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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