continuity Clinic (each 2nd and 4th Friday of the month except for months the fellow is on inpatient or consult service)
- General Rehabilitation and Physical Medicine Clinic
- PRM Procedures: Chemodenervation with botulinum toxin and phenol, Electrodiagnosis, Intrathecal Baclofen pump management
Enhanced learning experience through collaboration with other specialties that PM&R closely work with: Complex Care clinic, Developmental Pediatrics and Psychology, Neurology, Rheumatology, Pain Service, Neurosurgery, Orthopedics and Sports Medicine.
All calls are home-based except for weekend in-house rounding on inpatients and consults. The fellow will rotate in the call schedule with the core program PM&R residents on rotation. Call is taken on monthly blocks, with the average frequency being one week out of every four, typically when the fellow is on Pediatric Rehabilitation Medicine rotation (both inpatient and outpatient blocks). The fellow will always have attending physician back-up when they take call. Calls average about 6-8 weeks per year, per fellow.
The site for all assignments is Texas Children's Hospital.
| Specific Assignments | Year 1 | Year 2 |
|---|---|---|
| July | Orientation Peds PM&R Outpt clinics (0.5) / IRU & Consults (0.5) | Peds PM&R IRU (0.5) /Consults(0.5) |
| August | Dev. Peds Clinic (0.5) / Research (0.5) | Peds PM&R Outpt clinics |
| September | Peds PM&R Outpt clinics (0.5)/ Consults(0.5) | Ortho, Neurosurgery, Sports Med clinic |
| October | Peds PM&R IRU (0.5) /Consults(0.5) | Rheumatology & Pain (0.5) Clinics/ Research (0.5) |
| November | Complex Care clinic (0.5) / Peds PM&R Outpt clinics (0.5) | Consults |
| December | Peds PM&R IRU | Peds PM&R Outpt clinics |
| January | Peds PM&R Outpt clinics | Peds PM&R IRU (Supervisory) |
| February | Dev. Peds Clinic (0.5) / Research (0.5) | Research (0.5) / Peds PM&R Outpt clinics (0.5) |
| March | Peds PM&R IRU | Peds PM&R Outpt clinics |
| April | Neurology clinics (0.5)/ Peds PM&R Outpt clinics (0/5) | Peds PM&R IRU (Supervisory) |
| May | Consults | Elective |
| June | Peds PM&R Outpt clinics | Peds PM&R Outpt/ Elective (0.5) |
Fellows are required to participate in formal scholarly activities. This can include development of an original research project. The fellow is encouraged to design, implement, analyze and prepare for publication, an original research project during the two-year fellowship.
There is dedicated research time and a research mentor is assigned/arranged based upon the fellow’s specific research interests. The fellow is also required to complete at least one quality improvement project throughout the fellowship program.
At the beginning of the year, the fellow may opt to enroll in a course entitled “Fundamentals of Clinical Investigation”, which is offered through the BCM Clinical Scientist Training Program every August. This is a 16-evening course that will also include basic biostatistics. There are also lectures through the Fellows’ College at TCH, that the PRM fellows will be highly encouraged to attend.
Program Directors' Message
It is with great pleasure that we welcome you to the Baylor College of Medicine/Texas Children’s Hospital Pediatric Rehabilitation Medicine Fellowship. Our fellowship program offers outstanding opportunities as one of the top five Pediatric hospitals in the country according to the US News and World Report rankings. We not only boast of a world-class medical center, but we are also fortunate to have top-tier academic faculty from diverse backgrounds who will provide you with a robust clinical education experience. Being part of the Baylor College of Medicine family opens further extraordinary opportunities for our trainees, from research training programs, clinician educator workshops, a nationally ranked wellness program, and not to mention living in the country’s most diverse city Houston, Texas.
We passionately believe in training our nation’s growing Pediatric Rehabilitation Medicine Faculty; our goal is to graduate skilled physicians that will be able to practice in any setting that they choose. Our program offers a well-rounded education that includes the following: medical and surgical spasticity management, interdisciplinary care management, inpatient rehabilitation, intensive outpatient rehabilitation, multidisciplinary clinics, gait lab access and so much more. The clinical education of our fellows is equally as important as their personal and professional development, and we encourage a varied training and clinical atmosphere supported by our institution and incredible city. We also believe in the importance of not just diversity, but also of inclusion, creating a safe and respectful space that allows us to maintain our diversity of thoughts, opinions, and experiences. We have truly grown and flourished through the different perspectives that each person brings and feel that is reflected in our faculty and staff.
We look forward to welcoming you to Houston and to the BCM/TCH Pediatric Rehabilitation Medicine Fellowship.
Sincerely,
Program Director
Unoma Akamagwuna, M.D.