Fast-Track Fellowship (2 years of General Pediatric Residency and 2-3 years of PHM Fellowship) Option

Pros: 

• Allows sufficient time for training in research, administrative, and Quality Improvement skills 
• Sufficient time for research projects 
• Scholarly work in fellowships will help to advance the field of PHM 
• Training for an advanced degree (e.g., MPH, Masters in Education) can be built into this 4-5 year program 
• Extra time could allow for training in Specialized Clinical Services (Hospice and
Palliative care, sedation, etc.) 
• Keeps field open to those who decide to enter PHM later: for those who don’t Fast-track, PHM fellowship can be done after a full 3-year residency 
• Allows for broad range of rotations- PICU, NICU, sedation etc. 
• Would have options of participation on hospital committees to learn administrative and Quality Improvement skills 
• Less opportunity cost to the physician than a full residency plus 3-year fellowship 
• Potentially less funding needed than for 3-year fellowship 
• May attract more physicians to complete a PHM fellowship 
• Should be adequate training for both General Pediatrics and PHM subspecialty certification 
• Allows in-depth focus into one area (advanced degree), leading to a well-trained
researcher or clinician-administrator career path

Cons: 

• NOT an option for ABP subspecialty certification
-Very early career decision needed for Fast-Track model 
• More complicated match for residency since matching to both residency and
fellowship at the same time 
• Only 2 years of training in General Pediatrics runs a risk of missing out on the
training and experiences of a 3rd year of Pediatric Residency 
• May not work well in smaller residency programs 
• Will need research/QI mentors, either nationally or program-level 
• May be difficult if physician changes career plans away from PHM during residency or afterwards