Stanford PHM Fellowship Curriculum

Fellowship Schedule

 

 Year 1

 Year 2

 Core Clinical rotations (32 weeks)

   

PHM service

 8 weeks (6 LPCHS, 2 CPMC)

 8 weeks (6 LPCHS, 2 CPMC)

Nights

 3 weeks (10 nights, LPCHS/CPMC)

 3 weeks (10 nights, LPCHS/CPMC)

SCVMC Newborn Care

 2 weeks

 2 weeks

PHM Surgical Consult/Complex Care

 2 weeks

 N/A

SCVMC Sedation

 2 weeks

 N/A

Any of the above core rotations at fellows’ discretion

 N/A

 2 weeks

 Systems and Scholarship (32 weeks)

   

Quality & Performance Improvement

 4 weeks

 N/A

Fellow as Teacher

 2 weeks

 N/A

Research Skills Week (Scholarship Academy)

 1 week

 N/A

Research

 14 weeks

 11 weeks

 Individualized Curriculum (32 weeks)

   

Individualized time based on fellow interests*

 10 weeks

 20 weeks

Pain and Palliative Care

 N/A

 2 weeks

 Vacation

 4 weeks

 4 weeks


*Individualized curriculum is based on fellow’s personal interests and career goals. It can be used for additional research time, Master’s Degrees, other training programs, additional electives.

PHM Fellowship Curriculum Beginning in 2020

Clinical Training

Stanford Pediatric Hospital Medicine (PHM) fellows have a tremendous breadth of clinical experiences at our training sites including Lucile Packard Children’s Hospital Stanford (LPCHS), California Pacific Medical Center (CPMC), and Santa Clara Valley Medical Center (SCVMC). Through these diverse sites, fellows are exposed to the gamut of pediatric patients including patients with complex and life-threatening conditions, patients with common conditions, and well newborns. In all settings, fellows train alongside experienced faculty who are skilled educators to foster their learning and transition to independent practice. Clinical experiences include the PHM teaching service (Blue/Silver team at LPCHS), community PHM at CPMC, newborn care and sedation at SCVMC, hospitalist consults and surgical co-management, and a wide variety of clinical electives. 

LPCH is a 361-bed women’s and children’s hospital and a Level 1 Pediatric Trauma Center. In 2017, LPCHS debuted America’s most technologically advanced, family friendly and environmentally sustainable hospital for children and pregnant women. In 2020-21, LPCHS was ranked in all 10 pediatric specialties by the U.S. News & World Report and named to the Honor Roll of the Best Children’s Hospitals. Stanford Children’s Health is an extensive network of hospitals and clinics that provides care around the Bay Area and beyond. We serve patients and families across our network, regardless of their ability to pay. In addition to the primary site at LPCHS, Stanford hospitalists provide care at Packard at El Camino Hospital in Mountain View, CPMC in San Francisco, John Muir Medical Center in Walnut Creek, and ValleyCare Medical Center in Pleasanton, and Watsonville Community Hospital. 

Stanford School of Medicine was the West Coast’s first medical school and is one of the top-ranked academic medical institutions in the country.

Research Training

Our PHM fellows receive research training in multiple settings:

  • Fellows Scholarship Academy - All first-year fellows participate in a week-long intensive course in October of their first year. This course teaches fellows research methodology and introduces them to research resources at Stanford. During the week, each fellow is part of a small community of learners and mentors who help critique each fellow's projects. By the end of the week, fellows report that they have a better understanding of research methodology and their projects are more developed.
  • Department of Pediatrics Grant Writing Course led by Dr. Bonnie Halpern-Felsher and Dr. Gary Shaw.
  • Department of Pediatrics Fellows' College and Fellows' Scholarship Club
  • PHM Division Research in Child Health (RICH) Meetings under the leadership of Alan Schroeder, MD.

 

Additional formal training in research skills is individualized for each fellows, and fellows can elect to participate in additional coursework such as: 

 

Master's degrees: Once accepted to the fellowship, fellows may apply for funding to complete a MS in Epidemiology and Clinical Research, Health Policy, or Community Health and Prevention Research. This funding is provided through the Maternal and Child Health Research Institute (MCHRI) Master's Tuition Program and aims to support fellows planning a career as a physician-scientist. Applications are due in February of each year and if granted, allow for Master's coursework over the next 2 years. Fellows who apply for and are granted funding in the first year of fellowship will need to extend fellowship to 3 years in order to complete all of the Master's requirements.

Educational Training

As a PHM Fellow, there are many opportunities to teach learners of all levels (medical students, residents, faculty, nurses, respiratory therapists, and, of course, our patients). Our PHM fellows take a two-week Teaching Fellow block in their first year. 

For fellows interested in educational scholarship, additional training is available through:

Quality Improvement (QI) Training

There are many opportunities for fellows to further develop their quality and process improvement skills, be involved in quality and performance improvement projects, and even develop their main scholarly niche in quality and performance improvement. All Stanford PHM fellows participate in a one-month QI/PI block during the first year that includes quality and process improvement methodology, Lean Leader training, safety training, and opportunities to participate in hospital-level improvements, including a choice to be part of one of many QI Committees where fellows engage in active hospital QI projects.  

Additional training is provided longitudinally through the Fellows' College for all pediatrics fellows. Fellows interested in pursuing more training may participate in Stanford Medicine’s Clinical Effectiveness Leadership Training (CELT) program, which supports multi-disciplinary teams to tackle real-world improvement projects, or the Stanford PHM Quality Improvement and Leadership Training (QuILT) Certificate Program, both of which provide advanced QI and leadership training.

Mentorship and Scholarship

PHM fellows receive close mentorship from fellowship program directors in research mentor selection, development of research project ideas and career development through frequent individual meetings. Fellows select a research mentor during the first few months of fellowship and are expected to develop a research project idea during the fall in order apply for the MCHRI Clinical Trainee Award, an internal funding opportunity for clinical fellows, in February of the first year.

An individualized scholarship oversight committee (SOC) is formed for each fellow in the fall of the first year and meets every 6 months during fellowship to guide fellows in project and career development. Fellows are expected to present their research at national conferences during the second year and are required to submit a manuscript draft from their research project in order to graduate.

Additional Training Opportunities

Stanford has a number of additional training opportunities that may either be pursued concurrently during PHM fellowship, or may require additional time beyond fellowship.