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Fellowship

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 may also get exposure to homeless and uninsured youth on the mobile Teen Health Van 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. Additionally, in the first year, the fellow completes a 1-week intensive clinical research course called Scholarship Academy. Throughout all three years of fellowship, participation in the divisional fellow's research seminar and departmental fellow's research club is encouraged.  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.

Current Fellows

Third Year Fellow

Lauren Wozniak, MD, MPH

Medical School:  University of Michigan Medical School

Residency Program:  Michigan Medicine

Second Year Fellow

Noelle Pineda, MD, MPH

Medical School:  Stanford University School of Medicine

Residency Program:  Stanford Children's Hospital

First Year Fellow

Alyssa Songveera, MD

Medical School: St. George’s University School of Medicine 

Residency Program: Thomas Jefferson University/Nemours AI Dupont 

First Year of Fellowship

The first-year fellow spends approximately 75 percent of his or her time in clinical activities. This includes 3 months covering the inpatient adolescent medicine consult service at Lucile Packard Children’s Hospital and 3 months covering the inpatient eating disorder unit at the Comprehensive Care Program at El Camino Hospital. Additionally, there is a one month subspecialty rotation which includes Sports Medicine Clinic, the Weight Clinic, the Adolescent Gynecology Clinic the Teen Van and the Adolescent Gynecology Clinic. Fellows also get exposure to homeless and uninsured youth on the mobile Teen Health Van and to incarcerated youth at the Santa Clara Juvenile Detention facility.  In addition, in the first six months, the fellow spends two half days per week in the Comprehensive Eating Disorders Clinic and one half day per week providing primary and acute care in our Teen and Young Adult Clinic. For the second six months of the  year, the fellow may substitute another clinical opportunity for one of the Eating Disorders clinic per week.

The fellows precept residents and medical students both in the inpatient setting at LPCH and CCP and outpatient in the Eating Disorders and Teen and Young Adult Clinics and participate in leading twice weekly didactic sessions for first year residents on the adolescent medicine rotation while covering the inpatient consult service.  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. To help fellows prepare, each fellow completes a 1-week intensive research course and participates in biweekly Fellows Research Club with topics ranging from research methodology to manuscript preparation. There is also a quarterly Fellows College within the Adolescent Medicine Division coordinated by Dr Bonnie Halpern-Felsher, Director of Research within the Division of Adolescent Medicine.  During these sessions mentors provide individualized guidance for the fellows’ research projects.

Second Year of Fellowship

Second year fellows devote equal time to clinical and research activities. Clinical responsibilities include 3 months covering inpatient adolescent consult service at LPCH, 2 months covering the CCP and 3 months of elective/subspecialty clinic. Elective/subspecialty clinical activities include the Teen Health Van, Juvenile Hall and may include rotations in Sports Medicine, Adolescent Gynecology, and College Health at the Vaden Student Health Center at Stanford University.

The second year fellow spends 50% of his/her time on research activities.  This includes a one-week 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.

Third Year of Fellowship

In the third year, fellows devote approximately 70% of their time to research, finalizing data collection, analysis and preparation of manuscripts for submission to a peer-reviewed journal.  Clinical responsibilities include two months covering the inpatient adolescent consult service at LPCH and one month covering the CCP.  In each of these roles, the fellow assumes increasing independence in leading the treatment teams. The third year fellow attends one Teen and Young Adult continuity clinic and one Eating Disorders clinic each week.   Opportunities are available to enhance clinical skills in other subspecialty clinics within the institution. Third year fellows are encouraged to participate in teaching of medical students and pediatric residents in their didactic lecture series as well as on the clinical services. The third year fellow is responsible for coordinating the weekly division education meeting which involves identifying topics to be discussed as well as inviting appropriate speakers. 

Application requirements

Only those applicants who have completed a minimum of three post-graduate training years in Pediatrics, Internal Medicine, Med/Peds, or Family Practice, and who plan an academic career in Adolescent Medicine will be considered.

We participate in the Electronic Residency Application Service (ERAS) and the program participates in the National Resident Matching Program (NRMP). Applications for fellowship positions should be submitted through ERAS starting in July one year before anticipated fellowship start date. Interested applicants should apply electronically through ERAS and provide the following documents:

  1. Completed ERAS application
  2. At least three and no more than four letters of reference including one from your residency program director. We recommend at least one letter be written by a faculty member in Adolescent Medicine.
  3. Medical school transcript including Dean's letter
  4. Curriculum Vitae
  5. Personal statement

Applications will be reviewed only once they are complete. Please contact us directly if your application will be delayed for any reason. We do not typically accept applications submitted after August 30th.

If selected for interview, applicants will be contacted directly by the program coordinator, and a full day of interviews will be scheduled in September or October, depending upon program and applicant availability.

Work Life

Life in the Bay Area

The Bay Area is an amazing place to live! With great weather, lots of parks, and various terrain the outdoor enthusiast will have plenty to do. Popular activities include cycling, mountain biking, hiking, sailing, horse riding, surfing, golfing...you get the picture.  Napa (wine country), Lake Tahoe, Yosemite, Santa Cruz and the Monterey Bay are within driving distance for great weekend getaways.

As a member of the Stanford community, you have access to all University events and "the farm's" park-like campus with orchards, gardens, fountains, hiking trails over rolling hills that offer glimpses of horses, hawks and cows grazing, as well as a lively culture of performing arts and commitment to diversity.

The adjacent city of Palo Alto has a beautiful downtown with diverse shops, restaurants and events like farmers markets to keep you busy. Many fellows live in the nearby cities of Mountain View, Redwood City, or slightly further out. Some live in "the City", San Francisco.

San Francisco is a drive (or train ride) away and a cultural destination for festivals, clubs, concerts, ballet, theater, opera, museums, sporting events, restaurants, water sports, wildlife spotting, and sight-seeing. If you don't mind the cooler, windier weather and longer commute, you may be rewarded with a vibrant, urban living experience.

 

Benefits

Please refer to the GME website for full details on your benefits as a fellow.

Example House Staff Contract
House Staff Policies and Procedures

Highlights include: full healthcare insurance (medical/dental/vision), $3000 moving stipend for fellows new to Stanford, monthly living expense stipend, annual education stipend (contingent upon timely completion of GME requirements), reimbursement for most required licensing fees and exams, and access to the Stanford University community (including academic and athletic communities).

  • Stanford Health Care Resident/Fellow Salaries & Benefits 2017-2018
  • Year             Annual                     Per Month
    I                    $64,459.20             $5,371.50
    II                   $67,724.80             $5,643.62
    III                  $72,883.20             $6,073.48
    IV                  $77,001.60             $6,416.68
    V                   $81,827.20             $6,818.80
    VI                  $85,467.20             $7,122.13
    VII                 $90,251.20             $7,520.79
    VIII                $94,369.60             $7,863.98
  • Benefits:

SHC provides the following for residents/fellows and their families:

  • ◾ Hospital and major medical insurance (no charge for premiums, co-pays and deductibles waived for covered expenses at SHC/LCPH)
    ◾ Dental insurance (free for children, spouse available at a residents/fellows expense)
    ◾ Vision and mental health coverage

Other Benefits:

  • ◾ Lab coats and their laundry
    ◾ Malpractice insurance (including tail coverage)
    ◾ Disability insurance
    ◾ Paid time off for illness and vacation
    ◾ Use of certain University athletic facilities
    ◾ Reimbursements
    ◾ Initial CA MD license fee if obtained after receipt of a valid Stanford Healthcare contract
    ◾ USMLE Part 1 fee (PGY I only while under SHC contract)
    ◾ CA MD license renewal fees, initial DEA and renewal fees (if the resident/fellow is under SHC contract at the time of renewal)
  • Allowances:
  • ◾ 1% of salary paid in June for participation in the Chief Residents Quality Improvement Project
    ◾ $1,000 paid in July to cover cell phone use
    ◾ $3,000 moving allowance paid in September for new residents/fellows.
    ◾ $2, 000 educational allowance paid in January * (subject to completion of annual Health Stream modules)
    ◾ $6,000 housing allowance. $500 paid on the first paycheck of each month.

(All allowances are subject to applicable taxes)

 

Housing

Palo Alto is located in the heart of Silicon Valley and is connected to San Francisco and San Jose by two major freeways (Highway 280 & Highway 101). There is easy access into San Francisco and Berkeley for cultural events. City life may be combined with the pleasures of rural Portola Valley and Half Moon Bay. Rentals in the Palo Alto area are costly and people often must choose between commuting convenience, their budget and shared living accommodations. However, you do not need to limit yourself to the immediate surrounding area. Fellows have even lived in San Francisco (not recommended in the first year, often with a heavy clinical load). Parking is scarce so many fellows choose to take public transportation or bike to campus.

Stanford Campus: Fellows are not eligible to live on the Stanford campus in dorms, Escondido Village, or purchase condominiums and houses for sale on campus land. You are able to rent apartments at University owned apartment complexes: Welch Road Apartments (at the corner of Pasteur Drive and Welch Road) and Stanford West (located on Sand Hill road).

Applications for the Welch Road apartments are included in your registration packets and should be returned promptly to House Staff Administration. Incoming interns and residents are given top priority for any available units. Assignment is based on a lottery held on May 1-2 of each year. Residents are allowed to live at Welch Road during their initial Stanford residency only.

Stanford West Apartments were completed in the Spring of 2002 and are filled predominantly by faculty and staff. You may join a wait list for one, two, and three bedroom apartments within walking distance from the Medical Center however it can be years-long. The complex has an on-site day care center.

For other local and Stanford owned rentals try the Faculty and Staff Housing Office suggested locations, Craig's List, or SU Post (aimed at the Stanford community but not affiliated with the University) in addition to your direct searches. Mountain View, a nearby city, passed rent control laws in 2016 limiting annual increases and many new apartment units have been and continue to be built there as well as in Redwood City, increasing housing options and availability.

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Jennifer L. Carlson, MD

Fellowship Program Director

Clinical Associate Professor of Pediatrics

Rachel L. Goldstein, MD

Associate Fellowship Program Director

Clinical Assistant Professor of Pediatrics

other resources

ERAS for Fellowship Applicants

ACGME Program Requirements

Medical Schools Recognized by the Medical Board of California

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