Pediatric Pulmonology – Overview

The Department of Pediatrics of the UConn School of Medicine is located at the Connecticut Children's Medical Center, a 126-bed pediatric hospital that is home to most of the pediatric academic subspecialty divisions. The Pediatric Pulmonary Inpatient Service has an average daily census of four to eight patients. The Pediatric Pulmonary Outpatient Service presently sees over 3,600 clinic visits per year, including 600 new patient referrals. Ambulatory services include general pulmonary sessions at Connecticut Children's Medical Center and several satellite offices and two half-day cystic fibrosis clinics each week at Connecticut Children's Medical Center. The division has a full pulmonary function and exercise laboratory, capable of a complete array of pulmonary function testing, and a flexible bronchoscopy program. Connecticut Children's Medical Center also supports a polysomnography laboratory. The Pediatric Pulmonary Division has consultative associations with the following area hospitals:

  • UConn Health, Neonatal Intensive Care Unit
  • Hartford Hospital, Medicine Inpatient Unit (for adults with cystic fibrosis)
  • Saint Francis Hospital, Neonatal Intensive Care Unit and Small Inpatient Pediatrics Unit

Requirements for subspecialty certification by the American Board of Pediatrics in Pediatric Pulmonology are three years of full-time subspecialty training in pediatric pulmonology, including 16 months of clinical training and a minimum of 16 months of research training. Our three-year fellowship program includes:

Pulmonary Service 10 months
Research 18 months
Selectives/Electives 5 months
Vacation 12 weeks

The fellowship requirements will be scheduled over three years as follows (flexibility is permitted as needed for special interests):

First Year 4 to 5 months pulmonary inpatient service
Fellows will have a longitudinal CF and general pulmonary clinics each meeting one half day a week

2 month outpatient orientation, including days in the PFT lab, general pulmonary clinics, a pediatric allergy clinic, and pediatric radiology

2 to 3 months pulmonary outpatient service, attending all general and specialty clinics
1 month research elective
4 weeks vacation
Second Year 2 to 3 months clinical service
Fellows will have a longitudinal CF and general pulmonary clinics each meeting one half day a week
0 to 1 month elective
8 months research
4 weeks vacation
Third Year 2 months clinical service as junior attending
Fellows will have a longitudinal CF and general pulmonary clinics each meeting one half day a week
1 month clinical elective if desired and approved
7 to 8 months research
4 weeks vacation

The first-year fellow attends one to two half-day clinics per week while on the inpatient service. Second and third-year fellows will also attend two half-day clinics per week.

Clinical Training

While on the pediatric pulmonary clinical service, the fellow has primary responsibility for running the inpatient service under the supervision of the pediatric pulmonary attending. The fellow interacts directly with and supervises the pediatric housestaff on the pediatric unit, and residents and medical students on pulmonary elective. The fellow interprets pulmonary function tests. The fellow performs flexible bronchoscopies under attending physician supervision. The fellow takes daily night call during the week and two weekends of call per month while on the inpatient service. When on elective or research, call is limited to one weekend per month. The first-year fellow attends most of the clinics during outpatient rotations and one to two half-day clinics per week while on the inpatient service. Second and third-year fellows attend two half-day clinics per week. By continuing subspecialty and general pediatric pulmonary clinic attendance through the second and third year, the fellow will assume primary responsibility for the management of selected patients on a continuing, longitudinal basis.

Research Training

The fellow will learn the scientific method and become proficient in selected basic and/or clinical research techniques. A research elective is offered during the first year so that the fellow can meet with individual faculty members within and outside the division in order to discuss their research. Following this elective, the fellow will choose a faculty member as a research mentor to help in the choice and design of a project. The fellow is required to submit a research proposal to his/her Scholarship Oversight Committee during the first year, so that work on the project may begin in July of the second year of training. Although most fellows have one major area of research, one or two small, additional research projects may also be performed during the fellowship.

Clinical research will be conducted in sites at Connecticut Children's Medical Center, as well as through the General Clinical Research Center at UConn Health or Connecticut Children's Medical Center. Basic science laboratories for pediatric pulmonary research faculty and their collaborators will be maintained at UConn Health's campus in Farmington (approximately 10 miles from Connecticut Children's Medical Center).

Evidence of productive scholarly activity is required for successful completion of the fellowship program and for eligibility to take the American Board of Pediatrics certifying examination in Pediatric Pulmonology. To fulfill this requirement, the fellow must engage in a project in which they develop hypotheses or pursue exploration and analysis that requires critical thinking. Involvement in the project must result in a specific written "work product", examples of which include: a peer-reviewed publication in which the fellow played a substantial role (preferably first author); an in-depth manuscript describing a completed project; an extramural grant application that has been accepted or received a favorably review. It is also desirable that the fellow submit and present two abstracts at a national meeting during the fellowship period.