Hospital Medicine Fellowship
Nationwide Children’s Hospital and the Division of Pediatric Hospital Medicine offer a 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
- Advocacy and the promotion of wellness for hospitalized pediatric patients
- Research and quality improvement
- Education of patients, families, trainees and colleagues
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.
Details regarding the certification process, initial certifying examination requirements and program accreditation via the Accreditation Council for Graduate Medical Education are under consideration. Development will be communicated on the national level when available.”
What You Need to Know
- Hospital Pediatrics Inpatient Service – 8 weeks
- Pediatric Intensive Care Unit – 4 weeks
- Surgical Co-management– 2 weeks
- Emergency Medicine – 4 weeks
- Complex Care Service – 2 weeks
- Hospital Pediatric Consultative Service – 4 weeks
- Nursery Service – 4 weeks
- Infectious Disease Service – 4 weeks
- Research, Quality Improvement – 12 weeks
- Individualized Educational Unit – 10 weeks
- Hospital Pediatrics Inpatient Service – 4 weeks
- Hospital Pediatric Consultative Service – 4 weeks
- Community site rotation – 4 weeks
- Specialty Nursery – 2 weeks
- Newborn Nursery – 2 weeks
- Complex Care Service – 2 weeks
- Palliative Care – 2 weeks
- Sedation Rotation – 2 weeks with option to extend to 4 weeks
- Research, Quality Improvement – 24 weeks
- Individualized Educational Unit – 6 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 four months 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):
- Infectious Disease Inpatient or Consultative Service
- Anesthesia/Sedation/Pain Management
- Radiology/Interventional Radiology
- Physical Medical and Rehabilitation Inpatient Service
- Surgical Specialties Inpatient Service
- Palliative Care and Hospice
- Forensics and Child Abuse
- Complex Care Inpatient Service
- Research, Quality Improvement – (Additional research/QI dedicated time for robust ongoing project work. Requires program director and research mentor approval)
- Renal/Rheumatology/Endocrine Inpatient Service
- Gastroenterology Inpatient Service
- Cardiology Inpatient Service
- Pulmonary Inpatient Service
- Hematology/Oncology Inpatient Service
- Psychiatry Inpatient Service
- Administrative Medicine Experience
- Global Health Medicine
- Medical Education Innovation
NCH fellowship core competency lecture series
Hospital Pediatrics fellowship core lecture series
Hospital Pediatrics “Grand Rounds” series
Hospital Pediatrics Journal Club
Every other month
NCH clinical/translational fellows research curriculum
NCH Quality Improvement fellows curriculum
Fellows will also attend both the annual fall Pediatric Hospital Medicine Fellows Conference and the summer Pediatric Hospital Medicine Conference.
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
- Advocacy & 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.
- 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
- Data collection and analysis
- Abstract preparation and submission
- Manuscript preparation and submission
- Preparation of written work product
- Presentation of project
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. Option for extending fellowship to a 3rd year may also be a possibility and necessary if an advanced degree is pursued.
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
Meet our Hospital Medicine Fellowship faculty.
Meet Our Fellows
Melanie Marsh, MD
Second Year Fellow
Dr. Melanie Marsh is from Gainesville, Florida. She attended the University of North Carolina- Chapel hill for her undergraduate degree in Ancient/Medieval History with a minor in Chemistry. She moved to join her family in Chicago, IL for medical school. After graduation she returned to North Carolina to initially pursue a residency in Family Medicine/Sports medicine. But the kids stole her heart and she ultimately transferred to Wake Forest Baptist to complete a residency in Pediatrics. She is excited to join NCH as a hospitalist fellow for the 2018/2019 year. Her interests include teaching, traveling, running, biking and swimming.
Hilary Lin, MD
First Year Fellow
Dr. Hilary Lin is from Hartford, Connecticut. She earned her undergraduate degree in Biology at the College of William and Mary and completed her medical school at Penn State. After graduation she went to the University of Rochester for her pediatric residency.
Hilary is very excited to join Nationwide Children’s where there is such a strong focus on quality improvement and patient safety. Outside of the hospital she enjoys running, biking, trying new restaurants, and watching the Columbus Crew.
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 has a centralized uniform application and participates in the National Resident Matching program (NRMP) and specifically the fall match.
Pediatric Hospital Medicine currently uses a standardized application, which can be found here.
Fall NRMP applications open in September with rank orders due in November and a December match day. Interested and eligible candidates will complete the standardized 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.