Tuesday, March 6, 2012

2-year Fellowship Option

Pros: 
  • Does not require early career decision and physician can choose to enter after Pediatrics or Medicine-Pediatrics residency
  • Less funding needed than with 3-year fellowship 
  • Less time/financial burden than 3-year fellowship 
  • Sufficient time for learning to do research and gain expertise in one area and research projects: may have a peer-reviewed scholarly product at the end of the fellowship 
  • Scholarly work in fellowships will help to advance the field of PHM
  • May allow time for obtaining additional advanced degree (e.g., MPH, Masters in Education) 
  • Increased time for learning administrative and Quality Improvement skills; exposure and experience in many different domains 
  • May be adequate for ABP subspecialty certification 
  • Would have options of participation on committees, etc., workshops , courses during course of training 
  • Extra time may allow for training in Specialized Clinical Services (Hospice and Palliative care, sedation, etc.)



Cons: 
  • Funding needed for 2 years 
  • Need additional fellowship programs to meet need
  • Extra time and lower salary for 2 years may be a deterrent to good candidates (opportunity cost) 
  • May not be seen as equivalent to other subspecialty training by academic centers 
  • Potentially lower chance for ABP subspecialty certification

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