Hospital Medicine Fellowship Core Clinical Curriculum

As part of teams named after influential former faculty Catherine Neill, M.D. and William Zinkham, M.D., fellows will supervise a team of residents under many categories:

  • categorical pediatric
  • pediatric neurology
  • pediatric medicine
  • pediatric-anesthesia
  • pediatrics-genetics
  • medical students (cores and subinterns)

Fellows will care for general pediatric and complex care patients admitted from the emergency department, transferred from other services in the hospital or transferred from other hospitals. 

On the complex care and surgical consults rotation, fellows will consult on complex care patients on both medical and surgical services and on patients on surgical services for whom there is a general pediatrics concern.

The fellows’ community hospital rotation experiences will occur at Johns Hopkins Bayview Medical Center. At this site, the fellows will work in the combined emergency department/inpatient ward unit, as well as in the newborn nursery, overseen by pediatric hospitalists.

Individualized Curriculum 

Fellows have eight weeks of individualized clinical curricular time with 24 weeks of individualized curriculum time in any area. Fellows meet with the program director regularly to discuss their fellowship and career goals and to select/design their individualized curricular experiences. Fellows may create their own elective experiences, if not already available, or may use individualized curricular time for additional scholarship experiences. 

Rotations done by previous fellows: 

  • As a member of the palliative care team, fellows completed outpatient visits and consults on admitted patients.
  • During the sedation rotation, fellows completed the Society for Pediatric Sedation Provider course course and gained practical experience managing airways and procedural sedation in the operating rooms and procedural suites. 
Other elective experiences for fellows include, but are not limited to: 
  • Acute pain service
  • Adult medicine (if med-peds trained)
  • Anesthesia
  • Cardiology
  • Child abuse
  • Child psychiatry
  • Dermatology
  • Emergency medicine
  • Endocrinology
  • Gastroenterology
  • Genetics
  • Global health
  • Infectious diseases
  • Lactation
  • Medical billing and coding
  • Medical education
  • Nephrology
  • Neurology
  • Operational leadership
  • Pediatric surgery
  • Physical medicine and rehabilitation
  • Procedures
  • Pulmonology
  • Respiratory therapy
  • Rheumatology
  • Speech language pathology
  • Wound care 

Scholarship 

Our fellowship is funded by the Division of Quality and Safety Division; therefore, our fellows engage in quality improvement for their scholarship. Our fellows receive mentorship and training through the Armstrong Institute for Patient Safety and Quality to complete their scholarship. Every fellow will have a Scholarship Oversight Committee that will meet regularly to assess their progress. In addition to those meetings, fellows will be expected to present at research-in-progress meetings to members of the division.

Schedule

The below schedule is an example. 

Year 1

  • General Pediatric Hospital Medicine Teams (10 weeks)
  • Complex care and surgical consults (four weeks)
  • Community hospital medicine service (two weeks)
  • Palliative care (two weeks)
  • Sedation (two weeks)
  • Individualized curriculum (12 weeks)
  • Scholarship (16 weeks)
  • Vacation (four weeks)

Year 2

  • General Pediatric Hospital Medicine Teams (10 weeks) 
  • Community hospital medicine service (two weeks) 
  • Individualized curriculum (24 weeks) 
  • Scholarship (16 weeks) 
  • Vacation (four weeks) 

During the second year of training, fellows have the opportunity to individualize their inpatient ward experience based on their career goals. They may elect how they would like to divide this time between the primary site (Johns Hopkins Children’s Center) and the community site (Johns Hopkins Bayview Medical Center), and between the general pediatrics service and the complex care/surgical consult service.