Pediatric Hospital Medicine Fellowship Rady Pediatric Hospital Medicine Fellowship Rady Children’s Hospital San Diego Children’s Hospital San Diego

in affiliation with the University of California San in affiliation with the University of California San

DiegoDiego

The PHM FacultyThe PHM FacultyDirectorshipsDirectorships

Medical Director of Chadwick Center for Child ProtectionMedical Director of Chadwick Center for Child ProtectionCo-Medical Director of Polinsky Children’s Home for neglected and abused childrenCo-Medical Director of Polinsky Children’s Home for neglected and abused childrenMedical Director of Juvenile HallMedical Director of Juvenile HallMedical Director of Pediatric HospiceMedical Director of Pediatric HospiceMedical Director for Quality and Patient SafetyMedical Director for Quality and Patient SafetyMedical Director of GMEMedical Director of GMEMedical Director of Children’s Home CareMedical Director of Children’s Home CareDirector of Inpatient Services at RCHSDDirector of Inpatient Services at RCHSDChief Medical Informatics Officer, RCHSDChief Medical Informatics Officer, RCHSDMedical Director, Pediatric Unit, Palomar Medical CenterMedical Director, Pediatric Unit, Palomar Medical CenterMedical Director, Pediatric Unit, Sharp Grossmont HospitalMedical Director, Pediatric Unit, Sharp Grossmont HospitalCo-Director of Children’s Emergency Transport ServicesCo-Director of Children’s Emergency Transport Services

Advanced Degrees, and Advanced Clinical TrainingAdvanced Degrees, and Advanced Clinical TrainingMasters in Medical ManagementMasters in Medical ManagementMasters of Business AdministrationMasters of Business AdministrationMasters in EducationMasters in EducationBoard Certification in HospiceBoard Certification in HospiceClinical Dermatology FellowshipClinical Dermatology FellowshipGenetics FellowshipGenetics FellowshipEthics formal trainingEthics formal trainingPalliative Care formal trainingPalliative Care formal training

OverviewOverview

• Clinical TrainingClinical Training• Academics and TeachingAcademics and Teaching• Advocacy Advocacy • Quality Improvement and Quality Improvement and

Leadership Leadership • ResearchResearch

Clinical TrainingClinical Training

• Admissions and Admissions and ConsultationsConsultations

• Children’s Emergency Children’s Emergency Transport and TraumaTransport and Trauma

• Pediatric ICU trainingPediatric ICU training• Skills knowledge and Skills knowledge and

evaluationsevaluations• Community sites at Community sites at

Palomar Medical Center Palomar Medical Center and Sharp Grossmont and Sharp Grossmont Hospital (non-teaching Hospital (non-teaching experience)experience)

Academics and TeachingAcademics and TeachingWeekly 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 Fellows attend multiple conferences, including: Pediatric, conferences, including: Pediatric, ICU, and CHET M&M; Hospitalist ICU, and CHET M&M; Hospitalist Core Curriculum Series; UCSD Core Curriculum Series; UCSD Fellows Research Conference; Fellows Research Conference; Grand Rounds, and others.Grand Rounds, and others.

• Fellows present yearly at the Fellows present yearly at the following conferences: Resident following conferences: Resident Noon Conference, Division Journal Noon Conference, Division Journal Club, UCSD Fellows Research Club, UCSD Fellows Research ConferenceConference

AdvocacyAdvocacyExperiencesExperiences• Juvenile HallJuvenile Hall• HospiceHospice• AAPAAP• California Specialty Care California Specialty Care

CoalitionCoalition• Polinsky Children’s HomePolinsky Children’s Home• Chadwick Center for Child Chadwick Center for Child

ProtectionProtection• Home CareHome Care• Doctor’s Black Bag Doctor’s Black Bag

ConferencesConferencesPresentations/ProjectPresentations/Project• One mini-project (4-6 week)One mini-project (4-6 week)• One presentation to Division One presentation to Division

or Residentsor Residents

Doctor’s Black Bag Doctor’s Black Bag ConferencesConferences

• Medi-Cal and Medi-Cal and California Children’s California Children’s ServicesServices

• HMOs and PPOs – a HMOs and PPOs – a guide through alphabet guide through alphabet soupsoup

• Politics and Legislation Politics and Legislation • Special Community Special Community

Programs to help kidsPrograms to help kids• Physician LiabilityPhysician Liability• Ethics in Medicine 1Ethics in Medicine 1

• Ethics in Medicine 2 Ethics in Medicine 2 • Finding a Job, Finding a Job,

Keeping “fit”Keeping “fit”• CommunicationCommunication• Outcomes and Quality Outcomes and Quality

AssessmentAssessment• Information SystemsInformation Systems• Cultural and Social Cultural and Social

IssuesIssues• Hospice and Palliative Hospice and Palliative

CareCare

Quality Improvement and Quality Improvement and Leadership Leadership

• QI and Risk Management QI and Risk Management CommitteesCommittees

• Pathways and Pathways and AlgorithmsAlgorithms

• Rapid Cycle Rapid Cycle Improvement with mini-Improvement with mini-projectproject

• Leadership Training on Leadership Training on site and available site and available through American through American College of Physician College of Physician ExecutivesExecutives

ResearchResearch

• Formal clinical research training Formal clinical research training through UCSD CREST program: through UCSD CREST program: Patient-Oriented Research, Basic Patient-Oriented Research, Basic Epidemiology, Health Services Epidemiology, Health Services Research integrated into first year.Research integrated into first year.

• Optional second year CREST and Optional second year CREST and MPH or MAS (MPH or MAS MPH or MAS (MPH or MAS requires 3 yr program; please ask requires 3 yr program; please ask for details)for details)

• Research mentor selected first yearResearch mentor selected first year• Project to be presented as abstract Project to be presented as abstract

at SHM, APA, AAP, or other at SHM, APA, AAP, or other appropriate entityappropriate entity

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)

Year Year OneOne

Year Year 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

The One Year ScheduleThe One Year ScheduleTraining weeks below are estimatesTraining weeks below are estimates WeeksWeeks52% Clinical (includes required ED/PICU, shadowing, 2 wks 52% 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

The Rady Children’s Pediatric The Rady Children’s Pediatric Hospital Medicine Fellowship Hospital Medicine Fellowship

Training Program:Training Program:

Training tomorrow’s leadersTraining tomorrow’s leaders