Inpatient Hospitalist Service time will be spent on one of the teaching services at C.S. Mott Children’s Hospital. Fellows will lead a multidisciplinary team in the care of admitted children. Our hospitalist teams take care of a full breath of patients with a wide variety of clinical diagnosis, including medically complex patients. While on their inpatient rotation, fellows will also serve as a General Pediatric consultant to the other Pediatric services at the hospital. During their second year, fellows will be given the option to create their own one-block Inpatient Service selective that can include any combination of inpatient service, newborn service, and nights
Community Hospital Medicine
Fellows will experience their Community Hospital Medicine at St. Joseph Mercy Hospital, a local Ann Arbor hospital that is located 15 minutes from C.S. Mott Children’s Hospital. As a first year fellow, fellows will spend 2 weeks on the General Inpatient service, 1 week on the Newborn service, and 1 week of nights. While at St. Joseph Mercy Hospital, fellows will be expected to attend high risk deliveries and will have significant opportunities to perform procedures such as neonatal resuscitation, central line placement, arterial puncture, lumbar puncture, bag mask ventilation, and intubation. Second year fellows will have the opportunity to create their own two-week Community Hospital Medicine selective that will be composed of any combination of inpatient, newborn, and nights.
For their Critical Care block, fellows will have the choice of spending their time in the Pediatric Emergency Department or the Pediatric Intensive Care Unit at C.S. Mott Children’s Hospital. Fellows can also create a rotation that combines time in both departments. During their Critical Care block, fellows will focus on the management and stabilization of acutely ill patients. Fellows will also have an increased opportunity to perform procedures during this block.
On the Newborn Service at C.S. Mott Children’s hospital, fellows will lead a team of medical students and residents in the care of well newborns.
Fellows can expect 4-5 overnight shifts per week while on Nights. Shifts are from 6pm-8am. During Nights, fellows will staff new admissions, cover the Newborn service, and learn how to do circumcisions.
Complex Care Selective
The Complex Care Selective is a rotation that combines time on the Pediatric Palliative Care Service and time on a unique program at the University of Michigan called Partner’s for Children. The Partner’s for Children program provides multi-disciplinary care to children with multiple medical problems who receive care from three or more specialists. Fellows will spend two weeks as a provider on the team that encompasses nurse practitioners, social workers, and specialists. The Partners for Children team provides home-based care, symptom management, and advance care planning for their patients. Fellow will be assigned to specific patients with the goal of longitudinal care for designated medically complex patients.
For their Elective rotations, fellows will be able to choose from a number of electives that include but are not limited to Child Abuse Pediatrics, Infectious Disease, Sedation, Cardiology, Adolescent Medicine, and Neonatology. Fellows will also be given the opportunity to develop other electives based on their individual learning goals.
The Hospitalist Potpourri rotation is dedicated time for fellows to focus on Advocacy, Quality Improvement, Medical Education, and Business Administration. Fellows will also have two personal days during this rotation. The purpose of this block is to give the fellows an administrative experience and to develop their personal interests. Time will be blocked for each of these activities and fellows will give input on their schedules. For example, for their Quality Improvement education, fellows will be invited to attend a multitude of hospital-wide Quality Improvement/Patient Safety meetings. The goal will be for fellows to learn how to conduct a root-cause analysis and how to develop actionable changes in practice to prevent further safety events from occurring. To enhance their role as educators, fellows will be scheduled to give didactic lectures to learners and will receive feedback on their teaching methods. Fellows will also be scheduled to meet with leaders in Advocacy, Quality Improvement, Medical Education, and Business Administration to give them the opportunity to learn more about the different administrative roles within a hospital system and to promote mentorship.
Fellows will have a total of 8 blocks of protected time throughout fellowship to work on their scholarly activities.