CURRICULUM & SCHEDULE
The Fellows Didactic lecture series is a weekly conference designed around knowledge acquisition and teaching geared towards core topics to pediatric pulmonary practice and serves as a basis for Boards Preparation.
Topics:
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-Ventilators - Common disorder of prematurity
-Digital Health Care - Hemodynamic Physiology
-Pulmonary Hypertension - Respiratory Failure
-Pediatric Airway (ENT) -Cardiology considerations CPET
-Sleep Disorder -Allergic Rhinitis
-Novel Therapies -Bronchoscopy
-Steroid Sparing Agents -Novel Therapies for CF -CF Liver Disease (GI) - Immunology
-Chronic Respiratory Failure -Long Term Ventilator
-Sickle Cell - Journal Club
-Cystic Fibrosis
-Immunodeficiency
-Lung Primary & Secondary Immune Defense Asthma (Updates)
-Nebulized Medications, IV Antibiotics, Resistance Mechanisms
-Hemodynamic/Lung Mechanic/High Altitude Physiology
-Chronic Cough/Recurrent Pulmonary Infiltrate
-Allergic Bronchopulmonary Aspergillosis (ABPA)
-Pulmonary Function Test (PFT) (Infant & Peds)
-Upper Airway & Immunocompromised Host
-Lung Primary & Secondary Immune Defense
Clinical Pathological Conference
The Clinical Pathological Conference (CPC) is a highlight of every fellow’s time at Miller’s.The CPC highlights the age old model of medical training during which an entire department learns of a complex disease through the presentation of clinical pathology.
Each fellow selects, prepares and presents at least one CPC during fellowship.The goal of the CPC is to utilize a single patient case and present the complexity of the case from the bedside to biopsy and from treatment to outcome.
See one of the great presentations by one of our fellows:
Radiology Conference
The Radiology Department at Miller’s remains dedicated to the care of our patients and the education of our fellows. Aside from an “open door” consultation policy on any patient, fellows regularly interact with Pediatric Radiologists.
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CT, MRI, reconstructive imaging and ultrasound are all reviewed in didactic sessions on a monthly basis with Pediatric Radiologist team. Understanding radiology is complex. Mastering the skill of radiologic interpretation is achieved by the end of fellowship allowing our graduates to succeed in real world practice.
Grand rounds
Grand Rounds occur every Friday at Miller’s year round.The Pulmonary Division comprises 20% of all Grand Rounds presentations.Our attendings, with their diverse backgrounds, are subject matter experts nationally on a variety of pulmonary topics.
In addition, we regularly invite scholars in the field of pulmonary to present at Grand Rounds.Fellows’ attendance is mandatory.However, the quality of presentations and didactics of Grand Rounds is such that it’s a no miss event for many trainees at the institution.
pROGRAM Schedule
1. Inpatient schedule:
Our fellows are scheduled for an inpatient service one week a month followed by a two week reprieve. This model is followed during the entirety of the fellowship program which allows for a continuous clinical practice while also allowing our fellows with a work/life balance. During the inpatient rotation, our fellows assist the Pulmonary attendings with the patients on their service. Our fellows act as the primary consulting service for pediatric patients admitted with Cystic Fibrosis (CF) and Primary Ciliary Dyskinesia (PCD) while also remaining available as a consult service for the Long Beach Memorial and Miller Children’s Hospital physicians and hospital staff.
Fellows round on multiple units such as:
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Miller Children’s West
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Pediatric Core
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NICU
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PICU
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Emergency Department
During the inpatient rotation, fellows are allowed to create their own schedule on an as needed basis. Fellows start their shifts at a time depending on the daily census, the anticipated daily events and their own personal workflow. Fellows are expected to start their day by reviewing the daily census, reviewing patient charts, prepping notes, receiving reports from hospitalists or residents, and putting in the necessary orders prior to rounding with the Pulmonary Attending on call.
2. Research/Backup:
Fellows will be scheduled as a backup to the inpatient fellow on a rotating basis. As a backup, the fellow will be expected to remain available to help the inpatient fellow as needed/requested and in case of an emergency. The backup fellow will also be expected to read the ordered pulmonary function tests during the week.
When fellows are not scheduled to be inpatient or as the backup fellow, fellows will be spending their time working on their research. During this time, the fellows will have the opportunity to work on their academic project, QI, presentations, or any other fellowship/leadership tasks. Fellows are allowed to utilize this time as they see fit and set their own schedule.
3. Outpatient:
Fellows are scheduled to work closely with our Pulmonary Attendings in the outpatient setting during a two week rotation every 6 months. Our Pulmonary Attendings spearhead multiple multidisciplinary clinics in the Children’s Village of Miller Children’s Hospital such as the Cystic Fibrosis Clinic, The Severe Asthma Clinic, and The Primary Ciliary Dyskinesia (PCD) Clinic. Additionally, fellows spend one half day a week with the Fellowship Director, Dr. Foley, to check regarding their weekly tasks and to spend extra time expanding on Outpatient Clinic skills.
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