Our fellowship program in pediatric hospital medicine (PHM) has a structured curriculum with specific goals, objectives, activities and evaluation methods and is divided into the following rotations/activities:

• Inpatient rotations
• Outpatient rotations
• Quality improvement, research and other scholarly activities

Inpatient Rotations

The inpatient rotations take place at Wolfson Children's Hospital and UF Health Jacksonville. Fellows lead teaching teams on patient-family centered rounds at Wolfson Children’s Hospital, where a significant portion of the patients are children with medical complexity, requiring subspecialty consultation.

During Wolfson rotations, fellows will be responsible for the instruction of pediatric and family practice residents, as well as third- and fourth-year medical students. Fellows will also serve as consultants for medical subspecialists on the ward, NICU and PICU during subspecialty outpatient electives, and learn advanced airway management on anesthesia rotations. Fellows will also rotate in the Wolfson PICU.

The inpatient rotations at UF Health Jacksonville emulate the experience of a pediatric community hospitalist who works in a general hospital with a pediatric floor and busy newborn nursery and NICU. The fellow will see newborns in the newborn nursery, attend high-risk deliveries, and round on pediatric ward patients and consult on pediatric trauma patients in the eight-bed inpatient unit. The fellows willmay also elect to do a separate NICU rotation at UF Health Jacksonville.

Outpatient Rotations

Fellows will rotate at the pediatric emergency department at Wolfson Children’s Hospital, a level 1 pediatric trauma center. Fellows will see patients with medical complexity at the Bower Lyman Center for Medically Complex Children and the Jacksonville Health and Transition Services (JaxHATS) clinic located at the One Call building across the street from Wolfson Children’s Hospital. The One Call building also houses other UF faculty-run subspecialty clinics that fellows may elect to attend. Fellows may also attend multiple subspecialty clinics located at Nemours Children's Health, Jacksonville, attached to Wolfson by a walking bridge.

Quality Improvement

Each fellow completes the Institute for Healthcare Improvement (IHI) open school course on quality improvement (QI) in addition to receiving didactics and hands-on training in QI. Our fellowship puts a special emphasis on QI and high value care.

Research

Active participation in research is highly encouraged. Fellows have the opportunity to participate in ongoing research projects while encouraged to initiate their own scholarly ideas. In-depth guidance and counseling are provided by faculty well-versed in the area of research. Training spans the spectrum from constructing study protocols, to enrolling patients, to gathering and analyzing data, to writing abstracts and manuscripts.

The University of Florida College of Medicine – Jacksonville encourages resident and fellow research through the availability of Dean's Fund research Awards and an annual Research Day, with residents and fellows from all disciplines presenting their work. Well-designed studies conducted in collaboration with the faculty have resulted in residents and fellows presenting their research at regional, national and international meetings.

Other Scholarly Activities

Under the guidance of faculty, fellows assume a supervisory and teaching role over pediatric residents, family medicine residents and medical students during inpatient rotations. Fellows do bedside teaching, participate in morning reports and meet with residents daily to discuss patient's progress and formulate plans. Faculty teach communication, teaching skills and ethical principles through role modeling and didactic sessions. Fellows will be intimately involved with the patient safety system, and present a learner-reported error case at the Morbidity and Mortality conference. Fellows may elect to mentor residents on their QI and scholarly projects. Additionally, fellows are required to attend a teaching skills seminar organized by the Office of Educational Affairs, and ethics conferences organized by the pediatrics core program.

Conferences

• Research conferences: Quarterly, fellows present their research projects (proposal, updates, results, etc.)
• Fellows research seminars and online modules/courses: A series of lectures given each academic year on research and publication methodologies is made available to fellows during their training. Lectures cover the basics of biostatistics, research design and interpretation of scientific literature.
• Teaching skills seminars: All-day seminar during the first or second year of training is offered to improve knowledge and skills in facilitating the learning of other health professionals
• Quality Improvement: Each fellow completes the Institute for Healthcare Improvement (IHI) open school course on quality improvement
• Morbidity and Mortality: Monthly, fellows present one learner-reported error case annually
• Morning Report: Bi-weekly, fellows mentor the presenting resident when on service
• Noon Resident Conference: Daily, a subset are required for fellows
• Urgent Ward Scenario Simulation: Monthly, fellow conducts when on service
• Schwartz Rounds: Monthly
• Bioethics Full-Day Conference: Annually
• Bioethics Noon Conference: Quarterly
• Bioethics Performance Improvement (BioPIC): Monthly
• Scholarly Oversight Committee Didactic: Bi-monthly
• Patient Safety/QI Lecture: Semi-annually, fellow conducts
• Board Review: Weekly, fellow conducts PHM related topics
• Jacksonville Pan Area Network (JPAN)/advocacy: Quarterly