Clinical Training Program
An important part of residency in Child Neurology and Neurodevelopmental Disabilities is to integrate the three key aspects of training in general pediatrics, adult neurology, and child neurology so that the program graduate has a connected and collective understanding of disorders of the nervous system, especially as it pertains to the pediatric patient.
Starting in the intern year, our program works to build these connections though early training opportunities in our Child Neurology and Development clinical programs as well as mentoring and social activities for our new residents. These connections are further developed throughout training with clinical rotations integrating both pediatric and adult experiences. For example, in the outpatient subspecialty rotations of neuromuscular disease, movement disorders, and multiple sclerosis, the resident sees children in the pediatric clinic with the related Child Neurology subspecialty faculty on select days and in the adult clinic with the Adult Neurology subspecialty faculty on other days.
This allows the resident to care for patients with one of these conditions in both a pediatric and adult clinic environment as well as to experience the transition of care from pediatrics to adulthood. As the majority of graduates’ careers will have an outpatient focus, inpatient experiences in adult and child neurology are completed in the first and second year of Child Neurology training, respectively, allowing for several blocks of outpatient opportunities in the later part of the residency.
The Neurodevelopmental Disabilities training also integrates developmental-related rotations throughout the four years of training in order to build a comprehensive understanding of the interconnectedness of neurology and development and to establish a “whole brain, whole child, whole family” approach to care. Similar to the experiences in child neurology, the Neurodevelopmental Disabilities program also incorporates rotations in transition and adult medicine in order to observe the natural evolution of neurodevelopmental disorders across the lifespan.
Finally, training in neurodevelopmental disabilities allows for 18 months of training in clinical and basic science education which includes time designated for research and development of clinical expertise.
Child Neurology and Neurodevelopmental Disabilities residents spend approximately two-thirds of their training time at Texas Children's and one-third in the affiliated Adult Neurology training program. The program provides broad instruction in Neurology, Child Neurology, and several subspecialties including epilepsy, movement disorders, stroke, neuromuscular disease, headaches, neuro-oncology, neurocritical care, neonatal neurology, traumatic and acquired brain injury neurodevelopmental disorders, and demyelinating disorders. Attending supervision for teaching and patient care are conducted at all hospitals and in all inpatient units and clinics. Departmental Grand Rounds are held weekly and a variety of daily conferences are offered on all inpatient and outpatient units.
The scope, balance, and flexibility of the program prepare the house officers for either general child neurology practice or subspecialty training.