During your first year, a total of 2 months are spent rotating at Texas Children’s Hospital. You are responsible for leading a team consisting of two interns, one third year resident, and four medical students.
The team manages 30-40 inpatients, including 10-20 neonates and newborns. During night and weekend coverage the inpatient load increases to 60-80 patients as your team cross-covers the other pediatric surgical service.
Operative experience is great and high expectations exist regarding your management skills of this high-volume service. Each team consists of 4-5 faculty who you round with daily and discuss management strategies. This rotation has minimal exposure to trauma and burn patients. Each faculty member has one clinic day per week where fellow participation is highly encouraged.
At Children’s Memorial Hermann Hospital, the pediatric surgery team typically consists of 2 interns, 1 second-year resident, 1-2 third-year residents, and 2-3 medical students. Cases are appropriately distributed based on resident experience. Home-call is evenly distributed between the fellows, and occasionally the senior general surgery resident. This rotation exposes you to a high volume of trauma where we are the primary service for all trauma patients 15 years old and younger, including isolated neurosurgical and orthopaedic trauma, which is also managed by a team of pediatric nurse practitioners. All pediatric burns are admitted to the pediatric surgery service. Fellows are offered independence in the operating room, as deemed appropriate by the staff, taking junior residents through cases. Clinic is held daily throughout the week where fellow participation is expected. All pediatric M.D. Anderson Cancer Center operative cases and in-patient care are managed by the pediatric surgical service along with an active physician’s assistant.
During your first year, 2 months are spent rotating on the split surgery service at Texas Children’s Hospital. You are responsible for leading a team that generally consists of 2-3 interns, 1-2 third- and/or fourth-year residents, and 2 medical students. During night and weekend coverage, the in-patient load increases as your team cross-covers the other pediatric surgical service. Each team consists of 7-8 faculty, with whom you round and discuss management strategies. The operative experience is very rewarding, drawing on the rare opportunity of having two pediatric surgical fellowships in the same city. This rotation has minimal exposure to trauma and burn patients. Each faculty member has one clinic day per week where fellow participation is highly encouraged.
The second year consists of ten months as the senior pediatric surgery fellow at Children’s Memorial Hermann/M.D. Anderson Cancer Center, and two elective months. All rotations are at Children’s Memorial Hermann Hospital or M.D. Anderson.
There is no rigid outline regarding electives, allowing you to arrange any experience you desire. During the first year of training you are allowed to arrange rotations away from Children’s Memorial Hermann at your expense and with the program director’s approval. Recommendations for possible electives include: urology, otolaryngology, pediatric intensive care, plastic surgery, cardiovascular surgery, and fetal intervention. In addition to these, a research elective is also possible. There is no research requirement to graduate from the fellowship, but each of the pediatric surgical faculty is involved in basic science or clinical research.