Hospital Medicine Fellowship
Hospital Medicine Fellowship
Nationwide Children’s Hospital and the Division of Pediatric Hospital Medicine offers an ACGME accredited two-year Pediatric Hospital Medicine Fellowship.
Nationwide Children’s Hospital’s Pediatric Hospital Medicine Fellowship Program develops academic pediatric hospitalists who are experts in the care of acutely and chronically ill hospitalized newborns, children and adolescents.
Graduates of this program will be leaders in the following areas:
- Innovation, collaboration and provision of high quality and efficient care to hospitalized pediatric patients
- Research and quality improvement
- Education of patients, families, trainees and colleagues
- Advocacy and the promotion of wellness for hospitalized pediatric patients
Recruitment starts during the fall annually with the fellowship beginning July each year. The program will consist of one fellow per year for the two-year program.
What You Need to Know
Curriculum
Year One
- Hospital Pediatrics Inpatient Service – 10 weeks
- Includes Hospital Pediatric Consultative Service
- Complex Care Service – 2 weeks with option to extend to 4 weeks
- Nursery Service – 2 weeks
- Sedation Rotation – 2 weeks with option to extend to 4 weeks
- Research, Quality Improvement – 16 weeks
- Individualized Educational Units – 16 weeks
Year Two
- Hospital Pediatrics Inpatient Service – 6 weeks
- Includes Hospital Pediatric Consultative Service
- Pediatric Intensive Care Unit – 2 weeks with option to extend to 4 weeks
- Includes Surgical Co-management
- Community site rotation – 4 weeks
- Palliative Care – 2 weeks
- Infectious Disease Service – 2 weeks with option to extend to 4 weeks
- Research, Quality Improvement – 16 weeks
- Individualized Educational Unit – 17 weeks
Individualized Educational Units
Hospitalist fellowship graduates have the potential to practice in a variety of clinical settings, and they possess a variety of clinical interests. The fellowship program is set up to maximize customization with 32 weeks of individualized educational units – each of which is 2 weeks in length. Selection of specific units will be done in conjunction with the fellow’s mentor and/or program director.
Individualized Educational Unit Offerings (2 Week Units)
Clinical Offerings
- HP specific (Additional clinical time)
- Teaching Service
- Neuro Co Management Service
- Behavioral Health Service
- Safety Officer/Consult Service
- Infectious Disease Inpatient (Additional clinical time) or Consultative Service
- Antibiotic Stewardship
- Anesthesia/Pain Management
- Radiology/Interventional Radiology
- Physical Medical and Rehabilitation Inpatient Service
- Surgical Specialties Inpatient Service
- Palliative Care and Hospice
- Child Abuse
- Low Acuity NICU
- Emergency Medicine
- PICU (Additional clinical time)
- Complex Care Inpatient Service (Additional clinical time)
- Renal/Rheumatology/Endocrine Inpatient Service
- Gastroenterology Inpatient Service
- Cardiology Inpatient Service
- Pulmonary Inpatient Service
- Hematology/Oncology Inpatient Service
- Psychiatry Inpatient Service
- Nursery Service (Additional clinical time)
- Delivery Room
- Global Health Medicine
Nonclinical Offerings
- Administrative Medicine Experience
- Medical Education Innovation
- Pediatric Quality and Safety
- Research, Quality Improvement – (Additional research/QI dedicated time for robust ongoing project work. Requires program director and research mentor approval)
Didactic Curriculum
Conference |
Frequency |
Clinical & Translational Fellows Research Series |
Monthly |
Clinical Research Competency Series |
Monthly |
Pediatric Residency Case Conference |
Twice per Month |
Hospital Pediatrics Services Resident Case Conference (Fellow driven) |
Weekly |
Section of Hospital Medicine Case Conference (Fellow driven) |
Monthly |
Pediatric Critical Care Medicine Lectures |
Weekly |
Pediatric Infectious Disease Board Review |
Monthly |
Pediatric Emergency Medicine Lectures |
Weekly |
Pediatric Grand Rounds |
Weekly |
Hospital Medicine Grand Rounds |
Quarterly |
Pediatric Morbidity and Mortality |
Twice per Month |
Fellows’ Core Curriculum |
Quarterly |
Hospital Medicine Journal Club (Fellow driven) |
Monthly |
Hospital Medicine Core Curriculum |
Monthly |
PHM Board Review |
Quarterly |
Evidence Based Medicine Didactic series |
Quarterly |
Medical Education Series |
Quarterly |
Quality Improvement Series |
Quarterly |
Fellows will also attend both the annual fall Pediatric Hospital Medicine Fellows Conference and the summer Pediatric Hospital Medicine Conference.
Scholarly Projects
Each fellow must complete a scholarly project as outlined by the American Board of Pediatrics subspecialty program requirements. Scholarly activities are those in which the fellow develops and tests a hypothesis or participates in a project of substantive scholarly exploration and analysis that requires critical thinking. Fellows must gather and analyze data, derive and defend conclusions, and present their work in oral and written form. Each scholarly project must result in a specific written work product. Fellows have a specific research curriculum, mentorship, scholarly oversight committee and dedicated research months as outlined in the curriculum.
Areas in which scholarly activity may be pursued include:
- Basic, clinical or translational biomedicine
- Health services
- Quality improvement
- Education
- Advocacy and public policy
Examples of acceptable activities:
- Biomedical research
- Critical meta-analysis of the literature
- Systematic review of clinical practice
- Critical analysis of public policy
- Curriculum development with an assessment component
Examples of written work products:
- Peer-reviewed publication
- In-depth manuscript describing the completed project
- Thesis or dissertation written in connection with an advanced degree
The scholarly activity must be at or near completion during the fellow’s final year of training. The fellow may also choose to participate in more than one project that meets the guidelines for the scholarly activity.
Year One
- Select research area of interest and identify mentor
- Develop research question or topic
- Develop study or project design
- Conduct relevant literature review
- Obtain IRB credentials
- Obtain IRB approval for project, if applicable
- Project initiation
Year Two
- Data collection and analysis
- Abstract preparation and submission
- Manuscript preparation and submission
- Preparation of written work product
- Presentation of project
Advanced Degree
Fellows have the ability to explore the potential of an advanced degree. Ideally, interest should be identified at the onset of the fellowship. Approval from the program director, section chief and department chair are all necessary.
Why Hospital Medicine?
Pediatric hospital medicine is a rapidly evolving and growing field. 2015 data estimates 5,000 pediatric hospitalists in the U.S. Membership in the AAP Section of Hospital Medicine has tripled between 2005 and 2015 with more than 1,500 current members.
Significant progress has been made with the development of pediatric hospital medicine core competencies as well as discipline specific research, quality improvement, textbooks and journals. Pediatric hospitalists assure the best care of hospitalized children and various literature has demonstrated a positive impact on children’s health via efficiency, cost, quality of care, generation of practice guidelines, immediacy of access, and provider/patient satisfaction.
More recently, in 2016, the American Board of Pediatrics (ABP) along with the American Board of Medical Specialties endorsed and approved Pediatric Hospital Medicine with subspecialty certification. This certification will assure the public that the title ‘Board Certified Pediatric Hospitalist’ indicates a proficient level of skill and knowledge has been attained and validated.
Certification will improve standardization of curricula and consistency of hospitalist fellowship training and result in a better definition of hospitalists’ scope of practice, thus supporting public accountability. It will further accelerate improvements and innovation in quality improvement science as applied to pediatric inpatient care and enhance development of professionals skilled in addressing child health safety issues within the context of health care systems. Certification will raise the level of care of all hospitalized children by establishing best practices in clinical care and disseminating them to all caring for hospitalized children, whether in academic or community hospital settings.
Faculty & Fellows
Salary & Benefits
Our Fellows are hospital employees, and as such, they are eligible for the same benefits other full-time staff receive (with the exception of paid time off, which is outlined.)
Application & Selection
Fellowship candidates will be expected to graduate or have graduated from an ACGME accredited Pediatrics or Internal Medicine-Pediatrics Residency Program and be pediatric board eligible or certified. Pediatric Hospital Medicine uses a shared, uniform application, which can be found here, and participates in the fall Match through the National Resident Matching Program (NRMP).
Fall NRMP applications open in September with rank orders due in November and Match day occurs in December. Interested and eligible candidates will complete the shared application and enter the match process through NRMP. A fellowship recruitment committee will screen applications, invite candidates to interview and rank and submit a final rank order list.
Contact
For more information, please contact:
Danielle Bingham
Program Coordinator
nchhpfellowship@NationwideChildrens.org
(614) 722-3019
Nancy N. Liao, MD
Program Director
Nancy.Liao@NationwideChildrens.org
Ryan S. Bode, MD, FAAP
Division Chief
Ryan.Bode@NationwideChildrens.org