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    Pulmonary Medicine Fellowship Program, Orlando

    Program Overview

    The Pediatric Pulmonary Medicine Fellowship at Nemours Children’s Hospital, Florida (NCHFL) is a three-year ACGME-accredited program for graduates of pediatric medicine residencies. NCHFL is a state-of-the-art, freestanding, tertiary care facility for children. The hospital is part of Nemours Children’s, a nonprofit organization funded by the Nemours Foundation. The hospital is currently operating 135 inpatient beds serving pediatric patients from birth to 18 years. There are more than 180 pediatric medical and surgical faculty physicians at NCHFL caring for an incredibly medically vulnerable and diverse patient population across Central Florida. In addition, there are 36 categorical pediatric residents invested in the care of our patients.

    The pediatric pulmonology program is an integral part of the core pediatric residency training program, offering clinical and didactic education that focuses on multidisciplinary care of patients in the Nemours health system. The pulmonary fellows will have exceptional educational experiences, as they will be taking care of children with diverse pediatric pulmonary diseases in the inpatient and outpatient setting. These pediatric diseases include asthma, cystic fibrosis, chronic lung disease of prematurity, congenital lung abnormalities, airway abnormalities, interstitial lung diseases, neuromuscular diseases, ventilator dependency and sleep-related breathing disorders. The pulmonary faculty serve as role models of clinical excellence, compassion and professionalism, with a commitment to scholarly pursuits for all trainees and students. The faculty provide extensive clinical training in a highly complex and acute environment, as well as exposure to interpretation of routine pulmonary function tests, sleep studies, sweat tests, exercise stress tests, tests of ventilatory muscle strength and control, bronchoprovocation tests and flexible fiberoptic bronchoscopies. In addition, there is numerous research and quality improvement opportunities that will enable fellows to build a successful academic career.

    Mission and Aims

    Mission

    The Pediatric Pulmonary Medicine fellowship Program’s mission is to train caring, compassionate pediatric pulmonary medicine physicians who are: competent to provide the highest level of pediatric medical care for neonates, infants, children and adolescents; advocates for children and their families in terms of social, emotional and medical needs; educated to address the social determinants of health for children; and have the requisite skills and scientific background to pursue meaningful careers in academic, research or clinical pediatric pulmonary medicine.

    Aims

    To achieve our mission, the program aims to:

    1. Recruit highly qualified physicians to an academic Pediatric Fellowship program that embraces diversity, inclusion and equity as its core values.
    2. Foster critical thinking based on medical and scientific data, and provide the educational tools required for the fellows to acquire knowledge for expertise in their subspecialty field.
    3. Provide a curriculum of fundamental information concerning pediatric pulmonary medicine, which allows the fellow to develop deep medical knowledge, patient care skills and expertise in pediatric pulmonary medicine.
    4. Supervise, monitor and facilitate the educational process to assure fellows are well prepared to achieve their professional goals, including but not limited to, proficient subspecialty clinical practice, educational leadership opportunities and contribution to meaningful scholarship at the completion of their fellowship training.
    5. Provide robust education regarding the social determinants of children's health to ensure that fellows recognize the broad influence of social and economic disparities on health and health care policy in their daily clinical practice, educational opportunities and scholarship portfolios.
    6. Recruit high-caliber pediatric academic faculty physicians who have the knowledge and expertise to provide a robust clinical learning environment with their programmatic niches and scholarship portfolios.
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    Our Fellowship Program

    The 3-year program is designed to meet ACGME training requirements in pediatric pulmonary medicine and research, while allowing fellows to adapt specific training based on career goals.

    Core Clinical Rotations:

    Pediatric Pulmonary Inpatient Service: Fellows are required to complete 52 weeks (13 EUs) of the pediatric inservice rotation over the 3-year fellowship. The inpatient rotation includes the patients admitted to the pulmonary service and the pulmonary inpatient consult service. In addition, the rotation includes pulmonary fellow weekly continuity clinic, cystic fibrosis clinic, ambulatory and inpatient flexible bronchoscopies.

    Pediatric Intensive Care Unit: Fellows are required to complete 4 weeks (1EU) of the pediatric intensive care unit rotation focused on the care of infants, children and adolescents with acute and chronic respiratory failure, invasive and noninvasive mechanical ventilation and airway clearance strategies, and treatment of chronic pulmonary disease.

    Pediatric Pulmonary Ambulatory Rotation: Fellows are required to complete 20 weeks (5 EUs) of pediatric pulmonary specialty clinics. The pulmonary ambulatory rotation will include weekly pulmonary fellow continuity clinic, pulmonary neuromuscular clinic, asthma and chronically ventilated patients, sleep medicine clinic, and cystic fibrosis newborn and infant clinic. Additionally, the rotation will include monthly experiences in pediatric sickle cell disease and pulmonary hypertension clinic.

    Individualized Curriculum (IC): Fellows are granted 8 weeks (2 EUs) for individualized curriculum. Blocks can be divided into 2- to 4-week educational experiences based on the structure of the rotation itself +/- the fellow’s individual goals and preferences.

    • Neonatal Intensive Care unit — Inpatient
    • Pediatric AIR elective (Allergy, Immunology and Rheumatology)
    • Advanced Sleep Medicine
    • Pediatric Otolaryngology
    • Pediatric Radiology
    • Pediatric Infectious Disease
    • Neurology/Neuromuscular — Inpatient/Outpatient
    • Cardiology — Inpatient/Outpatient

    Research and Scholarship: Fellows are required to complete 60 weeks (15 EUs) dedicated to scholarly activity, including the development of requisite skills for their scholarly work, project development, implementation and completion, with presentation of results to the Scholarship Oversight Committee and the Pulmonary Division. Fellows are encouraged to present their work at national meetings and submit a manuscript by the end of their fellowship.