Medical Student, Resident & Fellow Education - UT Southwestern

Medical Student, Resident & Fellow Education
2011 Academic Review
One of the three major missions of the Department of Pediatrics is the education of medical students, residents, postdoctoral
fellows and other health care professionals by transmitting knowledge, instilling excitement for learning, and translating
and refining questions raised during the process. Each division has specific educational goals for the students and residents,
and most divisions have fellowship programs which provide education to prepare fellows for an academic career.
Soumya Adhikari, M.D., is Assistant Professor of Pediatrics at UT Southwestern
Medical Center and Director of the Pediatric Clerkship. He completed his residency at UT
Southwestern/Children’s Medical Center in 2004 and then pursued subspecialty training in
pediatric endocrinology through a fellowship at UT Southwestern. Since the completion of
his training, Dr. Adhikari has split his time between his clinical responsibilities, providing
care for children of all ages with hormonal disorders; his research interests, primarily focused
on beta cell preservation in type 1 diabetes; and his role as Clerkship Director. Dr. Adhikari
earned his Bachelor of Science degree at the University of Florida in Gainesville in 1996 and
received his medical degree from the University of Miami School of Medicine in 2001.
Soumya Adhikari, M.D.
Assistant Professor
Director, Pediatric Clerkship
Jeffrey McKinney, M.D., Ph.D.
Associate Professor
Director, Pediatric Resident Education
Jeffrey McKinney, M.D., Ph.D., is Associate Professor of Pediatrics and the Residency
Program Director. He has a B.S.E. in Biomedical Engineering from the University of Iowa
College of Engineering. He also received a degree in Physiology at Oxford University as a
Rhodes Scholar, followed by M.D. and Ph.D. degrees from the University of Iowa College of
Medicine. To seek additional patient and geographic diversity, he was a house officer at Yale
New Haven Children’s Hospital, where he stayed as an infectious disease fellow and junior
faculty member at Yale. Between 1998 and 2003 he received all three of Yale’s top service or
teaching awards for Pediatric Resident, Fellow and Attending of the Year. He was recruited to
the Infectious Diseases faculty at Washington University in St. Louis in 2003, where he was
elected Pediatric Teacher of the Year by residents in 2008 and medical students in 2009. Dr.
McKinney has been with UT Southwestern Medical Center since 2009 in his role of Program
Director. He holds the Harry W. Bass, Jr. Professorship in Education.
Charles R. Rosenfeld, M.D.
Professor
Director, Pediatric Fellowship Education
Charles R. Rosenfeld, M.D., Professor of Pediatrics, Obstetrics/Gynecology, and
Anesthesiology in the Division of Neonatal-Perinatal Medicine at UT Southwestern, serves
as the Director of Fellowship Education and holds the George L. MacGregor Professorship
in Pediatrics. His research is focused on mechanisms modulating uteroplacental and
umbilical blood flows, development of the renin-angiotensin system, cardiovascular role of
estrogens in pregnancy and fetal-neonatal blood pressure regulation. Dr. Rosenfeld obtained
his medical degree from Emory University, Atlanta, Georgia, in 1966. Post-doctoral training
included Pediatric Residencies at Yale-New Haven Medical Center, New Haven, Connecticut,
1966 - 1967, and Bronx Municipal Hospital Center and Albert Einstein College of Medicine,
New York, New York, 1967 - 1970, a Pediatric Pulmonary Medicine Fellowship at Albert
Einstein College of Medicine, 1970 - 1971 and a Research Fellowship in Neonatal-Perinatal
Medicine at the University of Colorado Medical Center, Denver, 1971 - 1973. He joined the
UT Southwestern faculty in July 1973. Dr. Rosenfeld has had continuous NIH funding for
more than 30 years and has published more than 170 peer-reviewed manuscripts.
1

Medical Student Education
As one of four medical schools in the University of Texas system, UT Southwestern accepts approximately 230-240 students
annually. The education of these students remains one of the core missions of the Department of Pediatrics. A solid foundation
in childhood health and illness has long been recognized as one of the central components of a well-rounded medical
education, and the Department of Pediatrics strives to offer students the opportunity to explore the full breadth of pediatric
medical care through their many programs.
At the center of these offerings is the core clerkship in Pediatrics for third-year medical students at UT Southwestern. This
required element of the medical curriculum consists of an eight-week rotation through the many care units housed at
Children’s Medical Center, in addition to select locations at Parkland Health & Hospital System and, uniquely, through the
offices of select community pediatricians from around the North Texas area who volunteer to participate in student education
by hosting medical students in their offices. During this eight-week rotation, students spend four weeks on the inpatient
service units at Children’s and another four weeks in various ambulatory settings. The inpatient experience is aligned to
maximize student participation in all aspects of patient care: students spend two weeks of their time on an inpatient medicine
ward and two weeks on one of the hospital’s subspecialty wards. The outpatient experience provides trainees a one-week
exposure to neonatal care at the newborn nursery in Parkland, two weeks of ambulatory experience focused in the Medical
Student Clinic, and the aforementioned opportunity to spend a week at the office of a private general pediatrician in the
Dallas community. This latter week provides students a unique perspective into the provision of care outside of a traditional
academic teaching environment.
In the Medical Student Clinic (MSC), third-year students work directly with attending physicians from the faculty of the
Department and with local pediatricians who volunteer their time. Knowing that patients who present to MSC will only be
seen by them and their attending physician provides students a higher level of responsibility than in many other aspects of
their 3 rd year of training. During these two weeks, students also rotate through many of the subspecialty care clinics located
throughout the hospital to gain exposure to the full breadth of specialized care provided by staff physicians.
A full curriculum based on the core competencies as published by the Council on Medical Student Education in Pediatrics
(COMSEP) is taught through bedside clinical supervision and daily rounds, in addition to various didactic sessions and
interactive case-based discussions facilitated by faculty in nearly all divisions in the Department. Students also participate
in community advocacy through their involvement in nutrition education programs for elementary school students in the
Dallas Independent School District. The entire curriculum is reviewed on an ongoing basis based on feedback from medical
school faculty, national regulatory agencies and students themselves. The entire experience is facilitated through one central
website which hosts all of the pertinent educational resources for the students rotating through Pediatrics. Students rotating
through the core clerkship continue to outpace national averages on standardized assessments. For the 2010-2011 academic
year, UT Southwestern students scored four points above the national average for comparable pediatric clerkships on the
National Board of Medical Examiners subject exam in Pediatrics. The overall performance of the students on the NBME
exam was the highest it has been in seven years.
Fourth-year medical students at UT Southwestern have more flexibility to tailor their academic schedule to meet individual
learning goals. Whether students want to gain a more in-depth exposure to pediatric subspecialties in preparation for an
eventual career in pediatrics or just to strengthen their foundation in caring for children in advance of another career path,
the department offers numerous opportunities to fourth-year students through the facilities at Children’s and Parkland.
Students can immerse themselves in acute/intensive care experiences via rotations in the Neonatal Intensive Care Unit, the
Pediatric Intensive Care Unit, Cardiovascular Intensive Care Unit and Pediatric Emergency Medicine.
Extended experiences in any of a number of subspecialty clinics including Pediatric Hematology-Oncology, Nephrology,
Gastroenterology, Endocrinology and others are available for fourth-year students as well. In addition, a total of 40 students
from outside institutions came to UT Southwestern and Children’s Medical Center in the past to do visiting rotations in
pediatrics. The department also offers, and continues to strive to increase the number of, international elective opportunities
for our students and is in the process of developing programs to attract top students from international medical schools to
do visiting rotations in Dallas this coming year.
Medical students rated their experience on their Pediatrics Clerkship in 2010-2011 as overwhelmingly positive. Student
feedback from course evaluations has remained consistently positive, specifically as it relates to autonomy, promotion of
clinical skills, and preparation for internship. On the 2011 graduation questionnaire, 87.8% of UT Southwestern students
2
rated their educational experience as “good” or “excellent,” continuing a trend of excellence in that measure for the past
several years.
Faculty from the Department of Pediatrics also participate, often in leadership roles, in the more didactic curriculum of the
first two years of medical school, including such key courses as genetics, biochemistry and medical ethics. Beginning with
the 2007-2008 academic year, faculty members in the department also served as mentors in the new colleges system at UT
Southwestern. Each college’s mentor leads a group of six medical students in both first- and second-year classes and deliver
curricula such as professionalism and ethics, communication skills like taking patients’ histories, diagnostic and physical
exam skills, and clinical reasoning and interpretation skills through weekly small group meetings. The first group of students
to participate in the colleges program graduated this past year.
The department takes great pride in the quality of teaching provided by the entire faculty. At the 2011 Excellence in Education
Annual Reception and Award ceremony, three faculty members in the department received teaching awards. These included
Dr. James Amatruda, recognized for excellence for his role in the MS1 Preclinical curriculum, and Drs. Karthik Srinivasan
and Vineeta Mittal, who received Pediatrics Core Clerkship Teaching Awards. Perhaps most telling, 41 students from the
graduating medical school class of 2011 have chosen to pursue a career in pediatrics or some combined program including
pediatrics.
Resident Education
The UT Southwestern Pediatric Residency Program at Children’s Medical Center partners with the
Department of Pediatrics faculty members to provide broad and deep educational experiences to our
98 UT Southwestern/Children’s Medical Center pediatric house officers, as well as more than 200
visiting trainees in anesthesia, emergency medicine, family medicine and psychiatry. Each division
in the Pediatrics Department contributes substantially to the Residency Program in important
ways, including educating residents during each rotation and through noon conference didactic
presentations.
Residents go through 13 four-week rotations throughout the academic year. The rotations offer the
residents their core education in pediatric medicine as practiced in the emergency room, pediatric ward
medicine teams, newborn nursery, neonatal and pediatric intensive care units and subspeciality ward
service teams. Additional training in subspecialty consult services and other individualized training
are offered as electives. Learning clinic-based pediatrics with continuity of care and longitudinal
follow up occurs throughout training.
Pediatric Residency Program Team
The program is led by Jeffrey McKinney, M.D., Ph.D., Program Director. He holds the Harry W.
Bass, Jr. Professorship in Pediatric Education. Dr. McKinney works closely and collaboratively with
the program’s two Associate Program Directors, Dorothy Sendelbach, M.D. and Lauren Gore, M.D.,
and the Program Coordinator, Dawn Bayé, M.B.A. They offer unique and complimentary talents and
insights that strengthen the program and the education of its residents.
Dr. Natalie Pounds
Dr. Jackie Powers
Dr. David Sutcliffe
Dr. Jeffrey McKinney
Dr. Dorothy Sendelbach
The 2011-2012 Chief Residents
were Natalie Pounds, Jackie Dr. Lauren Gore
Powers and David Sutcliffe.
Each chief is selected for academic and non-academic
interests that will enhance the Residency Program.
During their PL2 year, chiefs go through a selection
process that allows for the Program to make a thoughtful
and strategic chief selection. Chiefs are heavily involved
in the day-to-day activities of the program and serve as
a liaison among faculty members and residents.
3

Pediatric Residency Program Features for 2011
Advocacy Build-out
Under the direction of Nancy Kelly, M.D., M.P.H. and Christina Bourland, M.D., the advocacy program for the residents
is now among the best in the nation. The ideal resident advocacy project is one in which the resident or residents choose
an issue in which they are passionately interested; identify evidence-based approaches to this issue in our community and
elsewhere; and partner with local community organizations to develop sustainable measurable interventions and solutions
that they implement within the community itself, and report to other advocacy leaders.
The program was changed to allow for PL1 and PL2s to have increased investment in their projects and allow for prolonged
time in development of their projects.
• PL1s are now charged with identifying pediatric healthrelated
issues of interest to them. During their PL1 year,
they also decide on their mentor and rigorously explore
ideas on potential projects.
• PL2s are now diving into the issue they find of interest,
conducting literature reviews and assessing the national
and local approaches to the issue. The PL2s are now
working to develop their project with a community
component. Part of all projects must take place outside
of the Children’s Medical Center walls. Residents are
encouraged to apply for CATCH grants as well.
• PL3s are required to write an abstract summarizing the
project they are submitted to CMC the resident abstract
competition. PL3s also have to write a reflective essay.
Residents will go on to do formal presentations of the
projects at national conferences.
Nancy Kelly, M.D., M.P.H., and Christina Bourland, M.D., are recipients of the nationally competitive 2011 Transforming
Pediatric Residency Training to Improve Care for Underserved Children grant, sponsored by the American Academy of
Pediatrics with support from the Josiah Macy Jr. Foundation. Through this program, the Community Pediatrics Training
Initiative (CPTI) supports residency programs to improve child health by transforming the way pediatricians approach their
roles to better address the millennial needs of child health, particularly in underserved communities.
Medical Literature and Its Critical Application
During 2011 the Residency Program, with leadershipo by chief residents, David Sutcliffe and Natalie Pounds, we improved
the medical literature library. The improved library system is key to getting valid, important medical literature to residents at
the bedside. Our literature-driven rounds and teaching conferences foster more sophisticated clinical care.
The library system has developed into a group of papers that now are searchable and contain key facts that can be reviewed.
To increase the ease of searching the library, the file naming system was updated to standardize the library. Residents add
papers that are meaningful from their own literature searches. Each paper is attributed to the person who submitted it, also
allowing residents to maintain their own online literature library. With the use of sticky notes, papers now are tagged with
the important aspects of the paper allowing a reader to quickly find the paper they need. It provides an entry point to the
content of the paper.
Through the use of iPod Touches, residents can quickly and easily search the library for papers that will assist them at bedside
and give them the ability to quote medical literature in their progress notes to drive the management of their patient.
In addition to enhancing the resident site, a faculty access site was developed to mirror the residents’ library. The faculty site
promotes faculty involvement in expansion of the library. It also allows faculty to review what medical literature the residents
are using for their practices, increase teaching and patient care.
4
Medical Spanish
Due to the increasing prevalence of patients with limited English proficiency, novel ways to improve communication between
providers and patients is critical. While incorporating medical Spanish into a program, an important variable for which to
account is the wide range of baseline Spanish skills. The competency spectrum requires a system for accurate identification
of Spanish proficiency, as well as highly motivated individuals who will succeed when given the correct opportunities. Our
Program, with the work of Lauren Gore, M.D., A.P.D., and Jackie Powers, M.D., Chief Resident, designed a two-tier approach
toward medical Spanish education.
For residents self-identified at a beginner level, an institution Rosetta Stone subscription was obtained, with the goal to
improve conversational skills rather than obtain fluency. Interested residents were chosen at random to participate. Frequency
of use, total hours utilized, assessment scores and levels obtained were monitored. A post-participation survey assessed views
toward the program and improvements in Spanish level, and identified whether users were more aware of their limitations
and more likely to utilize the Spanish skills they had gained from the program.
An Advanced Medical Spanish elective was designed for residents with a solid background in the Spanish language. Prerequisites
included a screening interview, competency test, self-study plan and review of medical Spanish literature. Residents
improved their terminology and fluency under the direction of professional interpreters at Children’s Medical Center and
supervising faculty at a community clinic, and through self study. One on one interaction with interpreters provided real-time
feedback, which provided insight in fluency limitations and depth of skills. This feedback allowed residents to understand
when it was appropriate to use their own skills versus utilizing a professional interpreter. Trainees additionally learned how
language barriers impact healthcare disparities, and, more importantly, how to effectively overcome barriers by identifying
available resources in various settings.
Resident Mentorships
Mentor Program
A continued highlight of the Residency Program is the Mentor Program. The Mentor Program allows each resident to have
a faculty member from intern year to graduation who guides them professionally and personally through residency. The
mentors meet as a group monthly with the Department Chair and the Program Director to review each intern or resident’s
progress and career development.
Mentors
In 2011, 16 faculty members served as mentors:
Soumya Adhikari, M.D. Paul Harker-Murray, M.D., Ph.D. Dorothy Sendelbach, M.D.
Christina Bourland, M.D. Nancy Kelly, M.D., M.P.H. Maeve Sheehan, M.D.
Matthew Cox, M.D. Josh Koch, M.D. Joel Steinberg, M.D.
Maite de la Morena, M.D. Laura McClendon, M.D. Jennifer Walsh, M.D.
Becky Ennis, M.D. Pamela Okada, M.D. Myra Wyckoff, M.D.
Lauren Gore, M.D.
Faculty Teaching Mentors
The Residency Program has broadened the faculty involvement to teach the resident in various settings: Friday Morning
Report, Senior Morning Report (small group, literature-based, morning reports that develop critical thinking skills), Morbidity
and Mortality series and Clinical Decision Making series. The increased faculty involvement now has an investment from all
sectors of the Department of Pediatrics, and the increased involvement has allowed the Residency Program to broaden the
portfolios of those teaching residents. Residents are able to improve on their clinical decision making because of increased
interaction with our broad and deep talent pool of medical faculty.
5

The Faculty Teaching Mentors are:
Senior Morning Report Faculty
Soumya Adhikari, M.D. Vijay Kalidindi, M.D. Zora Rogers, M.D.
James Amatruda, M.D., Ph.D. Joshua Koch, M.D. Charles Rosenfeld, M.D.
John Andersen, M.D. Ben Lee, M.D. Yadira Sanchez, M.D.
Kathryn Ban, M.D. George Lister, M.D. Dorothy Sendelbach, M.D.
Theresa Barton, M.D. Laura McClendon, M.D. Bharath Thankavel, M.D.
George McCracken, Jr., M.D.
Marita Thompson, M.D.
Ralph DeBerardinis, M.D., Ph.D. Jeffrey McKinney, M.D., Ph.D. Lewis Waber, M.D., Ph.D.
Leslie Garner, M.D. Vineeta Mittal, M.D. Jennifer Walsh, M.D.
Lauren Gore, M.D. Emily Osier, M.D. Jonathan Wickiser, M.D.
Paul Harker-Murray, M.D., Ph.D. Ashish Patel, M.D. Robert Wiebe, M.D.
Mambarath Jaleel, M.D. Lynn Punaro, M.D. Myra Wyckoff, M.D.
Jeffrey Kahn, M.D., Ph.D. Raymond Quigley, M.D. William Zinser, M.D.
Critically Appraised Topics Mentors
Kathryn Ban, M.D. Vijay Kalidindi, M.D. Christina Seeley, M.D.
Matthew Cox, M.D. Ben Lee, M.D. Dorothy Sendelbach, M.D.
Lauren Gore, M.D. Amit Mehta M.D. Leticia Shanley, M.D.
Melissa Harlan, M.D. Lynn Punaro, M.D. Bharath Thankavel, M.D.
Gregory Jackson, M.D. Erin Scheideman, M.D. Kathleen Vandiver, M.D.
Morbidity & Mortality Mentors
Lina Chalak, M.D. Vijay Kalidindi, M.D. Philip Shaul, M.D.
Mark Clay, M.D. Jeffrey Kahn, M.D., Ph.D. Maeve Sheehan, M.D.
Matthew Cox, M.D. Jeffrey McKinney, M.D., Ph.D. Myra Wyckoff, M.D.
Lauren Gore, M.D. Dorothy Sendelbach, M.D. Thomas Zellers, M.D.
Intern Recruitment
During the recruitment season, the Pediatric Residency Program interviewed more than 300 applicants. We are looking
forward to the next intern class that begins June 2012. With an increase of applicant interviewers that span the entire
Department, the intern classes continue to grow in their talent and diversity.
Our faculty graciously invested more than 1,000 hours in interviews alone. The core interviewers were:
Kathryn Ban, M.D. Andrew Koh, M.D. Norberto Rodriguez-Baez, M.D.
Bradley Barth, M.D. Karen Latour, M.D. Zora Rogers, M.D.
Christina Bourland, M.D. Benjamin Lee, M.D. Pablo Sánchez, M.D.
Carolyn Cannon, M.D., Ph.D. George Lister, M.D. Meghana Sathe, M.D.
Mark Clay, M.D. Tanya Martinez-Fernandez, M.D. Erin Scheideman, M.D.
Matthew Cox, M.D. Timothy McCavit, M.D. William Scott, M.D., M.S.
Cindy Darnell, M.D., M.S.C.S. Laura McClendon, M.D. Christina Seeley, M.D.
Arlene Davis, M.D. George McCracken, Jr., M.D. Dorothy Sendelbach, M.D.
Becky Ennis, M.D. Jeffrey McKinney, M.D., Ph.D. Philip Shaul, M.D.
Lauren Gore, M.D. Amit Mehta, M.D. Martha Stegner, M.D.
Michael Green, M.D. Pamela Okada, M.D. Elizabeth (Kaili) Stehel, M.D.
Paul Harker-Murray, M.D., Ph.D. Emily Osier, M.D. Bharath Thankavel, M.D.
Shelby Joseph, M.D. Ashish Patel, M.D. Marita Thompson, M.D.
Vijay Kalidindi, M.D. Reina Patel, D.O. Jennifer Walsh, M.D.
Nancy Kelly, M.D., M.P.H. Julio Pérez Fontán, M.D. Tracey Wright, M.D.
Laura Klesse, M.D., Ph.D. Marilyn Punaro, M.D. Myra Wyckoff, M.D.
Joshua Koch, M.D.
Catherine Robben, M.D.
Resident Projects 2011-2012 Academic Year
Award
Paul Tannous, M.D., Ph.D
• American Pediatric Society Society for Pediatric
Research Award to be given at the Pediatric Academic
Society Meeting in Boston for his abstract “Targeted
Ablation of Dividing Neural Crest Cells During Mouse
Development Induces Malformations Which Resemble
Human Forms of Congenital Heart Disease.” 2012
Travel Grant Awards
Allyson Wyatt, M.D.
• Awarded NASPGHAN Annual Meeting and
Postgraduate Course travel grant
• NASPGHAN Annual Meeting and Postgraduate Course
Poster Presentation - A case of patent ductus venosus
and subsequent liver masses
• Submission of ‘A case of patent ductus venosus and
subsequent liver masses’ to Journal of Pediatric and
Developmental Pathology
Pavel Davizon Castillo, M.D.
• Awarded the 2012 American Society of Pediatric
Nephrology Resident Travel Award to attend the
American Society of Pediatric Nephrology/Pediatric
Academic Society Meeting in Boston.
Presentation
Courtney Baldridge, M.D. and Rachel Jamison,, M.D.
• Abstract titled “Pediatric Residents Improving Seizure
Management in Ghana Hospital” accepted for poster
presentation at Advocacy Special Interest Group Session
at Pediatric Academic Society Meeting in Boston 2012
Publications
Paul Tannous, M.D., Ph.D.
• Yoon L, Tannous P, Sanghavi R, Kaul A. Idiopathic
ganglioneuromatosis of the gastrointestinal tract. In
review.
• Berry JM, Vien L, Battiprolu P, Tannous P, Czubryt M,
Backs J, Bassel-Duby R, Olson EN, Rothermel AR, Hill,
JA. Reversibility of Adverse, Calcineurin-Dependent Cardiac Remodeling. Circulation Research. 2011 July 11;109:407-
417.
• Co-author on a Circulation manuscript, July 2011
• Co-author on a case-series report, currently in review
Lisa Scheid, M.D.
• Case report “A 17-year-old male with nephrotic syndrome and diffuse adenopathy” published in Pediatric Nephrology
in December 2011.
Teresa Tseng, M.D.
• Keller N, Bhatia S, Braden JN, Gildengorin G, Johnson J, Yedlin R, Tseng T, Knapp J, Glaser N, Jossan P, Teran S, Rhodes
ET, Noble JA. (2012) “Distinguishing Type 2 Diabetes from Type 1 Diabetes in African American and Hispanic American
Pediatric Patients.” PLoS ONE 7(3): e32773. doi:10.1371/journal.pone.0032773
• Tseng, T, Iosif, AM, Seritan AL. (2011) “The Cost of Education: Medical Student Stress during Clerkships.” Medical
Science Educator 21(4), 360-366.
• Tseng, T., Iosif, AM, Seritan, AL. (2011) “Stress Effects: A Study of Salivary Cortisol Levels in Third-year Medical
Students.” Stress and Health 27: 436–440. effects: A study of salivary cortisol levels in third year medical students. Stress
and Health. 2011; Jan 12
6 7

Isaac Marin-Valencia, M.D.
1. Choi C, Ganji SK, DeBerardinis RJ, Hatanpaa KJ, Rakheja D, Kovacs Z, Yang XL, Mashimo T, Raisanen JM, Marin-
Valencia I, et al. 2-hydroxyglutarate detection by magnetic resonance spectroscopy in IDH-mutated patients with
gliomas. Nat Med;18:624-9.
2. Maher EA, Marin-Valencia I, Bachoo RM, et al. Metabolism of [U-(13) C]glucose in human brain tumors in vivo. NMR
Biomed.
3. Marin-Valencia I, Cho SK, Rakheja D, et al. Glucose metabolism via the pentose phosphate pathway, glycolysis and
Krebs cycle in an orthotopic mouse model of human brain tumors. NMR Biomed.
4. Marin-Valencia I, DeBerardinis RJ. Targeting the metabolic flexibility of cancer cells: straighten up and die right. Cell
Cycle;10:188.
5. Marin-Valencia I, Good LB, Ma Q, et al. Glut1 deficiency (G1D): Epilepsy and metabolic dysfunction in a mouse model
of the most common human phenotype. Neurobiol Dis.
6. Marin-Valencia I, Good LB, Ma Q, Jeffrey FM, Malloy CR, Pascual JM. High-resolution detection of (1)(3)C multiplets
from the conscious mouse brain by ex vivo NMR spectroscopy. J Neurosci Methods;203:50-5.
7. Marin-Valencia I, Yang C, Mashimo T, et al. Analysis of tumor metabolism reveals mitochondrial glucose oxidation in
genetically diverse human glioblastomas in the mouse brain in vivo. Cell Metab;15:827-37.
Officer Position
Ashley Lucke, M.D.
• Elected by the American Academy of Pediatrics Section on Medical Students, Residents and Fellowship Trainees to the
position of AAP District 7 Assistant District Coordinator.
Fellow Education
In January 2005, the department established an interdisciplinary program for subspecialty education. The objective, a work
in progress, is to develop a departmental repository of educational and administrative resources and experiences to enrich
the opportunities offered by the individual subspecialty training programs. The program is directed by Dr. Rosenfeld, who
has more than 35 years experience in postgraduate education and research, in conjunction with the Program Directors,
other faculty and, very importantly, the fellows. Central to the program’s activities is a bimonthly conference designed to
explore and discuss institutional resources, examine approaches and requirements needed to initiate clinical and laboratory
research, plan a career and make career choices, present ongoing research by faculty and fellows, and provide a site for social
interaction and discussions between trainees from all subspecialties. The program is unique in that much of the ACGME
required core curriculum can be achieved in a manner that best meets the needs of each trainee.
During 2011, there were 96 subspecialty trainees within the various divisions. Tremendous value is placed on preparing these
young pediatricians to undertake careers as clinician-investigators, teachers, subspecialty consultants and, more generally,
as contributors to the growing body of knowledge in pediatric medicine and developmental biology. Fellowship education
is viewed as the first and most important step in the transfer of the academic mission to the next generation. The last
decade has been associated with a substantial change in postgraduate education, prompted by the recognition that the “old”
apprenticeship system often shortchanged the education of the trainee in the interest of providing clinical service. This has
resulted in guidelines that guarantee the integrity of the educational environment against the demands that the changing
healthcare landscape has been applying on academic centers. Although the spirit of these guidelines has been welcomed by the
academic community, the balance between clinical responsibility and education remains an issue that is in flux.
The department, therefore, sees opportunity in this changing educational environment. Key to realizing this opportunity is
acknowledging that subspecialty training must accomplish three goals:
1. Prepare future subspecialists cognitively and technically to practice their discipline proficiently using an evidence-based
approach;
2. Provide analytical skills and critical thinking necessary to confront conditions they may not have previously encountered; and
3. Engender a desire to advance knowledge and improve care through research and teaching.
To facilitate the pursuit of these goals, each division has a training program that provides the clinical experience and
research environment for trainees to be exposed to scientific investigation and be taught the means to translate inquiry into
scholarship. All subspecialty programs were reaccredited by the Residency Review Committee of the ACGME in 2008 and
contain clinical and research experiences in accordance with the guidelines set forth by the American Board of Pediatrics. In
compliance with these guidelines, each trainee has a Scholarship Oversight Committee that assists the Program Directors in
monitoring each trainee’s research experiences.
2011 - 2012 Residents
The Department of Pediatrics encourages its subspecialty fellows
to participate in national and local activities that will enhance
their education. UT Southwestern’s fellows have been recognized
for their accomplishments and academic potential by receiving
awards and grants from many sources. Several fellows also have
competed successfully for fellowships from the Pediatric Scientist
Training Program and K-awards from the NIH or analogous
mentored research grants. The Department and Medical School
are committed to encouraging and assisting talented physicians
to develop an academic career; to this end, UT Southwestern has
created a Physician-Scientist Training Program and a Curriculum
in Patient-Oriented Research to help launch the careers of
promising trainees.
During 2011, there were 96 trainees within the various subspecialty
programs in the Department of Pediatrics. Of these, 26 completed
their training in June 2011. Twenty-one of the 26 (81%) assumed
academic positions in various medical schools, and six (29%) of
them remained on the faculty at UT Southwestern. Notably, three
Award winners Drs. Diana Zepeda-Orozco, Amy Fowler, Nathan Sundgren
with Dr. Charles Rosenfeld
2nd Annual Senior Fellows’ Research Day
8 9

trainees chose to do additional training/research; the remaining trainees entered into clinical practice. Of the graduating
fellows, 46% received peer-reviewed funding for their fellowship research project (e.g., the American Academy of Pediatrics)
and sixteen published peer-reviewed manuscripts prior to completing their training. This group also presented 46 abstracts
at regional, national or international meetings during their senior year.
Separate conferences have been established to meet the special needs of the 1st year fellows and the 2nd-3rd year fellows
during August and September of each year. Our second year trainees presented their research in the second half of the Core
Curriculum in order to receive timely critical review from their peers and the faculty at an early stage in their research efforts.
A notable change in our Training Program was the establishment of a Senior Fellows’ Research Day in 2010. During the 2 nd
Annual Senior Fellows’ Research Day in May 2011, there were 21 poster presentations and five oral presentations, the latter
chosen after abstract reviews by the Faculty. This was followed by a dinner for all Trainees, Mentors, Program Directors and
Division Directors and a presentation by Dr. Alfred G. Gilman, MD, PhD, a recipient of the Nobel Prize in Medicine and
Chief Scientific Officer of the Cancer Prevention and Research Institute of Texas (CPRIT). The 2011 Senior Fellows’ Research
Day awards were given for best oral and poster presentations. Award winners were Dr. Nathan C. Sundgren (Oral); Drs. Amy
Fowler (Poster) and Diana Zepeda-Orozco (Poster).
The future of pediatric subspecialty training continues to change at UT Southwestern. We look forward to continued
growth and success with our Fellowship Programs well into the 21st century within the Department of Pediatrics at the UT
Southwestern Medical School.
Pictured left to right
2011 Graduating Fellows
Front: Drs. Jason Imundo, Edaire Cheng, Katie Stewart, Diana Zepeda-Orozco, Amy Fowler, Alejandro de la Torre, Maria Afanador,
Vishal Kapadia
Center: Drs. Natalie Frost, Alejandro Jordan-Villegas, Janet Hume,Amal Aqul, Atim Uya, Adrian Dyer, Susan Hsieh, Carrye Cost
Back: Nathan Sundgren, Dennis Tanner, Adriana Rodriguez, John Sparks, Patrick Hairston, Kyle Lieppman, Tara DuPont, Nicholas
Fustino
Not Pictured: Drs. Amanda Evans and Anne Mahan
10