Block Rotation Schedule
Department of Pediatrics Division of Child Abuse Pediatrics Fellowship Program
Block Schedule for Academic Year 2023‐2024
First Year PGY 4 Block Diagram
| Month |
July |
Aug |
Sept |
Oct |
Nov |
Dec |
Jan |
Feb |
Mar |
Apr |
May |
June |
| Site |
Site 1 |
Site 2 |
Site 1 |
Site 2 |
Site 1 |
Site 2 |
Site 3 & 4 |
Site 2 |
Site 5 |
Site 2 |
Site 2 |
Site 1 |
| Rotation |
Inpatient |
Outpatient Clinic |
Inpatient |
Research |
Inpatient |
Research |
FNE/JDC |
Outpatient Clinic |
Forensic Path |
Research |
Outpatient Clinic |
Inpatient |
| Weekend Call |
YES |
YES |
YES |
YES |
YES |
YES |
NO |
YES |
YES |
YES |
YES |
YES |
| % Outpatient |
10% |
90-100% |
10% |
0% |
10% |
0% |
90-100% |
90-100% |
100% |
0% |
90-100% |
10% |
| % Research |
Variable; ~10 |
Variable; ~10 |
Variable; ~10 |
100% |
Variable; ~10 |
100% |
Variable; ~10 |
Variable; ~10 |
Variable; ~10 |
100% |
Variable; ~10 |
Variable; ~10 |
Second Year PGY 5 Block Diagram
| Month |
July |
Aug |
Sept |
Oct |
Nov |
Dec |
Jan |
Feb |
Mar |
Apr |
May |
June |
| Site |
Site 2 |
Site 1 |
Site 2 |
Site 1 & 2 |
Site 1 & 2 |
Site 1 |
Site 2 |
Site 6 |
Site 2 |
Site 1 |
Site 9 |
Site 2 |
| Rotation |
Research |
Inpatient |
Research |
Research Radiology |
Radiology Outpatient |
Inpatient |
Outpatient Clinic |
Rehab |
Outpatient Research |
Inpatient |
Behavior/ Developmental |
Research |
| Weekend Call |
YES |
YES |
YES |
NO |
YES |
YES |
YES |
YES |
YES |
YES |
YES |
YES |
| % Outpatient |
10% |
0% |
90-100% |
0% |
~50% |
10% |
90-100% |
10% |
0% |
10% |
90-100% |
0% |
| % Research |
Variable; ~10 |
100% |
Variable; ~10 |
100% |
Variable; ~10 |
Variable; ~10 |
Variable; ~10 |
Variable; ~10 |
100% |
Variable; ~10 |
Variable; ~10 |
100% |
Third Year PGY 6 Block Diagram
| Month |
July |
Aug |
Sept |
Oct |
Nov |
Dec |
Jan |
Feb |
Mar |
Apr |
May |
June |
| Site |
Site 1 |
Site 2 |
Site 2 |
Site 2 |
Site 6 |
Site 2 |
Site 2 |
Site 1 |
Site 2 |
Site 2 |
Site 2 |
Site 7 & 8 |
| Rotation |
Inpatient |
Research |
Outpatient Clinic |
Research |
FNE/JDC |
Outpatient Clinic |
Forensic Path |
Research |
Outpatient Clinic |
Research |
Outpatient Clinic |
Inpatient |
| Weekend Call |
YES |
YES |
YES |
YES |
YES |
YES |
NO |
YES |
YES |
YES |
YES |
YES |
| % Outpatient |
10% |
0% |
90-100% |
0% |
10% |
90-100% |
0% |
10% |
0% |
~90-100% |
0% |
90-100% |
| % Research |
Variable; ~10 |
100% |
Variable; ~10 |
100% |
Variable; ~10 |
Variable; ~10 |
100% |
Variable; ~10 |
100% |
Variable; ~10 |
100% |
Variable; ~10 |
KEY:
Site 1: Children’s Memorial Hermann Hospital
Site 2: CARE Clinic
Site 3: Ben Taub Hospital/Harris Health System
Site 4: Harris County Juvenile Probation Department – JDC
Site 5: HCIFS – Harris County Institute of Forensic Sciences
Site 6: TIRR Memorial Hermann
Site 7: Childrens’s Assessment Center
Site 8: Harris County Protective Services – Chimney Rock
Site 9: Children’s Learning Institute
Inpatient: Primary responsibility will be to manage inpatient hospital consults at CMHH (anticipated volume of ~10‐12 new patient consults per week); however, for continuity purposes, the fellow will also see one afternoon of outpatient clinic per week (~5‐6 pt’s)
Outpatient Clinic: Primary responsibility will be approximately 2‐3 CARE clinic days per week (anticipated volume of ~15‐20 patients/week), as well as concurrent case management of case reviews on the online web system (FACN); inpatient exposure on his/her call weekends
Research: The fellow will be assigned one outpatient CARE clinic afternoon per week (5‐6 pt’s) to assure adequate clinical exposure, and will only have potential inpatient responsibility for his/her assigned call weekends
FNE: Primary responsibility will be exposure to FNE exams in ER setting (Ben Taub hospital); NO call responsibility; however, for continuity purposes, the fellow will also see one afternoon of outpatient CARE clinic per week (~5‐6 pt’s)
Forensic Path: Primary responsibility will be exposure to pathology (general, neuropathology and forensic anthropology) at the HCIFS; will also see one afternoon of outpatient CARE clinic per week (~5‐6 pt’s) and have inpatient exposure on his/her call; inpatient exposure on his/her call weekends
Rehab: Primary responsibility will be to see patients in a pediatric rehabilitation setting, to familiarize fellows with the potential long‐term physical consequences of child abuse and neglect and care coordination
Child Psych: Will be exposed to both inpatient consults (approx 5‐10/wk) and outpatient clinics two afternoons per week (approx 5‐10 pt’s/wk); further inpatient exposure on his/her call; for continuity purposes, the fellow will also see one afternoon of outpatient CARE clinic per week (~5‐6 pt’s)
Radiology: Fellow will spend two weeks in pediatric radiology and two weeks in neuroradiology, attend monthly child maltreatment multi‐disciplinary meeting and weekly pediatric radiology rounds
Behavior/Developmental: Outpatient clinics 3 days per week at CLI (approx 10‐15 pt’s/wk); for continuity purposes, the fellow will also see one afternoon of outpatient CARE clinic
per week (~5‐6 pt’s); inpatient exposure on his/her call
Advocacy ‐ Fellows will spend two weeks observing forensic interviews, therapy sessions, and child advocacy center multidisciplinary team meetings. The remainder of the rotation will be at the Chimney Rock CPS Clinic performing well child examinations on children in foster care and/or CPS custody and evaluating potential cases of maltreatment.
JDC ‐ Fellows will observe and perform physical examinations on high risk adolescents. They will gain experience evaluating for and managing sexually transmitted infections in the high‐risk adolescent population.