Mission and Overview
The goal of this program is provide an excellent educational experience and train outstanding academic pediatric pulmonologists. The provided training is extensive in scope and includes diverse inpatient and outpatient populations, pulmonary function and exercise physiology laboratories, bronchoscopy program, and rich educational and research opportunities. The program is under the direction of James M. Stark, M.D., Ph.D.
The services are provided in at Children’s Memorial Hermann Hospital, which is a teaching hospital with a strong academic environment as demonstrated our Pediatric Pulmonary Medicine Fellowship Training Programs endorsed by the Accreditation Council for Graduate Medical Education (ACGME). Further, our experienced physicians and scientists have received funding from the National Institutes of Health for investigations into the basic mechanisms of lung disorders in children. The scientific information generated in the laboratories is rapidly translated into knowledge and/or therapeutic options, thereby allowing individualized and age-specific care. Building on the research focus of our physician-scientists, a variety of programs have been designed to better serve patients with respiratory diseases as well as critically ill children with rare and complex disorders.
This three-year program fulfills the requirements of the American Board of Pediatrics Sub-board of Pediatric Pulmonary Medicine and is accredited by the Residency Review Committee of the Accreditation Council for Graduate Medical Education.
Fellows entering this program are expected to be well-trained and excellent pediatricians who are board-eligible and graduated from accredited programs.
Pediatric Pulmonary Fellows are required to take up to 16 months of clinical service; 14 months are usually spent covering the Pediatric Pulmonary inpatient, consult, or outpatient services. The remaining months are usually spent on electives. Pediatric intensive care rotation is recommended but not mandatory. Elective services include pediatric intensive care, allergy, adult pulmonary medicine, otolaryngology, adult interventional pulmonary and others. The outpatient experience includes one half-day clinic each week, staffed by a faculty member. Fellows are expected to see their own patients and follow them continuously for the length of their training. Fellows are trained to perform flexible bronchoscopy and to read pulmonary function tests, polysomnography, and cardiopulmonary exercise test. Fellows take calls from home only during their clinical months and one weekend a month when off service. The last year of the fellowship, which focus on research, are nearly call-free.
Each Fellow will perform approximately 100 bronchoscopies during the three years of training. In addition to the main Pulmonary clinic, our service conducts the following clinics; pulmonary high risk clinic, neuromuscular clinic, and mitochondrial clinic. We care for a large number of patients with Tracheostomy/ Ventilator Dependent and infants with chronic lung disease of prematurity who most of them come from our large NICU.
At least 18 months of the three-year Fellowship period are spent in investigative work. During the first year of fellowship, each fellow is introduced and exposed to different programs of pulmonary research at the University of Texas-Houston, including basic science research and clinical research. Strong interdisciplinary interactions exist with other pediatrics departments.
Many fellows enter the program with some prior research experience, but this is by no means required. Fellows select a research mentor early in the course of the fellowship and develop a project, which they pursue throughout their fellowship. Mentors may be investigators in the division or outside of it, including basic science departments. However, the project must be relevant to pediatric pulmonology and it must represent an important research question. The fellowship takes its research training responsibilities seriously, and regular follow up of progress occurs not only from the mentor but from the division chief as well. Fellowship projects range from basic science to clinical, patient-based research. All are acceptable as long as they meet high standards of excellence.
Four hours per week of academic lecture are required. Each month we will review a relevant pulmonary article, an interesting case, a board lecture, Kendig’s club, physiology lecture, radiology lecture, an interesting PFT results, and outside division speaker lecture. A course in epidemiology, bioethics, evidence base medicine, and biostatistics is also required primarily during the 2nd & 3rd yrs of fellowship. Most labs also have regular meetings for discussion and presentation of data.
|Pulmonary Inpatient and Consult Service||7 months|
|Outpatient Clinic||½ day per week|
|Pulmonary Inpatient Service||4 months|
|Research*||6 months plus|
|Outpatient Clinic||½ day per week|
|Pulmonary Inpatient Service||3 months|
|Research*||9 months plus|
|Outpatient Clinic||½ day per week|
Eligibility and Selection
Eligible candidates will have either a M.D. or a D.O. degree and will have successfully completed a three-year residency in Pediatrics from an ACGME accredited program. In addition, the Pediatric Pulmonary Medicine Fellowship follows the Graduate Medical Education policy on eligibility and selection.
Fellows usually apply during their second year of residency training, and are accepted on a rolling admissions basis. Usually offers and acceptances are complete by July 1 of the year preceding enrollment, though occasionally later applicants can be accommodated. Written applications must include the application form, three letters of reference, and a medical school transcript. After initial review, applicants may be invited for a personal interview, which is required. We participate in SRAS and fellows selection occurs through the NRMP.
Fellowship Requirements for Graduation
- Satisfactory completion of the program length required by the Pediatric Pulmonology Fellowship (residence) by the American Board of Pediatrics (3 years).
- Satisfactory completion of all Pediatric Pulmonology Fellowship Competencies as listed for the University of Texas-Houston training program and as evidenced by supervisor reports and evaluations that substantiate proficient performance.
- Satisfactory completion of all curricular activities as evidenced by acceptable levels of attendance and participation in local conferences, course work (mini-clinical certificate), in-service examinations, and national conferences.
- Satisfactory completion of a scholarly project that results in publication in a peer-reviewed journal or that is acceptably reviewed by your scholarly oversight committee (SOC).
The Division and the Institution
James M. Stark, MD, PhD| Professor, Director of Pediatric Pulmonary Medicine; Program Director, Pediatric Pulmonary Fellowship Training Program
Cindy K. Jon, MD | Associate Professor, Associate Program Director, Pediatric Pulmonary Fellowship Training Program
Ricardo A. Mosquera, MD | Associate Professor, Director of Pediatric High Risk Children’s Clinic
Keely G. Smith, MD | Assistant Professor
Children’s Memorial Hermann Hospital, Houston TX
The Division of Pediatric Pulmonary Medicine adheres to the Office of Graduate Medical Education’s Supervision Policy. To view the policy, please click here.