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Training Program - Pediatric Hospital Medicine Fellowship
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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 two to three years, depending on the fellow’s qualifications. 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. The program has received accreditation by the Ambulatory Pediatric Association.
Clinical:
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 or technology-dependent children occurs at The HSC Pediatric Center, a 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 affiliate, Holy Cross Hospital in Silver Spring, MD. 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 such rotations in the neonatal intensive care unit, transport medicine, and child abuse and neglect.
Academic:
The academic program consists of didactic bedside teaching, formal educational sessions, division and hospital-wide conferences, and faculty development seminars. Fellows attend a monthly seminar series with fellows from other divisions, covering such topics as evidence-based medicine, research, and teaching skills. This series is taught by faculty members within and outside of the division who 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.
Research:
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 Certificate or Master of Public Health degree.
Administrative:
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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Applicants must be successful graduates of an ACGME-approved pediatric residency program. The application consists of a CV, two letters of reference, and a one-page personal statement detailing your reasons for wanting to pursue the training program. Deadline for application submission for 2010 is November 1, 2009.
Key Contact:
Neha H. Shah, MD
Fellowship Director, Pediatric Hospital Medicine
Children’s National Medical Center
Suite M4800, Office M-4825
111 Michigan Ave NW
Washington D.C. 20010
Phone: 202-476-4835
Fax: 202-476-3732
E-mail: nshah@cnmc.org
Applications will be reviewed on a rolling basis and interviews typically run from mid-September to mid-November. Notification of acceptance follows shortly thereafter.
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Fellows can complete a Masters in Public Health from the George Washington University School of Medicine and Health Sciences.
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The fellowship program is structured over two to three years, depending on the applicant's qualifications.
- Traditional Fellow- 3 years, for those just finishing residency training without clinical experience as an attending
- Faculty Fellow- 2-3 years, for those who have completed residency training and with clinical experience as an attending after residency
CNMC Hospitalist Fellowship Former Graduates
Name: Evelina Krieger, MD
Year of graduation: 2009
Length of Fellowship: 2 years
Track: Faculty Fellow
Fellowship Accomplishments:
- During my 2nd year of fellowship I served as interim Medical Unit Co-Director for the Respiratory Care Unit at CNMC.
- My committee work included the Respiratory Care Unit Care Delivery Team, The Resident Education Committee and the Resident Selection Committee.
- My Quality improvement project focused on updating the inpatient obesity management pathway. I also assisted in creating the Top Safety Goals for the Respiratory Care Unit.
- I completed public health graduate coursework at GWU and will receive a graduate certificate in public health on 12/2009.
Fellowship Publications/Presentations:2009 CNMC Research day poster presentation:
The Benefits of Weekly Anonymous Feedback from Trainees on Overall Teaching Effectiveness of Hospitalist During Inpatient Pediatric Rotation – Received first place in the fellow/post-graduate category. Also submitted for PAS 2010.
Current Employment/Interests/Administrative Titles/duties
Employment: Children’s National Medical Center and HSC Pediatric Center. I work as an attending on the inpatient units at CNMC. I also work at HSC Pediatric Center, running the 2 West "Premie Unit".
Appointment: Assistant Professor of Pediatrics, The George Washington University School of Medicine
Interests: Educational research, family centered rounds, obesity management.
Testimonial: After graduating from residency, I wanted more training in areas such as research, medical education, and hospital administration. I also have a strong interest in public health, advocacy, and health policy. I have had various opportunities and venues with which to further my training, education, and experience in these areas. Since CNMC is located conveniently in DC, I have been able to participate in advocacy events and speak with Senators/Congressmen about childhood obesity. I was able to take an intensive 3 week course offered through GW which allowed me to explore public health policy. The mentorship given through the fellowship allowed me to develop research, teaching, and leadership skills.
Name: Paul Manicone, MD
Year of graduation: 2008
Length of Fellowship: 2 years, 7 months
Track: Faculty Fellow
Fellowship Accomplishments:
- During 3rd year of fellowship, I was appointed the medical director of the International Program Office.
- My committee work included the Medical Care Unit Care Delivery Team, The Curriculum Committee and the Resident Selection Committee.
- My Quality improvement project: I instituted a multidisciplinary afternoon rounds to demonstrate that post rounding communication would have a positive impact on discharge planning.
- I completed 17 credits of graduate coursework at GWU and am will receive a graduate certificate in public health.
- Upon graduation, I was appointed fellowship director of the PHM fellowship at CNMC. I served in this role from 2008-2009.
Fellowship Publications/Presentations: 2008 PAS poster presentation: Epidemiology of Invasive Group A Streptococcus in Children (also presented at 2008 CNMC Research day and 2008 GWU Research day)
Current Employment/Interests/Administrative Titles/duties
Employment:Children’s National Medical Center
Appointment: Assistant Professor of Pediatrics, The George Washington University School of Medicine
Administrative Title: Associate Chief, Division of Pediatric Hospital Medicine
Interests: Medical informatics as it relates to quality of care delivery, throughput and documentation. Other interests include educational research, family centered rounds, handoff communication, and disaster planning
Testimonial: Despite graduating from my pediatric residency at a large, urban, academic tertiary care medical center, I felt as though I lacked the necessary skill sets to be a successful clinical investigator and academician. I also was lacking in experience in the area of hospital policy and administration. These areas were the areas of my focus during my PHM fellowship. In the end it was the best decision of my career and the investment has had a huge payoff! I enjoy the diversity of my position as a clinician, an educator, an advisor, and an administrator. The hospital based specialties curriculum is uniquely designed to teach fellows not only research and QI skills, but also faculty development skills which are invaluable!
Name: Neha H. Shah, MD
Year of graduation: 2008
Length of Fellowship: 2 years
Track: Faculty Fellow
Fellowship Accomplishments:
- During the second year of the fellowship, I was the chairperson for the Hospitalist Division Resident Education Committee; I also participated in the Curriculum Committee, HSC Pediatric Palliative Care Committee and the HSC Medical Executive Committee
- My Quality improvement project: I was the physician leader for the Acute Gastroenteritis Clinical Pathway committee and participated in the rapid-cycle implementation of the pathway.
- Developed and co-led a Global Health Curriculum for Pediatric Residents
- I completed 20+ credits of graduate coursework at GWU and received a graduate certificate in public health.
- I spear-headed the development of a Hospitalist Fellows Orientation Guide/Handbook
Fellowship Publications/Presentations:
2008 PAS Platform Presention: Neonatal Urinary Tract Infection: Variability in Length of Intravenous Antibiotic Therapy (also presented at 2008 Annual Pediatric Hospital Medicine Conference; poster presentation at 2008 CNMC Research Day and 2008 GW Research Day)
2008 PAS Poster Presentation: Implementation of a Global Child Health Curriculum for Pediatric Trainees (also presented at 2008 CNMC Research Day)
Current Employment/Interests/Administrative Titles/duties
Employment: Children’s National Medical Center
Appointment: Assistant Professor of Pediatrics, The George Washington University School of Medicine
Administrative Title: Fellowship Director, Division of Pediatric Hospital Medicine
Interests: Trainee education, development of autonomy and clinical decision-making skills in pediatric residents, global child health.
Testimonial: Upon completing residency, I began working as a pediatric hospitalist at a large, free-standing academic children’s hospital. After one year, I recognized that I lacked some necessary skills essential to thriving in an academic setting, specifically related to being a clinician-educator, conducting research and providing leadership in the hospital setting. These areas were the areas of my focus during my PHM fellowship. By the end of my fellowship training, I came away with a solid foundation and experience in conducting clinical research, leading hospital committees, doing quality improvement work and serving as an educator. Given what my needs and interests were, it was the right decision for me and I would recommend fellowship training to anyone who has similar desires and career goals. This program in particular offered advocacy training and leadership/faculty development training that was unique and invaluable to my career.
Name: Jennifer Maniscalco, MD, MPH
Year of graduation: 2005
Length of Fellowship: 2 years
Fellowship Accomplishments:
- Physician Leader of Bronchiolitis Pathway Committee
- Involvement in medical student and resident education, including participation on the Residency Selection Committee
- Completed graduate coursework towards an MPH (Epidemiology), special project completed and degree awarded in following year
- Upon graduation, I was appointed the CNMC PHM Fellowship Director. I served in this role from 2005 to 2008. During this time, I formalized the PHM fellowship curriculum and participated in the development of the Hospital-Based Specialties Fellowship Core Curriculum.
Fellowship Publications/Presentations:
- Dhanireddy KK, Maniscalco J, Kirk AD. Is tolerance induction the answer to adolescent non-adherence? Pediatr Transplant. 9(3): 357-63, 2005.
- Maniscalco J, Ottolini M, Turenne W, Chavanu K, Slonim AD. Long stay patients in academic children’s hospitals. J Clin Outcomes Management. 13(5): 270-278, 2006.
- Maniscalco J, Ottolini MC, Turenne W, Kerzner B, Pastor W, Chavanu K, Slonim AD: Outliers for length of stay during pediatric hospitalization. Ped Res 55:315A, 2004. Platform presentation at Pediatric Academic Societies Annual Meeting, San Francisco, CA, May 2004.
- Ottolini MC, Maniscalco J. Educational Scholarship: Sharing Resources and Developing research. Pediatric Hospital Medicine Conference, Denver, CO, July 28-31, 2005.
Current Employment & Titles:
Employment: Children’s Hospital Los Angeles, Division of Hospital Medicine
Appointment: Assistant Clinical Professor of Pediatrics, USC Keck School of Medicine
Administrative Title: Director of Education, Division of Hospital Medicine
Interests: Education of medical students, residents, and fellows; Curriculum development for pediatric hospital medicine elective and fellowship; Educational initiatives related to pediatric hospital medicine as a discipline
Testimonial: I was the first fellow to enter and complete the CNMC PHM Fellowship. What a gamble – but one that was well worth it! The fellowship provided me with exceptional mentorship, as well as the additional teaching, administrative, and other academic skills that I needed to be a successful clinician-educator. It also opened doors with regard to leadership positions and other opportunities, including the chance to be involved with national organizations dedicated to the advancement of the field of pediatric hospital medicine.
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