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Pediatric Hospital Medicine Fellowship

Since 2014, Akron Children’s Hospital has been pleased to offer a 2-year fellowship program in Pediatric Hospital Medicine (PHM).

Core training in hospital medicine occurs on the four inpatient general pediatric teaching services at Akron Children’s Main Campus, the 253-bed flagship hospital of the largest pediatric healthcare provider in Northeast Ohio.  Each team is comprised of senior residents, interns and medical students, with ready access to ancillary staff including case managers, social workers, dietitians, therapists and child life specialists.

A track for internal medicine-pediatrics residency program graduates (IMPHM) that includes inpatient rotations in internal medicine is also available.  Training in adult hospital medicine occurs on the teaching service at Cleveland Clinic Akron General, a 532-bed teaching hospital that serves as the hub for Cleveland Clinic’s Southern Region.

Additional rotations through the pediatric intensive care unit, emergency department, and newborn nursery/delivery room broaden clinical skills and enhance comfort with critically ill patients.  Fellows also gain ample experience with procedural sedation and analgesia at one of the largest hospitalist-led sedation services in the country.  All rotations are structured to permit independent medical decision-making with graduated autonomy.

Fellows spend non-clinical time in a mentored research project with the goal of national presentation or peer-reviewed publication.  Akron Children's Rebecca D. Considine Research Institute provides assistance with study design, statistical analysis, and manuscript preparation.  Fellows also actively participate in ongoing quality improvement projects within the division of Hospital Medicine.

The division is led by James Nard, MD, who manages the activities of more than 40 hospitalists providing inpatient care at five northeast Ohio locations.  Faculty at the Akron campus hold academic appointments at Northeast Ohio Medical University (NEOMED) and boast a variety of clinical, educational and administrative interests.

Members of the division include the senior associate dean of clinical affairs and assistant dean of admissions at NEOMED, the associate director of the pediatric residency program, and the physician leader at the Center for Operational Excellence, as well as the directors of the pediatric clerkship, pediatric residency quality improvement program, pediatric evidence-based medicine and journal club curriculum, pediatric residency simulation program, and sedation services at Akron Children’s Hospital.

Year One

Clinical (27 weeks)

10        Inpatient Medicine

2          Community Hospital Medicine

2          Newborn Nursery/Delivery Room

4          Pediatric ED

2          Procedural Sedation

2          Pediatric Surgery

2          Palliative Care

2          CARE Center/Child Abuse & Neglect

1          Anesthesia Experience

Non-clinical (16 weeks)

Improvement Science, Clinical & Translational Research, Medical Education, Leadership, Business Administration, Patient Safety, Advocacy

 

Other (9 weeks)

4          Elective

3          Vacation

1          CME

1          Orientation

 

Year Two 

Clinical (28 weeks)

10        Inpatient Medicine

2          Community Hospital Medicine

2          Special Care Nursery/Delivery Room

4          Pediatric ICU

2          Procedural Sedation

2          Consult/Co-Management

4          Complex Care

            (Hattie Larlham/Trach-vent clinic)

2          Pain Management

Non-clinical (16 weeks)

Improvement Science, Clinical & Translational Research, Medical Education, Leadership, Business Administration, Patient Safety, Advocacy

 

Other (8 weeks)

4          Elective

3          Vacation

1          CME

 

Year One    

Clinical (29 weeks)

8          Adult Hospital Medicine

6          Pediatric Hospital Medicine

2          Peds Community Hospital Medicine

2          Newborn Nursery/Delivery Room

4          Pediatric ED

2          Procedural Sedation

2          Pediatric Surgery

2          Palliative Care

1          Anesthesia Experience

 

Non-clinical (16 weeks)

Improvement Science, Clinical & Translational Research, Medical Education, Leadership, Business Administration, Patient Safety, Advocacy

 

Other (7 weeks)

2          Elective

3          Vacation

1          CME

1          Orientation

 

Year Two

Clinical (30 weeks)

8          Adult Hospital Medicine

6          Pediatric Hospital Medicine

2          Peds Community Hospital Medicine

2          Newborn Nursery/Delivery Room

4          Pediatric ICU

2          Procedural Sedation

2          Pediatric Consult/Co-Management

4          Complex Care

            (Hattie Larlham/Trach-vent clinic)

 

Non-clinical (16 weeks)

Improvement Science, Clinical & Translational Research, Medical Education, Leadership, Business Administration, Patient Safety, Advocacy

 

Other (6 weeks)

2          Elective

3          Vacation

1          CME

The fellowship program seeks to ensure that trainees develop proficiency in the PHM Core Competencies developed by the Society of Hospital Medicine and endorsed by the American Academy of Pediatrics and Academic Pediatric Association.  Fellows achieve this through broad clinical exposure as well as mentored clinical research and quality improvement projects.  Fellows also pursue any one of numerous opportunities, whether in medical education, patient safety, or global health, that our large integrated pediatric health care system affords.  Since its inception, the emphasis of the program has been firmly on fellow education and not clinical service.

Upon completion of our fellowship program, graduates will be clinically competent and competitive for any position, whether in a large academic medical center or small community hospital.  They will also be prepared to assume leadership roles and advance the discipline of pediatric hospital medicine for years to come.

For more information about our program, please contact the hospital medicine fellowship director, Jeffrey D. Solomon, MD, at jsolomon@akronchildrens.org or 330-543-4440.

The PHM Fellowship Program Common Application can be downloaded from the PHM Fellows website at http://phmfellows.org.  Applications are accepted beginning in July and invitations to interview are extended in August.  One-day interviews are scheduled between Labor Day and Thanksgiving.  Along with most PHM fellowship programs, we participate in the National Resident Matching Program® Pediatric Subspecialties Fall Match.

Stipends

(Effective July 1, 2018)

PL-4 – $64,400

PL-5 – $65,930

PL-6 -- $67,715

 

Vacation

House offices are granted 3 weeks of vacation or 15 customary working days.

 

Conference Time

Fellows are entitled to 5 days of conference time each year for medical conventions and courses outside the hospital.

 

Educational Allowance

Fellows are provided $1,500 annually for use toward medical-related journals or books, conferences, and license renewals.

 

Research and Scholarship Travel

We encourage and support investigator-initiated research by subspecialty fellows. Therefore, we support research-related travel when the fellow is in good academic and professional standing, and when prior written approval of the program director is documented. All hospital policies relating to travel must be followed.

 

Professional Liability

Professional liability insurance is provided by the hospital.

 

Health Benefits

Fellows and their dependents are eligible to enroll in the hospital’s health, dental, and vision insurance programs. Costs are shared between the fellow and the hospital. Benefits are available immediately.

 

Retirement Benefits

Fellows may participate in the Hospital’s 403(b) Plan from their date of hire. Match dollars are not available to fellows.

 

Medical License & DEA

Fellows are required to obtain an Ohio State Medical License and DEA certificate prior to beginning training.

 

Parking

A key access card for convenient parking is provided at no charge.

 

Lab Coats

One embroidered lab coat is provided if desired.

 

Meals

Fellows are given $60 every week for use in the hospital cafeteria.

 

Relocation expenses

The hospital provides reimbursement for initial relocation expenses, up to $1,000, subject to current tax laws.

 

Smoke, Electronic Cigarette and Tobacco-Free Campus

Akron Children’s is a tobacco-free healthcare system. Prospective employees who test positive for nicotine will have their offer of employment rescinded and will not be permitted to start work.