The Pediatric Hospital Medicine Fellowship program offers a balanced curriculum that complies with ACGME requirements. One third of the curriculum is devoted to core clinical rotations, a third to individualized curriculum and a third is protected time for designing, conducting and disseminating scholarly activity.
Sample Block Diagrams
NOTES
Core Rotations Year 1 (16 weeks):
1. Inpatient Pediatric Hospital Medicine (PHM): Inpatient management of a team of general pediatric inpatients on both the acute care floor and the intermediate care unit; will also include surgical co-management with Orthopedics, Ophthalmology and Ear Nose Throat (ENT). Supervising responsibilities for residents, interns and medical students. Inpatient PHM will occur in one week increments x 8 weeks.
2. Newborn Nursery (NBN) includes supervising responsibilities for residents, interns and medial students and will occur in one week increments ( x 4 weeks).
3. Complex and Palliative Care will occur in a 4 week increment to fulfill this rotation and will involve inpatient consults with our “Enhanced Care Team” and follow-ups in our Enhanced Care Clinic. The “Enhanced Care Team” cares for Children with Medical Complexity (CMCs) and children with life-limiting medical conditions.
Research: Protected research time will include 16 weeks of non-continuous time. (to be broken up in either 2 week or 4 week increments)
Electives/Individualized Curriculum (IC): Electives will occur in 4 week increments to fulfill those rotations. Suggested IC electives include: Inpatient Infectious Diseases, Inpatient Pulmonology, Behavioral Health, Medical Education, Adolescent Medicine, Inpatient Nephrology. There are 4 blocks. (16 weeks total)
PTO/Vacation: Fellows are granted 4 weeks of PTO/year, which includes sick leave and vacation. Vacation may be taken in 1 week increments. Vacation may shift the timing (i.e.: start date) of research and/or elective blocks, but will not replace them.
NOTES
Core Rotations Year 2 (16 weeks):
1. Inpatient Pediatric Hospital Medicine (PHM): Inpatient management of a team of general pediatric inpatients on both the acute care floor and the intermediate care unit; will also include surgical co-management with Orthopedics, Ophthalmology and Ear Nose Throat (ENT). Supervising responsibilities for residents, interns and medical students. Inpatient PHM will occur in one week increments x 8 weeks.
2. Critical Care (PICU), Sedation and Pediatric Emergency Medicine (PEM) will occur in a 4 week increment to fulfill this rotation
3. Community PHM will occur at Site 2 and involve inpatient care of general pediatric patients and co-management with some subspecialty patients including, but not limited to, Pediatric Endocrinology and Pediatric Neurology; occasionally there will be supervision responsibilities for family medicine residents and APP students. This rotation will occur in a 4 week increment.
Research: Protected research time will include 16 weeks of non-continuous time (to be broken up in either 2 week or 4 week increments)
Electives/Individualized Curriculum (IC): Electives will occur in 4 week increments to fulfill those rotations. Suggested Electives/Individualized Curriculum: Child Protective Team, Inpatient Neurology, Leadership/Business Administration, Advocacy, Inpatient Endocrinology, Inpatient Gastroenterology. There are 4 blocks. (16 weeks total)
PTO/Vacation: Fellows are granted 4 weeks of PTO/year, which includes sick leave and vacation. Vacation may be taken in 1 week increments. Vacation may shift the timing (i.e.: start date) of research and/or elective blocks, but will not replace them.
Didactics and Conferences
Our fellows participate in a curriculum that offers educational sessions on topics spanning the vast learning components of PHM (with attention to preparing for PHM boards)as well as sessions on basic research methodology and statistics as well as ethics and professional development. Our fellows also participate in journal clubs, morbidity and mortality conferences and departmental grand rounds.
Scholarly Opportunities
Our PHM section has a diverse array of projects underway in many areas of scholarship. Beyond the section of PHM, the department of pediatrics has many other areas of scholarly activity that may interest the PHM fellow. A strength of our department is our focus on research on social drivers of health and health inequities amongst racial and ethnic minorities.
Current and recent scholarship within the PHM section include the following:
- Firearm Safety
- Food Insecurity
- Educational Curriculum
- Hypothermia in Young Infants
- Biomedical Informatics
- LGBTQI Health
- Medical Stabilization of Eating Disorders
- NOWS
- Co-management of children with medical complexity undergoing spinal surgery
- Working with Child Life to reduce the need for sedation for MRIs