Curriculum
Mayo Clinic's Pediatric Hospital Medicine Fellowship is a two-year program of clinical training and quality improvement/research training.
Clinical training
As a fellow, you will work closely with faculty in rotations covering general and specialized pediatric care. You will gain experience in the full spectrum of general pediatric inpatient medicine including care of patients with complex chronic disease and surgical co-management over 24 weeks of general pediatric hospital service with graduated responsibilities.
Other rotations include community hospital medicine, newborn care, pain management and sedation, and palliative care. Electives are available to learn procedures (such as point of care ultrasound), for more in-depth training in all pediatric subspecialties (including infectious diseases, GI/nutrition, and child abuse), and to support individualized interests such as global health or community hospital practice.
Rotation schedule
Sample rotation schedules for the two-year fellowship program are below.
First year
| Rotation | Length |
|---|---|
| General pediatric hospital service (core) | 12 weeks |
| Newborn care (core) | 4 weeks |
| Pediatric intensive care unit (selective) | 2 weeks |
| Palliative care (selective) | 2 weeks |
| Electives | 12 weeks |
| Research/QI | 16 weeks |
Second year
| Rotation | Length |
|---|---|
| General pediatric hospital service (core) | 12 weeks |
| Sedation/pain (selective) | 4 weeks |
| Community hospital medicine (core) | 4 weeks |
| Electives | 10 weeks |
| Research/QI | 18 weeks |
Selectives
The program includes highly recommended selective rotations, which include:
- Palliative care
- Pediatric intensive care
- Sedation/pain management
- Business/practice administration
Electives
As part of your individualized curriculum, electives are available including:
- Cardiology
- Child abuse and neglect
- Community hospital
- Emergency department
- Global health
- Hematology/Oncology
- Infectious disease
- Nephrology
- NICU
- Nutrition
- Point of care ultrasound
- Pulmonary medicine
- Radiology
- Surgical sub-specialties
Didactic training
Regularly scheduled didactic courses, seminars, and case conferences enhance your clinical experience including:
- Pediatric Grand Rounds
- DPAM Morning Report (Case Conference)
- Pediatric hospital medicine core curriculum
- Pediatric Subspecialty Fellow Lecture Series (covering both clinical and research topics)
- Pediatric Hospital Medicine Academic Conference/Journal Club
As a fellow, you can attend various Mayo Clinic-wide conferences if it suits your career interests and can enroll in courses for credit within Mayo Clinic Graduate School of Biomedical Sciences.
Research and quality improvement training
At least eight months of your fellowship will be spent in research activity and quality improvement projects. During the first year, you will select a mentor for your scholarly activities from the Department of Pediatrics and Adolescent Medicine. With your mentor's help, you will define a topic of special interest and develop a research protocol and a quality improvement project. Over the duration of your fellowship there is time set aside for you to dedicate to completing and documenting your work.
All fellows will complete the Center for Clinical and Translational Science (CCaTS) Fundamentals of Clinical and Translational Science Program and the Quality Academy’s Quality Essentials course.
Fellows interested in pursuing an academic career in Pediatric Hospital Medicine will be encouraged to complete the CCaTS Postdoctoral Certificate Program. This program in clinical and translational science is designed for Mayo Clinic physicians, scientists, and other staff members with doctoral degrees who want to pursue advanced clinical and translational research training. The one-year Postdoctoral Certificate Program includes individualized coursework, a mentored research experience, and the development of a manuscript to be submitted for publication.
Read more about the Postdoctoral Certificate Program's eligibility requirements, application process, and curriculum.
Call frequency
Call on the general pediatric hospital service is at-home but with availability to be in-house in case of need for closer supervision of residents based on clinical situations, a patient’s clinical deterioration, or patient death. Call during the community hospital rotation will include 24-hour shifts, no more frequent than every third night and in accordance with duty hour requirements.
Teaching opportunities
The revised subspecialty requirements from the American Board of Pediatrics require that fellows not only receive formal instruction in adult learning methods, but also have opportunities to teach in a variety of settings, from web-based teaching to large groups. During your two years in the Pediatric Hospital Medicine Fellowship, these and other important teaching opportunities are available.
Evaluation
Supervising consultants evaluate each fellow on a quarterly basis. Evaluation takes place in each of six core competencies. In addition, the program director and division chair will meet with you on a quarterly basis to review the evaluations from the previous quarter and to evaluate the faculty in order to ensure that your educational needs are being met.