Pediatrics
The Pediatric Residency Program at Texas Tech Health Sciences Center is small (for a state the size of Texas) with a big mission. There are five pediatric residents per year of training. Texas Tech serves the Texas Panhandle, which is a rectangular area bordered by New Mexico and Oklahoma. The land area is 25,824 square miles with a population of nearly 500,000. Residents are presented with patient encounters on a primary care basis rather that seeing tertiary cases with pre-existing diagnoses. The residents have a close direct relationship with faculty. We have 15 residents and over 30 faculty who oversee the training of our residents in areas of patient care, medical knowledge, interpersonal skills/communication, practice based learning and systems based practice. The education is lead by Curtis Turner MD, Program Director, and Shannon Herrick, MD, Associate Program Director, and Archana Kulkarni, MD, PL-4 Chief Resident. This team is a strong advocate for the resident well being and resident experience. One focus is to create a team of residents who function at a very high level.
So how do we measure our success? The ABP certification rate over the past three years is 75%. Graduates from our program obtain excellent fellowship opportunities. Our 15 residents published 15 articles over that past three years. Below is information that will give you a snapshot of our program.
So how are we measured by external reviewers? The Accreditation Council of Graduate Medical Education (ACGME) and the Pediatric Residency Review Committee (RRC) conducted a site visit January 22, 2009. On October 25, 2009, the Committee granted the Texas Tech University Amarillo program continued accreditation with a 5-year cycle. The length of cycle is the maximum granted by the ACGME. The average length of accreditation is 3.9 years. TTU Amarillo is one of four programs in Texas with a 5-year accreditation cycle. The accreditation process is arduous in evaluating training programs.
Rotation Schedule
General Information
Resident Publications
Resident Patient Experience
Texas Pass Rate
ABP ISTE in Amarillo
Amarillo Traffic Webcam
Resident Slide Show
Fellowship Placement
Ten of eleven residents who applied for fellowship since 2004 were successful in obtaining fellowships.
2010 Samer Kaylani Zaid Pediatric Hematology/Oncology University of Birmingham
2009 Anish Trehun Pediatric Intensive Care University of Maryland
2008 Srilatha Alapati Pediatric Cardiology University of Texas at Houston
2008 Prakruti Jambula Neonatology Cincinnati Children"s Hospital
2006 Rishita Tiwari Pediatric Endocrinology Brown
2006 Tetyana Vasylyeva Pediatric Nephrology Harvard
2006 Phuong Thao Hoang Pediatric Endocrinology UCLA
2005 Carmen Ballestas Pediatric Hematology/Oncology University of Birmingham
2004 Hamza Alsayouf Neurology Ohio
Rotation Schedule
First year residents spend three rotations on the pediatric inpatient service, six rotations in the general pediatric clinic seeing acute illnesses, well children and children with chronic conditions. The first year resident rotates through the term newborn nursery twice before rotating once through the neonatal intensive care unit (NICU). The Community Pediatrics rotation also occurs in the first year.
Second year residents are given progressive responsibility and rotate once in the Pediatric Intensive Care Unit (PICU) and once in the Emergency Department (ED). They have two rotations in the pediatric required subspecialty (RS) areas (e.g. cardiology, hematology/oncology, infectious disease, gastroenterology, genetics, nephrology, neurology or pulmonary) and one rotation in a subspecialty (SP) experience (e.g. pediatric surgery, radiology, dermatology or anesthesia). The residents supervise for two months in the NICU, two night floats on the general pediatric ward and one rotation as a day time supervisor on the ward. Breadth in subspecialty and supervisory responsibility also include a Developmental/Behavior rotation as well as Adolescent Medicine.
Third year residents supervise the pediatric ward team for two rotation and one night float rotation. The senior resident rotates once through the ED, PICU and NICU. The residents also have five subspecialty rotations or experiences.
GENERAL INFORMATION
The Department of Pediatrics at Texas Tech University Health Sciences Center - Amarillo, offers a pediatric resident program of three years duration, which is fully accredited by the Accreditation Council of Graduate Medical Education (ACGME) AMA. We accept five residents each year or training.
The residency program is designed to offer a diverse experience in pediatrics to prepare the individual resident for a career in either general pediatric private practice or subspecialty fellowship training. Each year the pediatric practice encounters 25,000 outpatient clinic visits, 18,850 emergency department visits, and about 1,000 general pediatric ward admissions in our primary teaching hospital.
Subspecialty rotations include Adolescent Medicine, Behavioral & Developmental, Cardiology, Endocrinology, Gastroenterology, Genetics, Hematology/Oncology, Nephrology, and Pulmonology.
The primary teaching institution is Northwest Texas Healthcare System Hospital. This is a 30 bed neonatal intensive care unit under the direct supervision of the Department of Pediatrics of Texas Tech University Health Sciences Center and staffed by Texas Tech neonatologists. In addition, the Pediatric Critical Care unit has 12 beds. The inpatient unit has 32 general pediatric beds.
The Don and Sybil Harrington Medical Library at Texas Tech Health Sciences Center houses over 35,000 volumes of medical literature. Texas Tech has online databases and is available in the outpatient areas and the inpatient areas.
CURRICULUM
The curriculum for the Department of Pediatrics three-year residency training program is designed to prepare the physician to be well rounded and competent in pediatrics and child development. The graduate pediatrician is prepared for a career in primary care pediatrics or begins training in a pediatric subspecialty fellowship. The program is designed to meet the requirements of the ACGME and the pediatrics residency review committee.
PGY - I ROTATIONS
The first year includes thirteen rotations in a 28-day cycle, which consists of continuity (1), outpatient Clinic (6), Inpatient wards (3), NICU (1), and newborn nursery (2). In the first year, the PGY - I individual develops appropriate skills Goals and Objectives frame the experience for each rotation and form a basis for the remaining two years of training.
PGY - II ROTATIONS
The second year experience includes rotations in Adolescence Medicine (1), Behavioral and Development (1), Emergency Medicine (1), Outpatient Clinic (1), Ward Supervisor (1), Night Float Supervisor (2), Sub-specialty (2), Sub-Specialty Experience (1), PICU (1), and NICU (2). This experience with its written objectives and evaluations allow the individual to gain experience with appropriate faculty supervision both on an inpatient and outpatient basis. The PGY - II resident develops deeper understanding, acquires new skills and cares for children with more complexity and acuity.
PGY - III ROTATIONS
The PGY - III curriculum is designed to provide additional subspecialty experience and increase in the role of supervisor and teacher. The rotation of the final year of training include Outpatient Clinic (2), Emergency Medicine (1), Ward Supervisor (2) Night Ward supervisor (2) PICU (1), NICU (2), Sub-Specialty (2) Subspecialty experience (3). These rotations are designed to allow experience in the management and evaluation of many different areas within the scope of pediatrics.
BENEFITS
For all benefits and conditions of employment including information concerning leaves of absences and medical malpractice insurance, please visit www.ttuhsc.edu/som/gme/.
PROFESSIONAL ORGANIZATIONS
Your membership dues for The American Academy of Pediatrics will be paid by the Department. Participation in this organization is strongly encouraged, but not required.
PAID VACATION TIME
PGY - I and PGY - II residents receive fifteen days paid vacation.
PGY - III residents receive twenty days.
The time off must be approved in advance by the Program Director, Chief Resident, Administrator, and Department Chair.
BOOKS / MEMBERSHIP DUES / CME
PGY - I residents are allotted $250.00 for books, membership dues, and CME.
PGY - II residents are allotted $250.00.
PGY - III residents are allotted $250.00.
CME time is to be approved in advance by the Program Director, Chief Resident, Administrator, and Department Chair.
Resident Clinical Research/Publications
TTUHSC, as an institution, supports increased clinical research. Tom Hale PhD, Pediatrics, directs a newly created Clinical Research Unit. Dr. Hale, and Dr. Jordan (Regional Dean) have has also created an annual resident and medical student research day for poster presentations with financial incentives. In addition, scholarship awards (plaques and $250) were given each to resident who published articles. In 2008 and 2009, Pediatrics was awarded the "Most Published Department" award for the Amarillo campus.
1. Akangire G, Kulkarni A, Benjamin B, Nirgiotis J. Late presentation of Congenital Diaphragmatic Hernia Archives of Pediatrics and Adolescent Medicine. In Press. (June 2009).
2. Stover DG, Alapati S, Regueira O, Turner C, Whitlock JA. Treatment of juvenile xanthogranuloma. Pediatr Blood Cancer. March 12, 2008.
3. Selvan V, Vasylyeva TL, Turner C, Regueira O. One Disease, Multiple Manifestations. Pediatric Annals 2008; 37(2): 92-95
4. Edmonson H, Hader Z, Setabutr D, Wiggins J, Cogburn A, Bozeman M, Chapman K, Grissom B, Akangire G, Naqvi M. Correlation of post-natal insulin- like growth factor I levels with severity of retinopathy of prematurity in preterm infants. TTUHSC School of Medicine 1st Medical student and Resident Research day, Amarillo, Texas, 2 May 2007. (abstract)
5. Phadke AP, Akangire G, Park SJ, Lira SA, Mehrad B. The role of CC chemokine receptor-6 in host defense in a mouse model of invasive pulmonary aspergillosis. Am J Respir Crit Care Med. 2007;June 1; (11):1165-72.
6. Kamnasaran D, Qian B, Hawkins C, Stanford WL, Guha A.GATA6 is an astrocytoma tumor suppressor gene identified by gene trapping of mouse glioma model. Proc Natl Acad Sci U S A. 2007; May 8;104(19):8053-8
7. Akangire G, Haq M, Chung Y, Low J, Naqvi M. Systemic inflammatory response syndrome (SIRS) and sequence of organ failure in neonates. Pediatric Academic society�s Annual meeting, Toronto, Canada, 5-8 May Publication 5901.2, 2007. (abstract)
8. Vasyleva T. Novel roles of the IGF-IGFBP axis in etiopathophysiology of diabetic nephropathy. Diabetes Res Clin Pract. 2007; May;76(2):177-86
9. Johnson AOK, Alsayouf H, Hamous JE, Turner C. Hematemesis in a Neonate. Clinical Pediatrics 2006; 45: 105-108
10. Mehrad B, Park SJ, Akangire G, Standiford TJ, Wu T, Zhu J, Mohan C.The lupus- susceptibility locus, Sle3, mediates enhanced resistance to bacterial infections. J Immunol. 2006; 176(5):3233-9
11. Wei Q, Clarke L, Scheidenhelm DK, Qian B, Tong A, Sabha N, Karim Z, Bock NA, Reti R, Swoboda R, Purev E, Lavoie JF, Bajenaru ML, Shannon P, Herlyn D, Kaplan D, Henkelman RM, Gutmann DH, Guha A. High-grade glioma formation results from postnatal pten loss or mutant epidermal growth factor receptor expression in a transgenic mouse glioma model. Cancer Res. 2006; 66(15):7429-37
12. Tiwari R, Hicks K, Naqvi M, Biskinis E, Nirgiotis J , Van Hook J, Suffield R. Prenatal diagnosis of a neonate with fetus in fetu. Journal of Perinatology. 2006; 26, 366-367
13. Habiba N, Vasylyeva T, Babiash K, Low J, Do V, Kirk B, Vasylyeva O, Biskinis E, Naqvi M. Sequence of Multiple System Organ Failure in Pre-term Neonate: A Retrospective Study, Texas Pediatric Society Meeting, Dallas, Texas (Peer reviewed and received First place award in Annual Resident Poster Contest), 2006.
14. Danda RS, Habiba NM, Rincon-Choles H, Bhandari BK, Barnes JL, Abboud HE, Pergola PE.Kidney involvement in a nongenetic rat model of type 2 diabetes.Kidney Int. 2005; 68(6):2562-71
15. Vasylyeva T, Chen X, Ferry R. Insulin-like growth factor binding protein-3 mediates cytokine-induced mesangial cell apoptosis. Growth Hormone & IGF Research, 2005; Vol 15 (3), 207-214
16. Vasylyeva T, Vasylyeva O. Risk factors for chronic bronchitis among adolescents and young adults. Eur Respir J 2005; 26: Suppl. 49, 606s
Resident Patient Experience
As a resident in our program, you will see a wide range of diagnoses. The list below is 100 consecutive patient diagnoses. Thus, even though we have a "small program" based upon the numbers of first year residency positions and we are a community-based program, when you train here you will obtain a broad exposure to patient problems.
1. Trisomy 21, Hypoxia, Upper Airway Obstruction, Tonsillar Hypertrophy;
2. Hodgkin's Lymphoma, Chemotherapy;
3. Seizures, Intraventricular Cyst, History of Prematurity, Iron Deficiency Anemia, Lymphadenopathy;
4. Acute Lymphocytic Leukemia, Pancytopenia, Penicillin Resistant Streptococcus Pneumoniae Bacteremia;
5. Pedestrian versus Auto Crash, Shock, Grade V Liver Laceration, DIC, Pneumothorax, CHI, Anemia; Perforated Appendicitis, Peritonitis (E. coli), Appendectomy;
6. Acute Lymphocytic Leukemia (T-Cell), Chemotherapy;
7. Cellulitis of Thigh;
8. Nephrotic Syndrome;
9. Cellulitis of Buttock (MRSA);
10. Status Asthmaticus, Dehydration;
11. UTI, Galactosemia;
12. Cellulitis, Abscess of Foot (MRSA), I&D;
13. Gastritis, Suspected Appendicitis, History of Prematurity ;
14. Asthma, Leukocytosis;
15. IDDM, DKA, Hypokalemia;
16. Pneumonia, Anemia;
17. Apnea, GERD;
18. Asthma;
19. Neonatal Jaundice, Dehydration ;
20. Acute Lymphocytic Leukemia, Suspected Sepsis;
21. Status Epilepticus, Respiratory Failure, History of Shaken Baby;
22. Immune Thrombocytopenia Purpura;
23. Cellulitis of Penile Shaft;
24. Cardiomyopathy, Aortic Insufficiency, Chronic Diarrhea, Hypocalcemia, Hypokalemia;
25. IDDM , Appendicitis;
26. Pneumonia (Viral );
27. FTT;
28. Bronchiolitis, Dehydration;
29. Nephrotic Syndrome, Cellulitis of Thigh;
30. Rattle Snake Bite;
31. Opitz Syndrome, Pneumonia, Spasticity, Seizures, Gastrostomy, Undescended Testicle, Renal Agenesis;
32. CLD, Pneumonia, History of Prematurity;
33. ATV accident, Temporal Lobe Hemorrhage, Respiratory Failure;
34. Urosepsis, Septic Shock, Pyelonephritis;
35. Trisomy 21, Hypoxia, Upper Airway Obstruction, Tonsillectomy;
36. Apnea, Neonatal jaundice;
37. Tetralogy of Fallot, Oxygen Dependent, RSV;
38. Pyloric Stenosis, Dehydration;
39. MVA, Ejection from Vehicle, Loss of Consciousness, Lip Laceration;
40. Salmonella Enteritis;
41. Appendicitis, Appendectomy, Bipolar Disorder, ADHD;
42. Appendicitis, Appendectomy;
43. Dehydration, S/P Tonsillectomy ;
44. Hodgkin's Lymphoma, Chemotherapy;
45. Postoperative Hemorrhage, S/P Tonsillectomy;
46. CLD, Respiratory Distress, Tracheostomy, Gastrostomy, History of Prematurity;
47. Apnea, Suspected Sepsis;
48. Pneumonia (RLL), Dehydration;
49. Acute Lymphocytic Leukemia, Bacteremia;
50. Seizures;
51. Bronchiolitis, Suspected Sepsis;
52. Neonatal Fever, Suspected Sepsis;
53. Bronchiolitis, Eczema;
54. Acute Lymphocytic Leukemia, Chemotherapy;
55. Meningitis (Viral);
56. Acute Lymphocytic Leukemia, Pancytopenia, Suspected Sepsis;
57. Appendicitis, Appendectomy;
58. CHARGE Syndrome, Chronic Aspiration Pneumonia, Tracheostomy, Gastrostomy ;
59. Appendicitis, Appendectomy;
60. Viral Infection, Dehydration;
61. Perforated Appendicitis, Peritonitis, Appendectomy;
62. Neonatal Fever, Suspected Sepsis;
63. Acute Lymphocytic Leukemia, Chemotherapy;
64. MVA, Femur Fracture, Splenic Laceration, Pulmonary Contusion;
65. Respiratory Distress, Tonsillar Hypertrophy, Hypoxia;
66. Status Asthmaticus, Dehydration, Pharyngitis;
67. Pneumonia;
68. CLD, Apnea, Bradycardia, GERD;
69. Seizures, Dehydration, Viral Infection;
70. Acute Lymphocytic Leukemia, Pancytopenia, Suspected Sepsis;
71. UTI, Leukocytosis;
72. Viral Infection, Abdominal Pain, Pharyngitis;
73. Perforated Appendicitis, Peritonitis, Appendectomy;
74. Status Asthmaticus, Atelectasis;
75. Status Asthmaticus;
76. Neonatal Fever, Leukocytosis, OM;
77. Aspiration Pneumonia;
78. Pyloric Stenosis, Dehydration;
79. Status Asthmaticus;
80. Pneumonia, Pleural Effusion, Chest Tube;
81. Status Asthmaticus, Atelectasis;
82. Stomatitis, Dehydration, Asthma;
83. Dehydration, Emesis, History of Gastroschisis;
84. A-V Canal, Congestive Heart Failure;
85. Meningismus, Viral Syndrome;
86. Hodgkin's Lymphoma, Chemotherapy;
87. UTI (E. coli), Dehydration;
88. Apnea, GERD;
89. Status Asthmaticus;
90. CLD, Respiratory Distress, History of Prematurity;
91. Asthma, Pneumonia;
92. Asthma, Atelectasis;
93. Bipolar Disorder, ADHD, AGE;
94. Asthma ;
95. Skull Fracture, Epidural Hematoma;
96. Respiratory Failure, Apnea, Pneumonia;
97. Bull Riding Accident, Liver Laceration, Pelvic Fracture;
98. Asthma, Pneumonia;
99. Hydronephrosis, UPJ Obstruction;
100. Salmonella Enteritis
Pass Rate
2009 ABP ISTE in AAmarillo
Resident Slide Show