Pediatric Surgery Fellowships
The Pediatric Surgery Training Program offers intensive and broad exposure to the practice of pediatric surgery over a two-year period. Candidates for the program are selected through the Pediatric Surgery Resident Matching Program.
申请儿科外科住院医师,请访问 电子居留申请服务 (ERAS) website.
ACGME Accredited Fellowship
我们科致力于每年培训一名儿科外科研究员. The program has been cooperatively provided by the Johns Hopkins Medical Center and the University of Maryland for over 30 years. Both divisions of Pediatric Surgery perform more than 4200 operations annually and have a staff of 14 pediatric surgeons.
General Description
在约翰霍普金斯大学儿科外科医生的指导下 Samuel M. Alaish, M.D., the post-doctoral training program in Pediatric Surgery at The Johns Hopkins Hospital and University of Maryland Hospital is unique in concept because it utilizes the clinical population of two large university services for a broad clinical experience in pediatric surgery over the prescribed two years. Completion of the basic two-year program will qualify the trainee to take the examination for a “Certificate of Special Competence in Pediatric Surgery” which is given by the American Board of Surgery.
Candidates for the two-year program are selected through the Pediatric Surgery Resident Matching Program established by the American Pediatric Surgery Association. Selection is made approximately fourteen months prior to beginning the two-year program. 儿科外科博士后培训的先决条件包括:
- 预期成功完成认可的普通外科住院医师, which qualifies the candidate for certification in general surgery by the American Board of Surgery.
- A completed ERAS application.
- 四封推荐信.
- 对约翰霍普金斯大学和马里兰大学工作人员的个人采访.
- 参与儿科外科配对计划.
More About the Program
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The pediatric surgical staff at the Johns Hopkins Hospital is under the direction of David J. Hackam, M.D., Ph.D., the Robert Garrett Professor of Pediatric Surgery and co-director of 约翰霍普金斯儿童中心. 还有专职的儿科骨科专科医生, urology, neurosurgery, otolaryngology, 整形和心血管外科.
作为外科人员的补充, 医务人员由各专科组成, including pediatric intensive care and neonatology at 约翰霍普金斯儿童中心. -
House staff coverage for the pediatric surgery service includes the Chief Resident (year 2) and Senior Resident (year 1) in pediatric surgery, 2名高级普通外科住院医师和2名普通外科实习生. In addition, third year medical students rotate as clinical clerks in pediatric surgery and fourth year medical students may elect a sub-internship in pediatric surgery.
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为了配合这个团队,我们有七名执业护士. 住院护士与住院医师并肩工作, 助理医师和主治医师负责儿科外科的所有推荐十大正规网赌平台.
- Michelle Felix
- Kristin Wharton
- Sara Atwater
- Tina Fellner
- Meghan Shackleford
- Margaret Birdsong, our lead nurse practitioner, 和凯西·巴尔迪诺在门诊外科和伤口诊所提供伤口服务, ostomy, continence, 儿科患者的手术和术后护理. They are also available for wound ostomy consultative services for the Children’s Center.
Debra Skultety-Robinson是儿科创伤和烧伤项目经理.
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关于儿科创伤中心
The 约翰霍普金斯儿童中心 is designated by the Maryland Institute for Emergency Medical Services Systems (MIEMSS) as a level one Pediatric Trauma Center and was recently re-verified in the fall of 2020. The Pediatric Trauma Center (PTC) treats patients less than and equal to 14 years of age arriving by EMS, 还有从其他机构转来的17岁以下的推荐十大正规网赌平台.
PTS有一个分层创伤激活系统, which includes Alpha, Bravo, 创伤咨询和儿科急诊科(PED)创伤. 在23财年,多学科PTS治疗了1075名受伤患者. The adult and pediatric emergency departments share six trauma rooms; 4 rooms are adult-designated with pediatric capabilities, 两间房间是儿科指定的成人功能. All injured patients, regardless of stability, arrive through the PED in order for the PTC to complete primary and secondary surveys.关于小儿烧伤中心
The 约翰霍普金斯儿童中心 was designated by the Maryland Institute for Emergency Medical Services Systems (MIEMSS) as a Pediatric Burn Center in 2006 and was recently re-verified in March of 2022. The Pediatric Burn Service treats patients less than and equal to 14 years of age arriving by EMS, 还有从其他机构转来的17岁以下的推荐十大正规网赌平台.
The Johns Hopkins Bayview Medical Center is designated by MIEMSS to treat patients 15 years and older. In FY23, the multidisciplinary Pediatric Burn Service treated a total of 377 pediatric burn patients arriving through the Pediatric Emergency Department, 许多患者随后被确诊为JHCC.
Critically injured burn patients are managed in the 40-bed Pediatric Intensive Care Unit, while other patients are managed on the 20-bed unit specifically designed for the care of burned children and their families.
Additionally, approximately 400 outpatient burned children are treated each year in the Pediatric Outpatient Burn Clinic located in the David M. 鲁宾斯坦儿童健康大楼. -
The University of Maryland Hospital is a 1600-bed facility located near the Baltimore Harbor, 大约有120张床位专门用于照顾儿童. 设施包括儿科重症监护病房(12张床), a neonatal intensive care unit (35 beds) and age-determined wards (annual ER visits of 15,276次,每年门诊39次,023).
Pediatric Surgery at Maryland is a section in general surgery under the direction of Dr. Kimberly Lumpkins.
Dr. Eric Strauch, Dr. James Moore, Dr. Helena Crowley and Dr. Brian Englum提供一般和胸外科儿科手术监督. Dr. Lumpkins还提供儿科泌尿科专业知识. In addition, 有整形外科专科医生, 心血管和神经外科, 以及全职儿科专科医生, neonatology, oncology, cardiology, neurology, anesthesia, 儿科放射学和病理学.
The first-year resident in pediatric surgery is the chief resident on the pediatric surgical service at the University of Maryland for three months. Their team consists of a general surgery resident, surgical intern and a senior pediatric resident.
Research facilities that are housed in the Preclinical Teaching Facility provide for the care of small and large animals as well as the sophisticated equipment necessary for fetal and newborn surgery in animals.
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The first year of the training program is designed to expose the resident to general pediatric surgery and a number of surgical and pediatric subspecialties.
The first two months are spent at Johns Hopkins Hospital with an August rotation in the pediatric intensive care unit and a September rotation in the neonatal intensive care unit. A three-month rotation on the General Pediatric Surgery Service ends the calendar year. The first three months of the new year are spent as the Chief Resident in pediatric surgery at the University of Maryland Hospital under the supervision of Dr. Lumpkins and staff.
Patients admitted to the pediatric surgical service are evaluated and treated under the chief resident’s direction. Care of surgical patients in the pediatric and neonatal intensive care units is the responsibility of the surgical house staff under the supervision of this chief resident in pediatric surgery. 住院医师是所有外科和儿科咨询的初始联系人.
At the University of Maryland, the chief resident is responsible for house staff and student teaching on rounds and in the operating room. He/she organizes the weekly pediatric surgery conference and professors walk rounds as well as presentation of patients at the weekly General Surgical Morbidity and Mortality Conference, 每月病理学会议和每月放射学会议.
The pediatric surgery faculty at the University of Maryland have active clinical and laboratory research projects and the chief resident is encouraged to participate in ongoing research or guided to begin an independent project.
During the last four months, the first-year resident returns to The Johns Hopkins Hospital as the senior resident in pediatric surgery. During this time, the senior resident may elect to rotate on the pediatric urology service under the supervision of Dr. John Gearhart, Chief of Pediatric Urology, 在儿科胃肠病学服务的指导下. Maria Oliva-Hemker, 儿科胃肠病学主任, 或者选修其他专科服务. The senior resident will otherwise assist the chief resident in clinical care on the ward.
资深住院医师与住院总医师轮流值夜, attends ward rounds and, in general, assists the chief resident in the management of the clinical pediatric surgical service. 在第一年的培训中, the resident is encouraged to initiate and/or collaborate in clinical research activities.
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The second year of the two-year program is a diverse clinical year as chief resident. The responsibility of the chief resident is to supervise and coordinate pre-operative and post-operative care of all children with surgical conditions in the 约翰霍普金斯儿童中心. The chief resident renders direct surgical care to patients with problems in general pediatric, gynecologic, 以及所有非心脏胸外科手术. The chief resident coordinates patient care in the statewide regional pediatric trauma center and thus supervises the initial neurosurgical, orthopedic, plastic surgical and critical care for more than 1000 severely injured children each year.
The chief resident provides surgical consultation services for all divisions of the Children's Center and is thus involved in the general management of patients on the medical and surgical subspecialty services. They are the consultants for most surgical problems in the pediatric emergency room and outpatient clinics, particularly in the comprehensive childcare clinic where thousands of children are seen annually.
Overall management of surgical patients in the pediatric ICU and neonatal ICU is the primary responsibility of the chief resident and pediatric surgical house staff working with the attending pediatric surgeons, 在这些单位工作的工作人员和新生儿专家.
Surgical patients in the pediatric intensive care unit (PICU) remain on the pediatric surgery service and are cared for by an integrated house staff. The responsibility for moment-to-moment ventilator adjustment and respiratory support is delegated to the pediatric intensive care residents, but the overall responsibility for the writing of medication orders and patient management, 包括心肺支持, 留在儿科外科医院的工作人员那里. 记录在案的医生是工作人员儿科外科医生.
Neonatal surgical patients are managed in a combined medical and surgical newborn intensive care unit (NICU), 哪个是由全职新生儿专家监督的. Direct patient management is rendered by the pediatric surgical service working with the pediatric house staff assigned to a particular surgical patient in the NICU. The pediatric surgical team is responsible for daily management decisions on these patients. There is consultative input from the neonatologists in the management of these patients and they serve in an important teaching capacity for the pediatric surgical house staff.
Teaching responsibilities of the chief resident include a weekly Surgical Indications Conference and a pediatric surgery core curriculum. 其他会议包括每周儿科大查房, surgery grand rounds, 产前会议(与新生儿科), OB-GYN and Sonography personnel) and pediatric nutrition rounds as well as monthly trauma, 烧伤和联合外科/新生儿或PICU或放射科或病理查房.
Both the chief resident and senior resident share teaching responsibilities with the full-time surgical staff. 在下午查房时接待员工和学生, 以及每周一次的学生正式讨论, 儿科外科住院医师的责任是什么.
以满足儿科外科研究员的个人培训需求, elective time can be arranged during either the first and/or second year in a number of disciplines. 常规培训项目期间的泌尿外科经验包括肾/肾上腺肿瘤, genitourinary trauma, hernia/hydrocele, undescended testicle, 睾丸扭转与阴囊外翻的初步处理. 一个月的纯儿科泌尿外科(膀胱镜检查)强化经验, 转移/不转移和尿道手术)可以安排医生. 约翰·吉尔哈特,儿科泌尿科主任,在第一年的培训中. Extended experience can be arranged beyond this rotation during the pediatric surgery residency.
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Since 1965, a long line of talented and accomplished people have graduated from our fellowship. Notable alumni include:
- James Talbert - 1965
- Paul Colombani - 1983
- Richard Azizkhan - 1985
- Francisco Cigarroa - 1993
- Jessica Kandel - 1995