A three-year ACGME accredited fellowship program in Adolescent Medicine is offered by the division of Adolescent Medicine in the Department of Pediatrics at Stanford University School of Medicine. The graduates of the fellowship program are envisioned as future academicians in the field of Adolescent Medicine. The program provides a balance of clinical experience, teaching and clinical research. Over the three year fellowship, approximately 60% of time is devoted to clinical activities with 40% to research. In the first year of training, approximately 75% of time is spent on clinical activities, in the second year approximately 50% of time is spent on clinical activities with 50% devoted to research, and in the third year 70% of time is devoted to research.
Exposure to a wide range of medical conditions occurs in our two inpatient units (the Comprehensive Care Program, a specialized Eating Disorders Unit and the Teaching and Consultation Service at LPCH) and in the outpatient clinics at the Center for Adolescent Health located in Sunnyvale. The clinics include the Teen and Young Adult Clinic, Eating Disorders Clinic, Adolescent Gynecology Clinic, and Healthy Weight Clinic. Fellows also get exposure to homeless and uninsured youth on the mobile Teen Health Van, to minority youth at the San Francisco Mission Community Clinic, and to incarcerated youth at the Santa Clara Juvenile Detention facility. The fellows work closely with colleagues in the fields of Child Psychiatry, Adolescent Gynecology, Social Service, Nursing and Nutrition and have the opportunity to teach Stanford medical students and pediatric residents.
There is a structured educational curriculum consisting of weekly grand rounds, weekly division educational meetings, monthly journal clubs, monthly case conferences, and quarterly Fellows College. In addition, in the first year, the fellow completes a 10-week Training in Clinical Research (TICR) course and in the second year, a one-week intensive immersion program called the Intensive Course in Clinical Research conducted by the Department of Pediatrics in conjunction with the School of Medicine. The expectation is that by the second year of training, the fellow will have submitted a research proposal to the IRB, will have initiated a research project, and is strongly encouraged to have submitted and presented an abstract at a national scientific meeting.
Each fellow is assigned a scholarship oversight committee and it is expected that at the end of the fellowship program, the fellow will have completed a scholarly work product. On graduation from the program, it is expected that the fellow will have demonstrated the necessary medical knowledge, clinical competence, and research experience required of the program in order to practice adolescent medicine competently without supervision.