Pediatric Hospital Medicine Fellowship Rady Children’s HospitalPediatric Hospital Medicine Fellowship Rady Children’s Hosp...
The PHM FacultyThe PHM Faculty
DirectorshipsDirectorships
Medical Director of Chadwick Center for Child ProtectionMedical ...
OverviewOverview
• Clinical TrainingClinical Training
• Academics and TeachingAcademics and Teaching
• AdvocacyAdvocacy
• ...
Clinical TrainingClinical Training
• Admissions and ConsultationsAdmissions and Consultations
• Children’s EmergencyChildr...
Academics and TeachingAcademics and Teaching
Weekly ward schedule at Rady:Weekly ward schedule at Rady:
* Attending Rounds...
AdvocacyAdvocacy
ExperiencesExperiences
• Juvenile HallJuvenile Hall
• HospiceHospice
• AAPAAP
• California Specialty Care...
Doctor’s Black Bag ConferencesDoctor’s Black Bag Conferences
• Medi-Cal and CaliforniaMedi-Cal and California
Children’s S...
Quality Improvement andQuality Improvement and
LeadershipLeadership
• QI and Risk ManagementQI and Risk Management
Committ...
ResearchResearch
• Formal clinical research training throughFormal clinical research training through
UCSD CREST program: ...
The Two Year ScheduleThe Two Year Schedule
• 96 weeks of training over two years96 weeks of training over two years
• *4 w...
The One Year ScheduleThe One Year Schedule
Training weeks below are estimatesTraining weeks below are estimates
WeeksWeeks...
The Rady Children’s Pediatric HospitalThe Rady Children’s Pediatric Hospital
Medicine Fellowship Training Program:Medicine...
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Pediatric Hospital Medicine Fellowship Rady Children's ...

  1. 1. Pediatric Hospital Medicine Fellowship Rady Children’s HospitalPediatric Hospital Medicine Fellowship Rady Children’s Hospital San DiegoSan Diego in affiliation with the University of California San Diegoin affiliation with the University of California San Diego
  2. 2. The PHM FacultyThe PHM Faculty DirectorshipsDirectorships Medical Director of Chadwick Center for Child ProtectionMedical Director of Chadwick Center for Child Protection Co-Medical Director of Polinsky Children’s Home for neglected and abused childrenCo-Medical Director of Polinsky Children’s Home for neglected and abused children Medical Director of Juvenile HallMedical Director of Juvenile Hall Medical Director of Pediatric HospiceMedical Director of Pediatric Hospice Medical Director for Quality and Patient SafetyMedical Director for Quality and Patient Safety Medical Director of GMEMedical Director of GME Medical Director of Children’s Home CareMedical Director of Children’s Home Care Director of Inpatient Services at RCHSDDirector of Inpatient Services at RCHSD Chief Medical Informatics Officer, RCHSDChief Medical Informatics Officer, RCHSD Medical Director, Pediatric Unit, Palomar Medical CenterMedical Director, Pediatric Unit, Palomar Medical Center Medical Director, Pediatric Unit, Sharp Grossmont HospitalMedical Director, Pediatric Unit, Sharp Grossmont Hospital Co-Director of Children’s Emergency Transport ServicesCo-Director of Children’s Emergency Transport Services Advanced Degrees, and Advanced Clinical TrainingAdvanced Degrees, and Advanced Clinical Training Masters in Medical ManagementMasters in Medical Management Masters of Business AdministrationMasters of Business Administration Masters in EducationMasters in Education Board Certification in HospiceBoard Certification in Hospice Clinical Dermatology FellowshipClinical Dermatology Fellowship Genetics FellowshipGenetics Fellowship Ethics formal trainingEthics formal training Palliative Care formal trainingPalliative Care formal training
  3. 3. OverviewOverview • Clinical TrainingClinical Training • Academics and TeachingAcademics and Teaching • AdvocacyAdvocacy • Quality Improvement and LeadershipQuality Improvement and Leadership • ResearchResearch
  4. 4. Clinical TrainingClinical Training • Admissions and ConsultationsAdmissions and Consultations • Children’s EmergencyChildren’s Emergency Transport and TraumaTransport and Trauma • Pediatric ICU trainingPediatric ICU training • Skills knowledge andSkills knowledge and evaluationsevaluations • Community sites atCommunity sites at Palomar Medical Center andPalomar Medical Center and Sharp Grossmont HospitalSharp Grossmont Hospital (non-teaching experience)(non-teaching experience)
  5. 5. Academics and TeachingAcademics and Teaching Weekly ward schedule at Rady:Weekly ward schedule at Rady: * Attending Rounds - team* Attending Rounds - team * EBM Conferences* EBM Conferences * Morning Case Conf* Morning Case Conf * Professor’s Rounds* Professor’s Rounds • Fellows attend multiple conferences,Fellows attend multiple conferences, including: Pediatric, ICU, and CHETincluding: Pediatric, ICU, and CHET M&M; Hospitalist Core Curriculum Series;M&M; Hospitalist Core Curriculum Series; UCSD Fellows Research Conference;UCSD Fellows Research Conference; Grand Rounds, and others.Grand Rounds, and others. • Fellows present yearly at the followingFellows present yearly at the following conferences: Resident Noon Conference,conferences: Resident Noon Conference, Division Journal Club, UCSD FellowsDivision Journal Club, UCSD Fellows Research ConferenceResearch Conference
  6. 6. AdvocacyAdvocacy ExperiencesExperiences • Juvenile HallJuvenile Hall • HospiceHospice • AAPAAP • California Specialty Care CoalitionCalifornia Specialty Care Coalition • Polinsky Children’s HomePolinsky Children’s Home • Chadwick Center for ChildChadwick Center for Child ProtectionProtection • Home CareHome Care • Doctor’s Black Bag ConferencesDoctor’s Black Bag Conferences Presentations/ProjectPresentations/Project • One mini-project (4-6 week)One mini-project (4-6 week) • One presentation to Division orOne presentation to Division or ResidentsResidents
  7. 7. Doctor’s Black Bag ConferencesDoctor’s Black Bag Conferences • Medi-Cal and CaliforniaMedi-Cal and California Children’s ServicesChildren’s Services • HMOs and PPOs – a guideHMOs and PPOs – a guide through alphabet soupthrough alphabet soup • Politics and LegislationPolitics and Legislation • Special CommunitySpecial Community Programs to help kidsPrograms to help kids • Physician LiabilityPhysician Liability • Ethics in Medicine 1Ethics in Medicine 1 • Ethics in Medicine 2Ethics in Medicine 2 • Finding a Job, Keeping “fit”Finding a Job, Keeping “fit” • CommunicationCommunication • Outcomes and QualityOutcomes and Quality AssessmentAssessment • Information SystemsInformation Systems • Cultural and Social IssuesCultural and Social Issues • Hospice and Palliative CareHospice and Palliative Care
  8. 8. Quality Improvement andQuality Improvement and LeadershipLeadership • QI and Risk ManagementQI and Risk Management CommitteesCommittees • Pathways and AlgorithmsPathways and Algorithms • Rapid Cycle ImprovementRapid Cycle Improvement with mini-projectwith mini-project • Leadership Training on siteLeadership Training on site and available throughand available through American College ofAmerican College of Physician ExecutivesPhysician Executives
  9. 9. ResearchResearch • Formal clinical research training throughFormal clinical research training through UCSD CREST program: Patient-UCSD CREST program: Patient- Oriented Research, Basic Epidemiology,Oriented Research, Basic Epidemiology, Health Services Research integrated intoHealth Services Research integrated into first year.first year. • Optional second year CREST and MPHOptional second year CREST and MPH or MAS (MPH or MAS requires 3 yror MAS (MPH or MAS requires 3 yr program; please ask for details)program; please ask for details) • Research mentor selected first yearResearch mentor selected first year • Project to be presented as abstract atProject to be presented as abstract at SHM, APA, AAP, or other appropriateSHM, APA, AAP, or other appropriate entityentity
  10. 10. The Two Year ScheduleThe Two Year Schedule • 96 weeks of training over two years96 weeks of training over two years • *4 weeks of vacation per year to equal 52 week per year*4 weeks of vacation per year to equal 52 week per year • 50% of year one is clinical; 50% of year two is research50% of year one is clinical; 50% of year two is research • Schedules may be modified to meet the needs of the fellowSchedules may be modified to meet the needs of the fellow (training weeks below are estimates)(training weeks below are estimates) YearYear OneOne YearYear TwoTwo TOTALTOTAL Clinical (includes shadowing weeks, ED/PICU, 4 weeks clinical elective) 27 1818 45 Research (exclusive of research education) 7 2222 29 Advocacy, Teaching, Presentations, Quality Improvement and Leadership 11 77 18 Orientation, vacation, Boards, Society meeting 7 55 12  Total 52 52 104
  11. 11. The One Year ScheduleThe One Year Schedule Training weeks below are estimatesTraining weeks below are estimates WeeksWeeks 52% Clinical (includes required ED/PICU, shadowing, 2 wks52% Clinical (includes required ED/PICU, shadowing, 2 wks electives)electives) 2727 17% Research17% Research 99 6% Quality Improvement, Admin6% Quality Improvement, Admin 33 6% Education: Academics and Teaching6% Education: Academics and Teaching 33 6% Advocacy6% Advocacy 33 4% Orientation4% Orientation 22 10%Vacation, Boards, Society meeting10%Vacation, Boards, Society meeting 55 99% TOTAL99% TOTAL 5252
  12. 12. The Rady Children’s Pediatric HospitalThe Rady Children’s Pediatric Hospital Medicine Fellowship Training Program:Medicine Fellowship Training Program: Training tomorrow’s leadersTraining tomorrow’s leaders

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