Training Summary by Year
The main goal of the first year is the exposure of the fellow to the entire range of the pediatric pulmonary clinical services, including the pediatric pulmonary function laboratory and basic training in flexible bronchoscopy. Thus the year is almost entirely allocated to clinical rotations plus the option of taking electives such as Allergy /Immunology, Radiology, and Pediatric Critical Care Medicine. The supervised outpatient continuity clinic experience will allow the fellow to develop a cadre of patients to be followed longitudinally throughout the fellowship that include infants with cystic fibrosis and bronchopulmonary dysplasia. This will allow the fellow increased opportunity to consider and discuss diagnostic and therapeutic plans with appropriate faculty supervision. First year fellows will also provide at least one formal teaching session per month for the residents and students on the clinical service. The first year fellow will identify an area of research interest and mentor. Fellow "call" is from home during inpatient clinical rotations.
In the second year the fellow is expected to develop proficiency in related research methods and present results as appropriate with the goal of submitting a grant application for research support in the third year. Clinical experience will continue and will grow with one half-day clinic per week and up to two month of additional inpatient service per year during the second and third years. Second year fellows will also be responsible for serving as the principal discussant for at least two conferences at divisional weekly didactic/research conferences during the academic year. During research months, fellows do not take call.
Third year fellows have similar responsibilities as those in the second year, with the addition of a third presentation per year and the expectation that they will serve as the principal organizer (with assistance from the responsible attending physician) for the appropriate weekly conferences. It is also expected that fellows will assume progressively more responsibility for requested consultations and management of pulmonary patients.