PCMC Fellowship Training Program
Objectives
General
To provide
comprehensive training and education for the practice of pediatric nephrology as
a subspecialty.
Specific
- To develop in a post-residency training fellow the ability
to know the proper approach in the diagnosis and management of pediatric renal diseases.
- To enhance further, his/her knowledge in the field of
Pediatric Nephrology through research and scientific studies.
- To develop him/her as a Pediatric nephrologist who is
able to teach and disseminate information about the subspecialty.
Type of Fellowship
Clinical
Fellows: Additional training will take the form of preceptorship with the different
consultants.
Admission Criteria
- Requirements
- Doctor of Medicine, Board Certified,
Filipino citizen.
- Three [3] years residency in Pediatrics
accredited by the Philippine Pediatric Society [PPS].
- Passed the written examination
for Diplomate in Pediatrics given by the PPS.
- Application letter addressed to
the Executive Director.
- Submit three [3] references to
include the following:
- Hospital Director or the Chairman
or Training Officer of the Pediatric Residency Training Program
- Any two [2] consultants of the
Pediatric Residency Training Program, who are Diplomates of the Philippine Pediatric
Society.
- Screening
- Pass a written examination to
be given by the Department of Training & Continuing Medical Education.
- Undergo pre-fellowship for at
least one month.
- Pass the interview conducted by
the Section of Nephrology.
- Willing to sign a contract to
complete the prescribed duration of training program.
- Be of good moral character.
Recommendations
are then made by the Section to the Executive Director for final approval.
Training Program
- Training Staff
- Joel S. Elises, MD, Section Head
- Zenaida L. Antonio, MD
- Maria Rosario R. Cruz, MD
- Sonia B. Gonzalez, MD, Training Officer
- Myrna B. Rosel, MD
- Duration of Training
Two
[2] years, commencing either January or July of each year. There is one [1] trainee
per year level
.
- Rotation
1. First Year
- 12 months: Wards, Renal OPD and PD Unit–PICU
2. Second Year
- 9 months: Wards, Renal OPD and PD Unit–PICU
- 3 months: National Kidney & Transplant Institute
- 1 month: Renal Transplantation
- 1 month: Hemodialysis
- 1 month: Renal Patho-immunology
- Renal Radiology
- Duties & Responsibilities
.
First Year Fellow
a. Ward Work
b. Responsible for the care of both
service and private patients in the ward, hemodialysis and peritoneal dialysis units.
c. Supervises the residents and affiliates;
Conducts ward rounds with them and checks their database entries.
d. Assist in the performance of kidney
biopsy and insertion of peritoneal catheters.
e. Participate in the Radiology Conference
with emphasis on the renal cases and interpretation of diagnostic tests like ultrasound,
voiding cystourethrogram, intravenous pyelography and renal angiography.
f. Answer referrals from the different
sections of the hospital and notify the consultants of such referrals.
g. Attend Pediatric Medical Grand
Rounds, Mortality conferences and special conferences.
h. Attend nephrology lectures and
conferences of consultants with the residents and affiliates.
i.
Attend
to post mortem examination of patients who were either admitted or referred to the
Service.
j.
Observe
uro-surgical procedures.
I.
Out Patient
Handle
renal and hypertension clinics every Tuesdays and Fridays, respectively, at 1:00
to 5:00 PM.
II.
Research
The
first year fellow should undertake research work as required by the fellowship training
program of PCMC and PPS.
III.
Second Year Fellow
.
Ward Work
a. Supervise the residents and the
first year fellow in the care of both service and private patients in the ward,
hemodialysis and peritoneal dialysis units.
b. Responsible for the evaluation
and the referral of patients for possible transplant to the National Kidney &
Transplant Institute.
c. Perform renal biopsy as indicated
after consultation with attending consultants.
d. Will have exposure in renal and
transplant immunology and renal pathology at the National Kidney & Transplant
Institute.
e. Answer referrals from the different
departments of the hospital.
IV.
Didactics
0. Actively participate in giving
lectures to pediatric residents, affiliates and nurses.
1. Attend and participate in Pediatric
Medical Grand Rounds, Mortality conferences and special conferences
2. Conduct nephrology lectures and
conferences of consultants with the residents and affiliates.
V.
Out Patient
Supervise
the first year fellow and pediatric residents in the evaluation and management of
patients seen at the Nephrology Out-Patient clinic.
VI.
Research
The senior fellow should undertake research work as required
by the fellowship training program of PCMC, PPS and PSN.
Facilities
The
Philippine Children’s Medical Center is a 200-bed capacity tertiary hospital,
70 % of which is for service patients and the remaining 30 % for pay patients. The
Pediatric Nephrology Unit has four [4] regular service beds but more patients can
be accommodated in the other available beds when the need arises. Admission to the
Unit averages 7-10 patients per month, with about _____ in-patient referrals are
being seen monthly coming from the General Pediatrics as well as other subspecialty
services. This also includes referrals both from the pediatric [15 beds] and neonatal
[15 beds] intensive care units. Likewise, referrals from the nearby Philippine Heart
Center allows the fellows to hone their skills at management of complex fluid, electrolyte
and acid-base disturbances.
The
Out-Patient facility is a major referral center, not only from the various cities
in Metro Manila and the nearby provinces, but even those from other parts of the
country. More than ___ ambulatory patients are seen yearly, of which ____ are new
patients. Clinics are held twice weekly (Tuesday and Friday afternoon). The program
provides ample opportunity for the fellows to evaluate and manage common renal problems,
such as hematuria, proteinuria, hypertension, acute glomerulonephritis, and recurrent
urinary tract infections.
Trainees
collaborate closely with other pediatric subspecialties including Pediatric Urology
and Rheumatology. The program also enjoys the strong participation of Pediatric
Radiology as well as Pathology for clinical services and didactic exercises.
A complete
Clinical Laboratory and Pathology, a Diagnostic Center with echocardiogram, a Radiology
Unit with facilities for X-Ray, fluoroscopy, ultrasonography and CT Scan, complemented
by competent staff are also available.
Patients
requiring peritoneal dialysis are admitted at the Pediatric Intensive Care Unit,
while the proposed Peritoneal Dialysis Unit is still in the planning stage.
The
Center is also equipped with a Medical Library that contains updated editions of
books, journals and other printed materials on Pediatrics, Pediatric Nephrology
and other subspecialties. The library also provides an access to the latest medical
information through its cable internet connection. The Section, likewise, has its
own Renal Library containing the latest editions of books and journals on Pediatric
Nephrology and related topics.
Competencies
At the
end of the program, the fellow is expected to:
- Perform special procedures with skill and confidence,
with knowledge of the indications and contraindications
- Interpretations of renal function
tests, renal ultrasound, voiding cystourethrogram, intravenous urogram, radionuclide
scan [DMSA, DTPA, MAG-3], urodynamic studies and other related examinations of the
kidneys.
- Dialysis – Acute peritoneal
dialysis, CIPD, CAPD, hemodialysis
- Insertion of peritoneal catheter
- Renal biopsy
- Suprapubic aspiration
- Urethral catheterization
- Develop good clinical judgment, with regards to diagnosis
and treatment of pediatric renal problems.
- Acquire an attitude of lifetime study and research.
Stipend
Resources
can be tapped from both the institution and private sources.
Evaluation
The
fellow will undergo periodic evaluation by the trainers and the Department of Training
& Continuing Medical Education.
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