Curriculum for Adolescent Medicine Fellowship

• Clinical areas of reproductive health including LARC, obesity, eating disorders, transition to adult-based care and sports medicine
• For additional content covered during fellowship, please see the ABP adolescent medicine content.

• Fellows receive instruction in how to be an effective teacher, with practical application via
  • Medical student lectures on interviewing adolescents, staging pubertal development and adolescent sexuality
  • Weekly case conference
  • Bi-annual fellow didactic
  • Community Lectures
  • Weekly resident teaching didactic
  • Primary care teachings series at CHT

• Curriculum on how to run a meeting, how to take minutes,  and human resource topics (budget development, billing and communication)
• Membership on Eating Disorder protocol committee
• Assist with resident evaluations
• Manage call and clinic schedules
• Schedule department didactics/Journal clubs
• Primary clinical supervision of residents at Covenant House
• Attend faculty meetings as third year 

Research/Scholarly Activities

Fellows will get specific training in advocacy methods and have the opportunity to apply these methods with a local organization dedicated to children’s advocacy.

The three-year didactic curriculum supports the fellows’ clinical practice and covers ABP content. Fellows participate in a teaching curriculum during the duration of their fellowship. Content includes, but is not limited to, establishing goals and objectives, flipped classroom, and effective presentations. Lectures are given by fellows, section faculty, BCM subspecialists and experts from the greater Houston area.

The didactic curriculum includes:

• Core adolescent medicine content as outlined by ABP
• Pediatric subspecialty lectures
• Adolescent psychology and psychiatry
• Teaching skills
• Sports Medicine with hands-on skills training
• Weekly multidisciplinary case conferences (inpatient and outpatient)
• Journal clubs

The didactic curriculum is augmented by attendance to BCM Chronic Illness and Disability Transition Conference and Annual attendance at a national meeting.

Per the American Board of Pediatrics guidelines, all fellows will participate in scholarly activities and have a Scholarship Oversight Committee (SOC). Fellows are expected to participate in scholarly activities resulting local and national presentations and in academic publication.

Activities that lay the research foundation include, but are not limited to,  journal club presentations, developing an annotated bibliography, lectures on authorship, dissemination, ethics, statistics,  an annual research course sponsored by the Department of Pediatrics, workshops on grant writing and quality improvement projects within the division and via Fellows college.

The Director of Research oversees clinical research activities in the division, guides fellow research training and assists with fellow research projects. Faculty research in the areas of women's health, weight management, eating disorders, nutrition, and medical transition into adulthood are ongoing; there are opportunities to collaborate with faculty through their individual projects and through the eating disorder and transition research workgroups.

There may be opportunities to obtain additional certificates of qualification or do a master’s degree in clinical research, education or public health (funding is via scholarships from the degree-granting institutions).

• Our inpatient care is a busy eating disorder/ malnutrition unit at Teas Children’s Hospital (TCH) Medical Center campus, caring for patients requiring medical stabilization and weight restoration. We also provide consults for mental health and reproductive health.
• The “on call” or “on service” schedule is devised as an administrative function of the second-year fellow. Fellows evenly split the call year. See sample schedule
• Call is always from home and, occasionally, fellows have to come back in at night. First call is handled by a resident with fellows and attending backup is always available.

• Each fellow has a continuity clinic in which they see their own panel of patients. The continuity clinic typically begins within 3-6 months of starting fellowship. The clinic is at the TCH subspecialty adolescent medicine clinic where fellows see mental health, reproductive health, eating disorder and weight management diagnoses, frequently with an overlay of other chronic illnesses.
• Other outpatient clinics include adolescent faculty clinics and the Teen Working on Wellness adolescent weight management program at TCH medical center location.
• Additional 3-year longitudinal experience at Covenant House Texas, a homeless shelter.

Required electives during the first year are the Baylor Teen Health Clinic school-based health clinic and reproductive health clinics.

After the first year, electives are schedule by the fellow and easy to arrange. Electives and training sites include:  …(see fellow edits)

Training Sites  (Asterisks on required rotations)

• Texas Children’s Hospital 
• Covenant House Texas,
• Baylor Teen Health Clinic
• Federally qualified health center (Legacy Montrose)
• Juvenile Detention Center
• Child Advocacy Center
• BCM Transition Clinic -link to webpage
• TCH Gender Clinic
• Long Acting reversible Contraception (LARC) elective
• Opportunity to design individual learning unit-ie; international rotation, PHM