Department of Surgery | Pediatric Surgery Fellowship

OVERVIEW:

Pediatric Surgery Program

 

Boston Children’s Hospital has a long and rich tradition of training the leaders in pediatric surgery. Our fellowship is the crown jewel of a Department steeped in history as the birthplace of pediatric surgery and yet dedicated to pushing our field forward as a leader in education, innovation, research and clinical care.  The fellowship is a two-year clinical training program for which we have three ACGME approved positions. One resident is selected to begin training on odd years and two residents to begin training on even years through the National Resident Matching Program administered through the Electronic Residency Application Service (ERAS). The applicant must have completed a general surgical training program by the time of program matriculation and be eligible to take the qualifying examination in general surgery given by the American Board of Surgery or the Royal College of Surgeons of Canada.

 

Our fellowship offers exposure to a large volume of ‘bread and butter’ as well as complex cases with liberal use of minimally invasive techniques. Operative experience includes thoracic, abdominal, urologic, oncologic, vascular, endoscopic and transplant surgery. The Fellows’ clinic (Index Clinic) offers residents the opportunity to regularly participate in outpatient evaluation and postoperative follow-up of pediatric surgical diseases.

 

The program is structured to offer residents a total of 16 months of their 24 month tenure as the chief on one of our two services, working closely with senior staff and their co-fellows in all aspects of patient management on the surgical floors, ICU and NICU. A staff of over 18 pediatric nurse practitioners provide the chief residents with experienced and reliable care of their inpatients. In addition, one of the chief residents functions as the administrative chief resident, helping to organize the operating room schedule, a large surgical resident and medical student contingent and a robust educational conference schedule. Administrative staff in the Department help the chief residents with these tasks.

 

A very close working relationship exists between the senior surgical staff and the pediatric surgery residents. In addition to primary surgeons coordinating care of patients with the fellows, a staff surgeon is assigned as the "Surgeon of the Day" for acute consults and another staff surgeon as “Surgeon of the Week” to help care for the inpatient services and serve as sounding boards for the fellows as they make patient care decisions.

 

In the ICU and NICU, the chief residents collaborate with critical care and neonatology staff to direct the multidisciplinary care of these patients. The general surgery census averages 40-70 inpatients per day.

 

In addition, during their first year, residents gain additional exposure through selected electives such as: neonatology and critical care.