Education and Conferences

From the broad range of clinical experiences and the wide array of teaching conferences our program provides, our fellows receive exceptional training in the art and science of clinical pulmonology. Since pediatric respiratory diseases so frequently have a major immunologic component, our program uniquely combines the experiences of learning and studying pediatric respiratory disease and pediatric allergy. The division consists of 6 full-time faculty, all board certified in pediatric pulmonology and two also certified in allergy and clinical immunology. Clinical training includes extensive inpatient and outpatient experience, procedures including flexible bronchoscopy and laryngoscopy, and the mechanics and logistics of running a subspecialty clinical service. In addition to their clinical duties and hands-on research experience, fellows participate in several conferences each week. The Division sponsors a weekly clinical and research conference series; a weekly fellowship curriculum conference, which covers a two-year curriculum in Pediatric Pulmonology; and a weekly clinical case conference, which alternates with the journal club and clinicopathologic correlation conferences. Dual fellowships in conjunction with other pediatric subspecialty training may be arranged.

I. Overall Fellowship goals

  1. Knowledge
    1. Physiology of normal and pathological respiratory physiology
    2. Immunologic aspects of respiratory and related diseases
    3. Normal and abnormal anatomy of the respiratory system
    4. Symptoms, signs, and natural history of respiratory diseases of infants, children, and adolescents
    5. Pharmacology of medications used for respiratory disease of infants, children, and adolescents
    6. Non-pharmacologic alternatives for respiratory disease of infants, children, and adolescents
  2. Skills
    1. Obtaining historical data from patient/family interview related to respiratory disease of infants, children, and adolescents
    2. Physical examination of the respiratory system of infants, children, and adolescents
    3. Interpretation of pulmonary function tests of infants, children, and adolescents
    4. Interpretation of sleep physiology studies of infants, children, and adolescents
    5. Interpretation of exercise physiology studies of infants, children, and adolescents
    6. Performance of flexible laryngoscopy of infants, children, and adolescents
    7. Performance of flexible bronchoscopy of infants, children, and adolescents
    8. Interpretation of immunologic studies used to evaluate respiratory and related diseases
    9. Production of clear, concise, and relevant written notes related to evaluation for respiratory disease of infants, children, and adolescents
    10. Education of patients and families related to respiratory diseases of infants, children, and adolescents
    11. Communication with colleagues and trainees related to respiratory disease of infants, children, and adolescents in an educational setting
    12. Medical writing sufficient to be considered for publication in a medical journal
    13. Formulation of hypotheses, data acquisition, data analysis, and interpretation of data related to respiratory disease of infants, children, and adolescents
  3. Other attributes
    1. Professional responsibility
    2. Ethical behavior
    3. Collegial behavior
     

II. Specific goals by year of training

  1. First year
    1. Extensive clinical experience with evaluation and management of respiratory disease of infants, children, and adolescents
    2. Progression of technical skills in performing procedures
    3. Progression of interpretative skills related to physiologic studies
    4. Identification of an area of research interest related to respiratory disease of infants, children, and adolescents
    5. Demonstration of communication skills
      1. Colleagues in an educational setting
      2. Patients and families in a care giver setting
  2. Second year
    1. Begin research activity in the selected area related to respiratory disease of infants, children, and adolescents
    2. Continuation of experience with evaluation and management of respiratory disease of infants, children, and adolescents
    3. Assuming greater responsibility for divisional education by organizing selected divisional conferences
    4. Further demonstration of communication skills
      1. Colleagues in an educational setting
      2. Patients and families in a care giver setting
  3. Third year
    1. Continue and complete research activity in the selected area related to respiratory disease of infants, children, and adolescents
    2. Present and submit for publication the results of research activity in the selected area related to respiratory disease of infants, children, and adolescents
    3. Ongoing provision of continuity of care for selected patients with less overall time assigned to clinical activity
     

In addition to clinical training on the Pediatric Pulmonary inpatient and outpatient services, interested fellows may spend elective time with Pediatric Otolaryngology, Anesthesia, Allergy, Radiology, PICU, or other choices.


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