For Professionals

Pediatric Hospital Medicine Fellowship

 

Inpatient Pediatrics Service

Duration: 24 weeks (6 blocks)

Under the supervision of attending physicians in Pediatric Hospital Medicine, fellows assume primary medical responsibility for the patients on this service. Fellows provide direct clinical care in concert with fellow team members and consultant physicians, teach and provide feedback to learners across the continuum, and champion principles of patient and family-centered care. The patients on this service have a wide variety of conditions, ranging from fever, dehydration, or respiratory distress all the way through status asthmaticus, aspiration pneumonia, neurologic impairment, and dysphagia and feeding difficulties. Four weeks will be spent at NewYork-Presbyterian Queens, a community teaching hospital within the NewYork-Presbyterian enterprise.

 

Newborn Nursery

Duration: 4 weeks

Fellows will practice under the supervision of general hospitalists and nursery hospitalists to provide routine care to healthy newborns, including building skills in sharing anticipatory guidance, addressing social determinants of health in the newborn period, ensuring appropriate transitions of care, and performing circumcisions. Fellows will also care for newborns in the continuing care nursery for infants with diagnoses such as hyperbilirubinemia, hypoglycemia, and observation/evaluation for sepsis.

 

Surgical Comanagement

Duration: 4 weeks

Fellows will provide care to patients within the model of medical and surgical comanagement in various units. Fellows provide direct clinical care alongside attending physicians in Pediatric Hospital Medicine, and learn important skills in supervision of nurse practitioners. Patients on this service have high acuity and conditions include acute respiratory failure and post-operative care (idiopathic scoliosis, hydrocephalus, obstructive sleep apnea).

 

Critical Care

Duration: 4 weeks

Fellows will join the Rapid Response Team, providing support to critically ill children in many inpatient and outpatient settings within the hospital. Fellows will also work with pediatric critical care fellows and intensivists to better understand and assist with transfers of care into and out of the pediatric intensive care unit.

 

Pain/Sedation

Duration: 2-4 weeks

Fellows will rotate with specialists on the pediatric pain service to better understand best practices around acute and chronic pain management in hospitalized patients. Additionally, fellows will rotate with providers administering procedural sedation to children in order to understand basics of providing moderate sedation for minimally invasive imaging and procedures.

 

Pediatric Palliative Care

Duration: 2-4 weeks

Fellows will engage in consultation and care of patients with serious illness, working with patients and families to provide an additional layer of support. As part of the pediatric palliative care team, fellows may participate in discussions around end-of-life care, advanced directives and goals of care, and symptom management in a primary palliative care model. Fellows will also receive a case-based didactic series around principles of palliative care and may participate in monthly palliative care collaborative meetings.

 

Caring for Children with Medical Complexity

Duration: 4 weeks

Fellows will focus specifically on the care of children with medical complexity during this rotation. They will have the opportunity to appreciate challenges faced by parents of children with medical complexity, ranging from medication management, medical technology, and subspecialty medical management to transitions of care. Fellows will rotate with providers in the Columbia Complex Care program and the Cornell Special Needs clinic, participate in interdisciplinary team meetings, and also spend time with pediatric physical medicine and rehabilitation physicians and therapists at Blythedale Children’s Hospital.

 

Infection Control/Antibiotic Stewardship

Duration: 2-4 weeks

Fellows will work with hospital epidemiologists to understand principles of hospital- and community-wide antibiotic stewardship. Fellows will also provide direct consultation to hospitalized children with the infectious diseases consultation service.

 

Behavioral and Mental Health

Duration: 2-4 weeks

Fellows will focus on the care of children with behavioral and mental health disorders as a result of acute/chronic illness, or underlying psychiatric disease, particularly as they relate to hospitalization. Fellows will mostly rotate with the psychiatry consult liaison service in an inpatient setting.

 

Individualized Curriculum

Duration: 12-16 weeks

Fellows with work with program directors to develop a schedule of electives to meet the goals and objectives outlined in their individual learning plans. This may include clinical and non-clinical electives tailored toward the clinical, scholarly, and professional development needs of each individual fellow.

 

Systems and Scholarship

Duration: 32 weeks (8 blocks)

Through instruction and mentorship from faculty from all campuses, fellows will learn and apply principles of quality improvement, clinical research, medical education, advocacy, and hospital operations. This includes dedicated time for fellows to engage in scholarly activity in their area of choice.