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  Training Program - Pediatric Hospital Medicine

Description How to Apply Benefits Contracts Length of Training
Fellowship Overview:
The Children’s National Medical Center Pediatric Hospital Medicine Fellowship trains academic hospitalists who will be experts in the fields of clinical medicine, education, and research. The program is structured over three years to allow adequate time for mastery of the skills necessary for completion of a scholarly project. Fellows will work closely with members of the Children’s Hospitalist Division, national leaders in the fields of hospital medicine and medical education. Fellows participate in a combination of clinical rotations, structured educational seminars, research activities, performance improvement initiatives, and other administrative responsibilities. Fellows have the opportunity to obtain a Graduate Certificate or Master of Public Health from The George Washington University School of Public Health and Health Services. Additional offerings include a Graduate Certificate in Clinical Research, Graduate Certificate in Medical Education or a Master of Science in Healthcare Quality. The program has received accreditation by the Academic Pediatric Association.

Clinical training occurs primarily at Children’s Hospital. On the inpatient hospitalist service, the fellow will lead a multidisciplinary team in the evidence-based evaluation and management of children with both single and complex medical problems. Additional clinical training in the care of medically complex, technology-dependent children occurs at The HSC Pediatric Center, aa transitional care and rehabilitation facility. Here, the fellow will focus on learning the fundamentals of and complications associated with technologic devices, as well as improving the delivery of care to medically complex children. Additional time may be spent at our community affiliates, Holy Cross Hospital in Silver Spring, MD or Mary Washington Hospital in Fredericksburg, VA. The fellow will gain skills in the evaluation and management of the severely ill or injured child, airway management, pain management, and central line placement by participating in rotations through the pediatric intensive care unit, emergency department, and anesthesia. Elective clinical time is available for other rotations such as newborn nursery, transport medicine, and child abuse and neglect.

The academic program consists of bedside teaching, formal educational sessions, division and hospital-wide conferences, and faculty development seminars. Fellows attend a bi-monthly seminar series with fellows from other divisions, which focuses on medical education, research skills, quality improvement and leadership. This series is taught by faculty members within and outside of the division, many of whom have completed the Master Teacher Program in medical education. Hospitalist Division conferences occur on a monthly basis, and consist of journal club, morbidity and mortality, and topic discussions. Fellows are expected to contribute to division conferences and play a major teaching role while on the inpatient service. On a regular basis, faculty members observe the fellow’s teaching activities and provide feedback.

Over the course of the program, the fellow is expected to formulate a research question relevant to pediatric hospital medicine, design and implement a research study, and analyze the results. The fellow is expected to present the findings at a regional or national meeting and submit them for publication in a peer-reviewed journal. Research fundamentals will be taught at the monthly fellows’ conference. More advanced information and skills are attained through completion of graduate coursework.

Committee membership and participation in a performance improvement initiative within the Hospitalist Division will facilitate exposure to such topics as risk management, safety, quality, and infection control. Fellows will also learn about effective leadership, management, coding and billing, and budgeting.


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