Adolescent Medicine Fellowship Program

  • Overview and mission

    The Adolescent Medicine Fellowship Program prepares pediatric internal medicine, pediatric medicine and family practice physicians for academic careers as leading clinicians, scholars and teachers. The fellowship is a three-year program sponsored by the Craig-Dalsimer Division of Adolescent Medicine at The Children’s Hospital of Philadelphia.

    This innovative fellowship is designed to prepare academic leaders in adolescent medicine. The program uses the resources of CHOP and the graduate departments at the University of Pennsylvania. Because CHOP and UPenn are located next to each other, there is a strong "one-University" philosophy, and the program provides an ideal setting for a creative, multidisciplinary fellowship experience.

  • Fellowship program leadership

    Chief, Craig Dalsimer Division of Adolescent Medicine
    Director, Fellowship Training Program

    Carol A. Ford, MD

  • Program details

    First year

    The principal responsibility of the fellow during the first year is the development of clinical skills in adolescent medicine. The first-year fellow spends 70 percent of his or her time in clinical activities. This includes two to three months as the fellow on the inpatient adolescent service, coverage of the inpatient adolescent consultation service, three sessions weekly in both our Adolescent Specialty Care and Adolescent Primary Care clinics, and one or two sessions weekly in other elective clinical activities.

    Elective clinical activities may include rotations through the Student Health Service at Penn, the Center for Sports Medicine and Performance, Adolescent Psychiatry Service, adolescent substance abuse treatment center, Renfrew Eating Disorder Center and various subspecialty clinics.

    The remaining portion of the first year is spent on the development of a research project in adolescent medicine, identifying a research topic and beginning to prepare a research proposal. The fellow is encouraged to participate in coursework on research design and statistics and areas of personal interest.

    Curriculum and sample rotations

    Clinical services

    • Outpatient: General Adolescent/Family Planning Clinic (one to two days per week)
    • Outpatient: 3550 Market Adolescent Specialty Care Center (one to two days per week)
    • Outpatient: Adolescent Gynecology Clinic (one-half day per week for six months)
    • Outpatient: Subspecialty adolescent practices — rotating electives in OB/GYN, psychiatry, internal medicine, endocrinology, sports medicine, eating disorders, juvenile justice, student health, homeless shelter, dermatology, infectious diseases, substance abuse, and HIV and other organ-system subspecialties
    • Inpatient: General Adolescent Service (10-12 weeks)

    Teaching

    • Present didactic presentations during inpatient months for pediatric residents and medical students.
    • Work with clinic preceptor to develop at least two clinical presentations in the outpatient area.
    • Clinical precepting of medical students and residents on the inpatient service.

    Research

    • Attend research conferences.
    • Begin coursework as needed for research skills training.
    • Develop and submit to the program director, research director and fellowship committee a research proposal under supervision of a selected research mentor.
    • Assemble Scholarship Oversight Committee and establish research mentor.

    Administration and health policy

    Choose qualitative improvement project question and do evidence-based review.

    Second year

    The second year is devoted equally to clinical work and academic/research coursework. The fellow completes a proposal and begins data collection. One or two graduate-level courses may be taken each semester.

    Curriculum and clinical rotations

    Clinical services

    • Outpatient: General Adolescent/Family Planning Clinic (one-half day per week)
    • Outpatient: 3550 Market Adolescent Specialty Care Center (one-half day per week)
    • Outpatient: Subspecialty Adolescent practices — rotating electives in OB/GYN, psychiatry, internal medicine, endocrinology, sports medicine, eating disorders, juvenile justice, student health, homeless shelter, dermatology, infectious diseases, substance abuse, and HIV and other organ-system subspecialties
    • Inpatient: General Adolescent (eight weeks)

    Teaching

    • Prepare and present at least two adolescent health topics or journal clubs as part of the General Adolescent Health divisional conferences.
    • Prepare and present two adolescent health topics for trainees or faculty seminars in two other disciplines.
    • Continue didactic educational efforts on inpatient and outpatient services.

    Research

    • Attend research conferences.
    • Under supervision of research mentor and Scholarship Oversight Committee, conduct proposed research project.
    • Attend graduate coursework for research methods as needed.

    Administration and health policy

    • Participate on hospital committee or committee/board of local or state advocacy group related to adolescent health.
    • Conduct quality improvement project.

    Third year

    The third year is heavily focused on academic activities (70 percent). The fellow completes data collection and concentrates on data analysis, abstract submission, research presentation and manuscript preparation.

    Curriculum and clinical rotations

    Clinical services

    • Outpatient: General Adolescent/Family Planning Clinic (negotiable)
    • Outpatient: 3550 Market Adolescent Specialty Care Center (one-half day per week)
    • Inpatient: Adolescent unit (four weeks)
    • Electives: To be negotiated with program directors

    Teaching

    • Prepare and conduct sessions for the General Adolescent Health divisional conferences, resident conferences and interdisciplinary student/faculty seminars for a total of four topics.
    • Precept residents and students in one adolescent clinic with attending physician.

    Research

    • Completion of data collection, data analysis, manuscript and abstract preparation, presentation at national meeting, submission of manuscript to peer-reviewed journal.
    • Preparation of grant proposal for new project.

    Administration and health policy

    • Continue membership in advocacy group and/or hospital committee.
    • Work with attending physicians to understand practice structure and management.
    • Complete grant application under direction of faculty mentor, including budgeting, human subjects and hiring documents.
    • Complete and present quality improvement project.
  • Research expectations and opportunities

    The acquisition of skills in research methodology and critical evaluation of the medical literature is an important goal of the fellowship. Each fellow is expected to complete at least one scholarly project during the fellowship. In most cases, this is a research project of the fellow’s design, conducted under the guidance of a faculty mentor and scholarship oversight committee.

  • Conference schedules

    Each fellow is required to participate in weekly conferences every Thursday.

    • 9-10 a.m. — Fellows conference. Each week, this conference alternates between a fellowship director meeting, case discussion, research meeting and didactic speaker
    • 10-11 a.m. — Division mandatory management conference
    • 11 a.m.-noon — Division conference: Each week, this conference alternates between a division meeting (generally senior fellows only), clinical discussion, research discussion, Journal Club and professionalism/ethics conference.

    The fellow is also encouraged to attend fellow association conferences and lectures in other specialty areas when rotating through those areas or at the discretion of the fellow and fellowship director.

  • How to apply

    The Adolescent Medicine Fellowship Program participates in the Electronic Residency Application Service (ERAS), thorough the Association of American Medical Colleges. The fellowship application is available on the ERAS website for positions beginning each July.

    Requirements

    The three-year fellowship seeks physicians who:

    • Have completed two, three or four years of training in an accredited residency program
    • Are board-eligible in pediatrics, internal medicine, medicine-pediatrics or family practice

    Instructions for application

    To apply for the Adolescent Medicine Fellowship Program, the following should be completed and uploaded to the ERAS program:

    1. ERAS online application.
    2. hree supporting letters of reference.
    3. A letter from the Dean of your medical school and a medical school transcript.
    4. Curriculum Vitae.
    5. A separate, single-page describing your personal goals for your fellowship in adolescent medicine. This should describe your principal objectives, interests and career aims in further detail.
    6. Parts 1, 2 and 3 of the USMLE taken within the seven-year time frame as required by the Commonwealth of Pennsylvania or equivalent scores.
    7. If a graduate of a medical school outside the United States, Canada or Puerto Rico, a valid ECFMG certificate or one that does not expire prior to the start of the fellowship.

    Interviews

    We interview eligible applicants between August and early October

    Tobacco-free hiring policy

    To help preserve and improve the health of our patients, their families and our employees, The Children’s Hospital of Philadelphia has a tobacco-free hiring policy. This policy applies to all candidates for employment (other than those with regularly scheduled hours in New Jersey) for all positions, including those covered by the Collective Bargaining Agreement.

    Job applicants who apply after July 1, 2014, will be expected to sign an attestation stating they’ve been free of nicotine or tobacco products in any form for the prior thirty (30) days. They will also undergo a cotinine test as a part of the Occupational Health pre-placement drug screen administered after the offer of employment has been accepted but before the first day of hire.

    Exemptions: Attending physicians (excluding CHOP physicians in the Care Network), psychologists, principal investigators and/or Penn-based faculty are exempt from this process to better align with our colleagues at the University of Pennsylvania Perelman School of Medicine.

Reviewed on March 31, 2014