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Cleveland Clinic Children's Hospital

Pediatric Hospital Medicine Fellowship

We are thrilled for your interest in the Pediatric Hospital Medicine (PHM) Fellowship! Our program is one the three PHM fellowships continuously accredited by the Academic Pediatric Association (APA), and was established in 2012. This is a two-year fellowship which exposes future Pediatric Hospitalists to a broad range of common and complex medical conditions in a culture of evidence based quality and safety of care.

Cleveland Clinic has cared for infants, children, and adolescents since its doors first opened in 1921. That history of pediatric caregiving has blossomed into Cleveland Clinic Children’s standing today as one of America’s leading and largest providers of comprehensive pediatric care. In 2015, Cleveland Clinic Children’s was one of a select few institutions recognized for top care in all 10 of the 10 specialties ranked by U.S. News & World Report in its “Best Children’s Hospitals” survey. This reputation stems from premier programs in a wide range of subspecialties, including:

  • Rehabilitation, featuring one of the nation’s few freestanding rehab hospitals for pediatric patients and the world’s only Pediatric Pain Rehabilitation Program accredited by the Commission on Accreditation of Rehabilitation Facilities
  • Transplantation, offering the ability to perform any type of transplant — all solid organ types, dual-organ, multivisceral, cellular, and composite tissue — in pediatric patients • Gastroenterology, leveraging unsurpassed volume and expertise in pediatric inflammatory bowel disease
  • Cardiology and heart surgery, where pediatric specialists collaborate with their adult-care Cleveland Clinic colleagues to manage all aspects of the most complex cases of congenital heart disease and ensure superb continuity of care into adulthood
  • Surgery, offering a breadth and depth of surgical expertise and resources that few children’s hospitals can match

The fellowships primary clinical setting is the Cleveland Clinic Children’s (CCC) Main Campus; a high-volume tertiary referral center with more than 300 pediatric medical and surgical specialists staff, 429 inpatient beds and 50 outpatient clinics; it is a busy hospital which provide over 585,275outpatient visits, 17,000 hospital admissions, 11,000 surgeries, and accept over 1,200 hospital transfers per year. The fellows work closely with our experienced team of physicians, who are genuinely invested in the education and career advancement of our fellows.

In our community hospitals (Fairview and Hillcrest), the fellows work in the inpatient wards as well as newborn nursery, having full exposure to clinical setting of a pediatric community hospitalist. Just minutes away from the CCC main campus, the Cleveland Clinic Children’s Shaker Hospital for Rehabilitation (CCCHR) allows the fellows a unique clinical experience at the single pediatric rehabilitation hospital in Northeast Ohio. Additional rotations, including anesthesia, sedation, chronic pain and integrative care, as well as palliative care among others, provide a unique opportunity for advanced clinical exposure. There are plenty of opportunities for elective rotations to foster the fellow’s individual interests.

The Pediatric Hospital Medicine fellowship is currently seeking applicants for the 2017-2018 academic year. Eligible trainees must have completed a residency in the United States. IMG’s must be ECFMG certified. Positions are filled through the NRMP (National Residency Match Program).

Applications are accepted July 1, 2016 through October 31, 2016 and must include the following:

  • Completed PHM application
  • CV
  • Personal statement (not to exceed 500 words)
    (3) Letters of recommendation (one by residency program director)
  • USMLE or COMLEX scores
    ECFMG certificate if applicable

Interviews will begin September 15, 2016 and conclude November 21, 2016.
For more information, please contact Dr. Sangeeta Krishna, Program Director at krishns@ccf.org or Monique McMichael-Horton, Fellowship Coordinator at 216.445.1599, mcmichm@ccf.org.

Vacation
  • 15 vacation days per year
  • 5 career days in PGY5
Conference Attendance

Travel and logistical support is provided once per year to the fellow when presenting at a regional or national meeting.

Insurance

Insurance is covered 50% starting day one of your training. This includes medical, vision, and short term disability.

Salary

Commensurate with salaries recommended by the GME, based on your year of training.

Additional Benefits

Cleveland Clinic, in partnership with Cleveland Clinic Lerner College of Medicine, provides a unique community with tremendous resources in career development, education, foundations of research, leadership and personal growth. Fellows gain access to many of these resources:

  • Leadership and career development seminars through Cleveland Clinic Learning Academy.
  • Opportunity to obtain the Distinguished Educator certification.
  • Coursework in research fundamentals at the Case Western Reserve University.
  • Available research support staff and mentors for consultation, through our research center.
  • Longitudinal educational series in ethics, professionalism, quality improvement, and research with all pediatric fellows.
  • Numerous opportunities for resident and medical student education such as simulation lab sessions, mock codes, Journal Club, and Morning Report.
  • Pediatric Hospital Medicine Case conferences and journal club provide opportunity for interaction with all faculty.
  • Job interviewing and contract negotiation.
Curricular highlights:
(weeks)
Concentration Weeks in PGY4 Weeks in PGY5
Research training 4
Research, Education and Scholarship 12 16
Clinical ( tertiary and community hospital wards, Nursery, Rehabilitation, core specialties, Palliative Medicine, Anesthesia, Sedation, PICU, ED) 16 16
Individualized curriculum and electives 16 (4 weeks elective) 16 (8 weeks elective)

* Three weeks of vacation.

** One week for board study (PGY 4) and interviews/job search (PGY 5).

*** Note that there is flexibility based on individual interests and prior experience, with the ability even to design your own electives as needed. Elective opportunities are available in various pediatric subspecialties, teaching, respiratory therapy, chronic pain and integrative care.

Didactic Education and Resources

Fellows attend regularly scheduled lectures in Ethics and Professionalism, Research and Statistics, and Career Development. Specialty-specific conferences include those in Pediatric Gastroenterology, Pediatric Infectious Diseases, Pediatric Hematology-Oncology BMT, Pediatric Neurology, Pediatric Palliative Care Medicine, Pediatric Respiratory, Anesthesia, and Nutrition.

  • Protected time is given in order to participate in various committees such as Patient Safety, Child advocacy, EMR Steering Committee, Quality Council and Hospital Operations.

Current Fellows

Jane Im, MD
Jane Im, MD - PGY 4

Jane comes to us from Residency: Connecticut Children’s Medical Center Pediatric Residency and Temple School of Medicine. With the ability to create a customized learning plan within the fellowship, she will be able to pursue her interests in global health and teaching will allow her. Jane enjoys photography, watercolor painting, piano, beading, web design and traveling (www.janeim.com/travels/)

Oloruntosin Adeyanju, MD
Oloruntosin “Tosin” Adeyanju, MD - PGY 5

After residency training at a high-volume tertiary care children’s hospital system, I felt very well equipped for independent clinical practice. However, I quickly realized that as a hospitalist I would be wearing other hats as well, which aren’t as thoroughly covered in a residency curriculum, including medical student and resident education, quality improvement, and hospital operations. Of special interest to me is learning how to be an effective clinical educator; the fellowship program and Cleveland Clinic afford many opportunities to learn and practice this.

Scholarly activity:

Currently working on a research project to implement Virtual Learning Environment for Pediatric Residents.


Graduates

Prabi Rajbhanadri, MD
Prabi Rajbhanadri, MD - Graduate June 2016

“After graduating from residency and serving as a chief resident for 1 year, I felt I was ready to care for hospitalized children. I went on to practice hospital medicine for almost 2 years and realized there were multiple niches in hospital medicine that I was not prepared for. These include quality and value driven health care, clinical informatics, pediatric rehabilitation, advance research training, medical reimbursement and hospital administration. Having protected time for research and academics has helped me explore and enhance my skills beyond the clinical domain. Joining Cleveland clinic as a fellow has equipped me with greater understanding of what goes on beyond the rounds and am definite this knowledge will give me an edge throughout my career.”

Distinguished Educator Level 1 Certification
Scholarly activity:

“Timing of renal usg in children 2-24 month of age with first febrile UTI”

“Improving documentation of inpatient problem list use in EPIC: A quality Initiative” --
--Presented at PAS 2016 Baltimore, Maryland

Tatiana Gurevich Panigrahi, MD
Tatiana Gurevich Panigrahi, MD - Graduate June 2015

“My interest in acute care of pediatric patient in an academic center brought me first to Fellowship in Hospital Medicine. The opportunities for professional growth are vast and diverse at the Cleveland Clinic which I utilized during my fellowship training gave me not only great clinical exposure but also a set of skills necessary for successful career in academic pediatric hospital medicine and foundations in research and quality improvement. Working side by side with world class experts in pediatric subspecialties was also very enriching.”

Scholarly Activity:

“Identification Of Routine Use Of Post-Operative Acid Suppression (GI Prophylaxis) Rate In Non-Critically Ill Pediatric Surgery Patients.”

When Should You Suspect Kawasaki Disease as the Cause of Fever in an Infant?” Gurevich-Panigrahi T, Kanegaye J, Chang W. The Hospitalist.2014:18 (7):10-12.

Quality Improvement: Posters displayed to consider using NG rehydration in patients with bronchiolitis instead of IV rehydration and created the script addressing communication with parents.

Justin Aprile, MD
Justen Aprile, MD - Graduate June 2014

“After having completed a Pediatric residency and Chief Resident year in Connecticut, I planned to pursue a career in Pediatric Hospital Medicine. However, I sought an opportunity to enhance my exposure to resident and student education and pursue additional scholarly activity. I was excited to find the experience offered at the Cleveland Clinic for a fellowship in Pediatric Hospital Medicine. During fellowship, I was provided dedicated time and sufficient resources to enhance my skill-set in the following areas: leadership, QI design and implementation, research foundations and publication basics, education theory, effective teaching, evidence based medical management, and fundamentals of patient safety.

I am currently a Pediatric Hospitalist at an academic facility with its own medical school. Only months after initiating my new position, I was asked to take the role of Pediatric Clerkship Director because of my interests and the skills honed during training. Fellowship training has provided me a firm foundation on which to pursue my passions of trainee education, academic medicine, and clinical/educational research.”

Scholary activity:

Quality Improvement project: “Resident Handover: A Need for Structured Curriculum and Quality Outcome Studies”, presented at American Academy of Pediatrics Section of Hospital Medicine, October 12, 2014

“Outstanding Fellow Research Project at Cleveland Clinic Children’s Pediatric Research Day” for project, “Does implementation of resident sign out tool decrease PMETs and SERS”

“Scholarship in Teaching Award” (Annual Education Retreat, Case Western Reserve University 2014) for "Resident Handover: A Need for Structured Curriculum and Quality Outcome Studies", presented at the CGEA Spring Conference 2014

"Excellence in Teaching” during the 2013-2014 academic year - CCF Educational Foundation

“Outstanding Rookie Teacher of the year July 2014-June 2015” from the Penn State Hershey Children's hospital and College of Medicine and Pediatric Residency

Located approximately 2 miles from the Cleveland Clinic campus, downtown Cleveland features a host of cultural and recreational attractions for an ethnically diverse mid-sized city. Many of Cleveland's neighborhoods such as Ohio City, Tremont, Lakewood, and Cedar-Fairmount are overflowing with cultural heritage, as well an eclectic offering of restaurants and nightlife.

Take advantage of all this beautiful city has to offer! Champion sports teams, culture, outdoor adventure, and a food scene that was recently ranked by TIME as #7 on their 20 'Best Food Cities' in America and is home to two James Beard award-winning restaurants. There really is something for everyone here in Cleveland.