Endocrinology. Residents rotate through the Endocrinology service at Children's Hospital Boston for 2-4 weeks. During this time, they attend outpatient clinics two to three afternoons per week. They are responsible for evaluating two new patient consults, which are presented to an attending for discussion and management decisions. Frequent chief complaints include short stature, delayed or precocious puberty, premature adrenarche and other commonly seen endocrine abnormalities. Inpatient experience includes daily management of patients with both new onset and known diabetes mellitus. Residents are also exposed to patients with hypoglycemia, calcium abnormalities, diabetes insipidus, adrenal insufficiency and other endocrine abnormalities both on the endocrine service and through their busy inpatient consult service. Residents attend Endocrinology Grand Rounds (held jointly with adult institutions in the area), a weekly Endocrinology seminar designed for fellows and house staff, and weekly clinical case conferences.
Genetics & Metabolism. A four-week selective provides an introduction to common clinical and scientific issues in Genetics & Metabolism. Two weeks are spent on the inpatient consult service, working with the fellow and attending to assess patients with a variety of suspected genetic and/or metabolic issues. The other two weeks are devoted to a variety of outpatient clinics focusing on general genetics, metabolism, cystic fibrosis, neurofibromatosis, cardiovascular genetics, orthopedic genetics, and craniofacial syndromes. Divisional conferences and exposure to the CHB DNA Diagnostic Lab and the BWH Cytogenetics Lab round out the educational experience.
Hematology. Residents will have a two-week hematology subspecialty rotation, during which time they will attend outpatient hematology clinic, experience the hematology consult service, review hematopathology and attend teaching conferences.
Infectious Diseases. Residents may select a two-week infectious diseases rotation, during which they are members of the ID inpatient consult service, working with the fellow and attending. They will also attend outpatient ID clinic, seeing patients with a variety of infectious diseases, including tuberculosis and HIV. Attendance at ID division conferences enhances the education on this selective.
Nephrology. Residents may spend two weeks on a dedicated nephrology rotation. Residents spend mornings with the inpatient Nephrology service, evaluating patients newly referred for consultation from the ER and inpatient wards. Afternoons are generally spent in the ambulatory clinics of the Nephrology department. Residents have the opportunity to observe renal biopsies during the rotation and attend weekly pathology review sessions. Several times each week the residents attend lectures presented by the attending or other members of the renal team during core curriculum lectures, divisional conferences, nephrology basic science conference and informal didactic sessions.
Neurology. The neurology rotation is a two-week rotation that has been designed to offer residents the best teaching opportunities at both BMC and CHB. Residents experience learning opportunities in a variety of clinical settings, including the inpatient neurology wards, outpatient clinics, and by joining the neurology consult team. Outpatient clinics include those that focus on headache, seizure, and neuromuscular disorders, as well as a general neurology clinic. Staff neurologists focus on teaching the pediatric neurological exam and differential diagnosis.
The clinical experience is enhanced by a lecture series, given by staff neurologists and the senior neurology fellows, that focuses on commonly encountered pediatric neurological problems.
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