Pediatrics

YOU ARE EXPLORING

Pediatric Pulmonology Fellowship

The Pediatric Pulmonology Fellowship Program at Indiana University School of Medicine and Riley Hospital for Children has a strong commitment to the training of academic pediatric specialists in order to ensure the best possible care for infants and children with lung disease and to encourage the teaching and research that will promote such care in the future.

Pediatric pulmonology faculty train future researchers who can apply their knowledge of basic, translational and clinical science to enhance the understanding of children’s respiratory disease. Clinically, the Pediatric Pulomonology Fellowship Program emphasizes excellent care of the whole child and family, whether the child is chronically or acutely ill. Academically, IU School of Medicine graduates are skilled educators who seek new knowledge and who can teach others to do the same. Research of all types is essential to this mission and is fostered in an environment of honest questioning and collaboration.

Learning Environment

The fellowship in Pediatric Pulmonology is one of more than a dozen accredited post-residency training programs at Indiana University School of Medicine offering exceptional training. Fellows benefit from a statewide referral base with a large and diverse clinical volume, a high faculty-to-fellow ratio in a collegial working environment, and department-supported fellowship seminars that provide cross-specialty competency driven education and peer group development.  Additionally, fellows have access to a broad range of mentors available on the well-integrated campus and special academic opportunities that include programs for Masters Degrees in clinical research, translational research or public health; Academy of Scholars Program; and a global health curriculum for clinical and research initiatives.

Curriculum

During the first year of fellowship training, Pediatric Pulmonology fellows focus on the principles and practices of clinical pediatric pulmonology. The first year includes an introductory month centered on pulmonary physiology along with pulmonary function diagnostic testing and its applications to clinical care. The year includes exposure to inpatient clinical care and specialty areas of pulmonary medicine, including the sleep lab, high-risk asthma/allergy and immunology, and consultative services. Fellows acquire skills in flexible bronchoscopy and transition to the pediatric specialist role in caring for the patient. During the first year, fellows are assigned an individual mentor that oversees their respective cystic fibrosis continuity clinic throughout the three years of fellowship training. Each fellow has an individual general pediatric pulmonary continuity clinic with a core group of attending physicians to staff.

The focus for the second and third years of training is the completion of a scholarly research project. During these years, fellows continue to participate in four to six months of clinical activities, including Ward and Consult services, a month in the care of chronic ventilator and technology-dependent children and self-chosen elective rotations (e.g., Radiology, Adult Lung Transplant, Adult Sleep Medicine, Rehab Medicine or self-created electives). Fellows earn an ever-increasing independence on the ward and in the clinics, applying skills required for clinical care and advanced decision making.

RotationTime Period
Year One
Pulmonary Ward/Consult Service5-6 months
Pulmonary Function/Physiology1 month
Asthma, Allergy & Immunology1 month
Sleep Disorders & NIV Technology1 month
Aerodigestive Program/Bronchoscopy1 month
Research1 month
Vacation/Paid Time Off1 month
Year Two
Research8 months
Pulmonary Ward/Consult Service2 months
Chronic Ventilation Unit and Clinic1 month
Vacation/Paid Time Off1 month
Year Three
Research8 months
Pulmonary Ward/Consult Service2 months
Elective1 month
Vacation/Paid Time Off1 month

In each year of training, fellows spend a half day in the general pulmonary continuity clinic an average of twice per month and attend the bimonthly CF continuity clinic (one to one and a half days per month on average). Fellows also cover bronchoscopy one day per month during off-service months. At least 200 procedures should be completed by the end of fellowship training.

Research

The basic, translational and clinical research science groups of the Division of Pediatric Pulmonology, Allergy and Sleep Medicine and related laboratories within the Indiana University School of Medicine offer a robust and diverse wealth of research possibilities. During the first year, fellows begin a mentored research experience and assemble a Scholarship Oversight Committee. The fellow meets with his/ her committee at least once during the first year and then spends approximately 16 months of the final two years working on a supervised project. The research project chosen by the fellow must be relevant to pediatric pulmonary medicine and be a rigorous project that can be pursued in depth over the two-year period. Faculty from the Division of Pediatric Pulmonology’s current research interests include:

Lung growth, development and repairCystic fibrosis (translational/clinical)
AsthmaPulmonary Hypertension
Chronic lung disease in premature infantsAerodigestive QI
Primary ciliary dyskinesia (PCD)Specialized physiologic testing including infant lung function testing
Specimen Collection, Banking and DistributionLung Disorders in Sickle Cell Disease
Atopic dermatitisAllergic rhinitis, eosinophilic esophagitis, allergic asthma
Oral immunotherapySleep Disorders
Airway Microbiome in Infants

During training, motivated and eligible candidates are encouraged to participate in Indiana University School of Medicine programs offering Masters degrees in clinical research or public health. Fellows pursuing careers as physician scientists, researchers and future academic leaders are encouraged to apply for the Morris Green Physician Scientist Development Program.