Texas Children's Hospital
As one of the nation's largest, not-for-profit pediatric hospitals with licensure for more than 650 beds, this state-of-the-art facility provides primary, secondary and tertiary care for a diverse population of chronically and acutely ill children. Texas Children's Hospital is an internationally recognized full-care pediatric hospital located in the Texas Medical Center in Houston. One of the largest pediatric hospitals in the United States, Texas Children's Hospital is dedicated to providing the finest possible pediatric patient care, education, and research. In addition, every pediatric subspecialty can be found at Texas Children's. Training in a fellowship housed in a hospital that has so much to offer will provide trainees unparalleled opportunities in patient care, education and research.
PGY-4 fellows are responsible for six-eight months of inpatient service. PGY-5 fellows cover July month as needed during PGY-4 orientation. PGY-6 fellows cover four weeks of inpatient service as junior attendings, with faculty providing back-up coverage. We have two inpatient teams: one for diabetes and one for endocrinology patients. Each team has a separate pediatric endocrinology fellow and attending and is run with the help of pediatric residents, medical students and occasionally adult endocrinology fellows. On average, each team rounds on 10-15 patients daily, including consults.
PGY-4 fellows have three months of outpatient service responsibilities that include four half-day sessions (Attending Clinics) plus one fellow continuity clinic session per week. PGY-5 and PGY-6 fellows spend the majority of their time in outpatient service (including specialty clinics such as CFRD, PCOS, Cancer Follow-up etc.) or/and research time based on the chosen track.
Fellow Continuity Clinic
Every Friday (either morning or afternoon), fellows see their own patients in clinic and are precepted by a core group of faculty. Fellows have control over their patient roster. The type of referrals each fellow sees is built to ensure a fellow has a broad exposure to all of pediatric endocrinology and diabetes. In the second half of the third year, fellows do a full-day of continuity clinic to help prepare them for their new role as attendings.
We have separate clinics for gender/ disorders of sexual differentiation medicine, long-term cancer survivors, thyroid nodules and cancer, lipids, polycystic ovarian syndrome, skeletal dysplasia, metabolic disorders, Prader-Willi, cystic fibrosis related diabetes mellitus, and bariatric surgery/ severe obesity.