Tuesday, March 6, 2012

1-year Fellowship

Pros: 


Career Path: Clinical Excellence or Clinician Educator
  • Only 1 year extra funding needed 
  • Less of an opportunity cost to the physician 
  • May still meet PHM workforce needs 
  • More time to gain protected clinical experience especially in light of changing residency work hours 
  • May work well for those who want to do only clinical work (community setting) 
  • Time for more practice in advanced clinical skills 
  • Allows extension of resident research projects, work on quality improvement projects , patient safety projects
  • More time for research training and projects, which could be source of partial funding 
  • Can enter after any General Pediatrics or Medicine-Pediatrics residency
  • Could have set curriculum to ensure all clinical and core skills topics are covered and to work on communication skills. 
  • Gain educational skills through formal and informal teaching during clinical rotations 
  • Options of additional training in educational and administrative skills through courses on line or by participating in workshops (PAS,APA, AAP) with One Area of Focus 
  • Could obtain certificate of skills acquisition 
  • Could combine with work towards an MPH or other advanced degree


Cons: 
  • With limits on residency work hours, may not provide enough time for training 
  • Requires additional time so may lose good candidates 
  • Need funding for the additional year and programs to develop a 1-year fellowship 
  • Inadequate training for academic hospitalist career
    • -Little to no time for formal training in how to conduct research
    • Limited time for a research project 
  • Limited time to practice administrative and Quality Improvement skills 
  • Does not help to advance the field of PHM due to lack of time for scholarly
  • activities 
  • If there is a focus on research, this may overtake clinical training in the extra time 
  • Potentially lower chance of ABP subspecialty certification

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