Pediatric Pulmonary fellows at UCSD complete a substantial amount of their clinical training during the first year of fellowship. Approximately seven months of the first year are spent on the inpatient wards. Rady Children’s Hospital San Diego serves the majority of children requiring inpatient care in San Diego, Riverside and Imperial Counties. Fellows at UCSD provide care to children affected by the entire breadth of pediatric respiratory disorders.
During the inpatient rotation, fellows care for patients on the pulmonary service, provide consultations, and perform bronchoscopy. In addition, the fellow performs rounds with the UCSD pediatric house staff and contributes to the education of both residents and medical students. Training in outpatient care is accomplished via a continuity clinic in which patients referred from the community are assigned to be seen by the fellow. The continuity clinic is continued throughout fellowship, allowing fellows to develop long-term relationships with families while observing the evolution of pediatric respiratory disease. In addition, fellows gain further experience in outpatient care by attending various specialty clinics that focus on the care of children with cystic fibrosis, neuromuscular disease, and sleep disorders.
Throughout the first year, fellows are also trained in the performance and interpretation of pulmonary function testing, polysomnography, and respiratory clearance techniques. A degree of flexibility is built into the clinical training offered at UCSD, and fellows are encouraged to develop clinical expertise within a particular area of Pediatric Respiratory Medicine.