Independent Clinical Fellowship in Pediatric Hospital Medicine
The Independent Clinical Fellowship in Pediatric Hospital Medicine provides fellows with the ideal setting to gain the highest level of advanced training and expertise given CCMC’s high patient volume, the complexity of cases, the ancillary support, and its outstanding faculty and mentorship. The knowledge and skills gained through this program will provide a solid foundation for fellows to excel as clinical and research leaders in the practice of pediatric hospital medicine.
Division of Pediatric Hospital Medicine
The Division of Pediatric Hospital Medicine (PHM) is part of the Department of Pediatrics at Cohen Children’s Medical Center (CCMC), which is the largest provider of pediatric health services in New York State serving 1.8 million children in Brooklyn, Queens, Nassau and Suffolk counties. CCMC is a 202-bed pediatric teaching hospital, with over 7500 inpatient admissions and over 8000 newborn deliveries per year. It is affiliated with the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, the Feinstein Institute of Medical Research and the Center for Learning and Innovation. CCMC is the only Level 1-ACS Pediatric Trauma center in NY region and has been awarded Magnet status in nursing excellence by the American Nurses Credentialing Center. CCMC is ranked nationally in 9 pediatric specialties by US News and World Report.
The division has 27 faculty members with varied interests and expertise beyond their patient care duties including:
- Clinical research
- Development of clinical care guidelines
- Resident and medical student education
- Family centered care innovation
- Newborn medicine
- Health disparities research
- Medical simulation
- Quality improvement
PHM Fellowship Program
The goal of the two-year fellowship program is to produce compassionate clinicians with expertise in the care of hospitalized children and who demonstrate a commitment to improve the quality of life of patients and their families. The program provides a thorough, structured curriculum that includes training in:
- Clinical science
- Leadership/ Administration
- Medical education
- Patient safety
- Quality improvement science
Advanced Clinical Training
The first year of the program emphasizes patient care. Fellows will complete several core clinical rotations in which they care for children in the tertiary care children’s hospital (CCMC) as well as at a community hospital (Southside). There will also be rotations that focus on the care of children with complex medical issues, the co-management of surgical patients, newborn care, and the stabilization of critically ill children. Fellows will be given progressive responsibility for all aspects of patient care under the supervision of attending physicians, and they will also be responsible for the supervision and education of residents and medical students. Fellows will be able to tailor their educational program in accordance with career plans and interests by choosing from several electives. These include, but are not limited to:
- Palliative Care
- Transport Medicine
- Procedural Sedation
- Pediatric Surgery
- Pain Management
- Palliative Care
In addition, fellows will have the opportunity to select one of four focused tracks:
Systems and Scholarship
The Division of PHM at CCMC is a leader in patient safety and quality improvement initiatives throughout the Northwell health system as well as on a national level. CCMC is part of the Children’s Hospitals Solutions for Patient Safety (SPS) network. This collaboration provides opportunities for fellows to engage in a diverse range of quality improvement initiatives that aim to eliminate harm and strive for the highest quality of care. The quality improvement curriculum will focus on the development of a fellow’s foundation in improvement science. This includes,
- The Model for Improvement
- Design of effective metrics
- Development of PDSA ramps
- Design and interpretation of run/control charts
- Concept of variation
- Levels of reliability
- Psychology/change management
Fellows will lead an improvement project under the mentorship of a faculty member as well as participate in several process improvement committees throughout the health system.
Fellows are also required to complete a research project under the direction of a research mentor, resulting in a first-authored manuscript. The fellowship schedule allots a minimum of 30% of time per academic year to this endeavor. Fellows will choose an area of study in line with their career goals and relevant to a career in academic pediatric hospital medicine. They will have the opportunity to utilize resources available through the Feinstein Institute of Medical Research, and they will participate in the common Fellows’ Research Seminar required of all CCMC fellows. Topics in the seminar include:
- Clinical trial design
- Evaluation of medical literature
- Introduction to molecular biology
- IRB submission
- Preparing oral/poster presentation
- Manuscript preparation
- Grant writing
The Division of PHM participates in the education of medical students from the Zucker School of Medicine as well as pediatric residents from CCMC. Opportunities exist to participate in medical education research through the Zucker School of Medicine.
Fellows may also have the opportunity to obtain advanced formal education through Hofstra University’s acclaimed Master programs in Education, Health Profession Pedagogy and Leadership (MS), Public Health (MPH), Health Informatics (MS), Quality Management (MBA) or other relevant degrees.
Completion of an ACGME-accredited residency program in general pediatrics is mandatory for admission to this program. The fellowship program does not sponsor visa applications at this time.
Applications open July 1 and are accepted on a rolling basis. We accept the common PHM fellowship application available at http://phmfellows.org.
We participate in the NRMP match (www.nrmp.org) with rank list closing on November 29, 2017. Match Day is on December 13, 2017.
Essential application materials include:
- Completed common application form
- Personal statement
- Three (3) letters of recommendation, with one preferably from the residency program director or current clinical supervisor for those who have finished residency
- USMLE or COMLEX transcript
- Updated curriculum vitae
All application materials should be sent to:
Marcia White, MBA, Program Coordinator, [email protected]
Sheila Liewehr, MD, MA, Fellowship Director, [email protected]