| Month | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Site | SLCH/BJH | Metabolic biochemical laboratory | SLCH/BJH | SLCH/BJH | SLCH/BJH | SLCH/BJH | SLCH/BJH | SLCH/BJH | SLCH/BJH | SLCH/BJH | Metabolic biochemical laboratory | SLCH/BJH | SLCH/BJH |
| Rotation* | AMB/INP | MGL | AMB/INP | AMB/INP /V | AMB/INP | AMB/INP | AMB/INP | AMB/INP /V | AMB/INP | AMB/INP/R | MGL/R | AMB/INP/R | AMB/INP/R |
| Out-patient % | 75 | 0 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 25 | 0 | 25 | 25 |
| In-patient % | 25 | 0 | 25 | 25 | 25 | 25 | 25 | 25 | 25 | 25 | 0 | 25 | 25 |
| Laboratory % | 0 | 100 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 50 | 0 | 0 |
| Research % | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 50 | 50 | 50 | 50 |
Rotations
| Rotation | Abbreviation | Total weeks |
|---|---|---|
| Ambulatory metabolic service | AMB | 23 |
| In-patient metabolic service | INP | 11 |
| Metabolic biochemical laboratory | MBL | 6 |
| Research | R | 8 |
| Vacation | V | 4 |
Notes
- Our fellows will attend the out-patient metabolic clinics based on the percentage indicated in the table (75%: three clinics per week; 25%: one clinic per week). The fellow is expected to work with the metabolic nutritionists to provide continuing care and medical management of chronic patients. The fellow is also expected to provide advice regarding urgent calls from patients/family members/healthcare providers and follow-up and management of abnormal lab tests, including newborn screens.
- Fellows will be on call for one week per month for a total of 11 weeks. Responsibilities include in-patient rounds with attending and metabolic dietitian, being available for in-patient consults on patients with a potential metabolic disorder, taking calls from parents of ill children with metabolic disorders, arranging for evaluations as needed for an ill patient, taking calls from outside hospitals/physicians regarding patients with metabolic concerns. During this time, the fellow is responsible for coordinating acute management of patients admitted to the metabolic service, communicating with patients/families and other health care providers and coordinating discharge planning. The fellow is responsible for providing supervision to medical genetics residents. The fellow should coordinate with the residents to pre-round and then arrange a time to round with the attending. The follow is expected during this rotation attend all educational conferences as well as relevant sign-out meetings. During the weekends, the fellow takes call from home if there are no in-patients.
- The fellow will spend six weeks in the metabolic genetics laboratory performing and interpreting test results and communicating results to referring clinicians. He will be supervised by the metabolic biochemical laboratory.
- The fellow is expected to complete a research project/scholarly activity, which can be clinical, laboratory-based or a project focused on data mining. Eight weeks will be dedicated to research activities.
- The resident has one day off on the weekend, or has the option to take off both days on the weekend and work the following weekend.