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Advance​d Practice Fellowship in Hospital Medicine


Background

The Advanced Practice Fellowship (APF) is a 13-month post-graduate fellowship program dedicated to enhancing the development of early-career Nurse Practitioners (NPs) and Physician Assistants (PAs) or for those new to hospital-based medicine. Recognizing that NPs and PAs are increasingly utilized in inpatient care models, our program’s mission is provide the knowledge, skills and attitudes necessary for a provider to succeed in the challenging world of acute care medicine.  Ideal candidates include those interested in working in a hospital-based practice, the intensive care unit or emergency department.  Started in 2009, the APF is one of the oldest NP and PA inpatient training fellowships based on the successes the University of Colorado Hospital Medicine Group had in developing its Hospitalist Training Program for Internal Medicine Residents.

Program Description

The program uses a step-wise approach to developing learners into well-rounded, competent inpatient providers. It has a strong clinical core but also utilizes frequent didactic sessions and case-based learning. Fellows will find dedicated MD, NP and PA faculty educators who are always available to assist their learning. The program utilizes a Multi-phase system:
Phase 1: Boot Camp (4 weeks)
During the first four weeks, the learner will participate in aspects of the University and Hospital Medicine Group orientation including computer training, billing training and specific topic instruction such as how to take a history and perform a physical and the approach to common clinical conditions and documentation training. 
Phase 2: Professional Development  (12 weeks)
This phase focuses on the learner by placing the fellow in a team consisting of a physician faculty member, an NP or PA faculty and the fellow. Beginning with a single patient and increasing to as many as 5, the fellow will be responsible for the care of individual patients. These patients will be presented on bedside rounds to the attending physician and patient-based teaching and clinical reasoning instruction will be offered daily. In addition, a topic-based curriculum will be given to the fellows, averaging 2 talks a week.  
Phase 3: Skills refinement (8 weeks)
The focus of the third phase shifts toward learning the art of admission and cross-cover as the fellows will spend 4 weeks on an afternoon/evening admitting service and 4 weeks a night. There is dedicated didactic time each shift.  
Phase 4: Emergency Medicine  (8 weeks)
In phase four, the fellows will spend two months in the emergency department learning the art and science of emergency medicine.  There will be weekly didactic lectures in addition to clinically focused teaching.  
Phase 5: Intensive Care Unit (4 weeks)
During phase five, the fellows will spend at least 4 weeks in the intensive care unit, learning about both medical and surgical issues confronted by critically ill patients.  There will be weekly didactic lectures in addition to clinically focused teaching.  
Phase 6: Consult Medicine (4 weeks)
This phase’s focuses on those clinical issues facing patients in the perioperative period.  The Medicine Consult service provides medical care and consultation to primarily perioperative patients.  There is a dedicated curriculum averaging 2-3 lectures a week.  
Phase 7: Capstone Medicine (8 weeks)
The focus of the phase seven is to provide a real-world mimic for the fellow on both a hospitalist team and medical-oncology inpatient team. This experience is meant to hone the skills gleaned over the prior phases and improve the confidence and efficiency of the soon to be graduating fellow. The average daily census is typically 6-8 patients.

 

Other Features

The APF program utilizes simulation 2 times during the year to objectively measure the learner’s progress. The fellows will receive instruction on the job market, résumé development and contract review and negotiation. Finally, fellows attend our monthly Journal Club, daily Internal Medicine Resident Report and Grand Rounds as well as the Rocky Mountain Hospital Medicine Symposium.  There is a weekly Clinical Skills Class focusing on topics such as ECG reading and chest radiograph interpretation.   A Fellow will be paired with a faculty member and will receive both formal and informal feedback on performance in multiple sessions through the fellowship to guide his or her development.
 
Hours
The APF is generally a Monday-Friday program with 10 to 12-hour days. During the third and fourth phases the fellows will rotate on the evening and night shifts as noted above. No vacation will be permitted during the first 16 weeks of the fellowship. After that, the fellows are allowed to take 4 weeks of vacation in one-week blocks (Mon-Friday). Vacation requests for the year are taken on the start date. Time off for major holidays cannot be guaranteed. 

Salary and Benefits
We offer a competitive fellowship salary of $65,000 for the 13-month program.  Fellows are full faculty members at the University of Colorado and receive the same benefits package as that offered to other faculty members. This is a 13-month fellowship with no guarantee of employment beyond the fellowship period nor are graduates required to commit to positions here at the University of Colorado Health after graduation.  

Application

We accept 3 cohorts of 4 fellows each spaced throughout the year.  Please contact our office for information about the next available openings and the lead time required to apply for those positions. 
If interested, please apply at www.jobsatcu.com​ under Job Posting #F01942. If you have additional questions, please contact Sami Campbell​.


Minimum Qualifications
  • Must be an NP or PA
  • For NPs, must be an ACNP (or have plans to obtain ACNP certification)
  • Must be nationally certified and certification exam results must be provided 60 days prior to start date.​

​​Desired Qualifications​​​​​

Acute care training or experience in adult inpatient medicine preferred.

Special Instructions to Applicants
Applications are accepted electronically at www.jobsatcu.com​, refer to job posting F02768 or go to https://www.jobsatcu.com/postings/105962. The following (5) documents are required in order to be considered: a cover letter, CV/resume, (1) letter of recommendation, three (3) professional references contact information and a one-page personal statement explaining why you would like to be a part of the fellowship. Applications missing any of these documents will not be reviewed. Do not submit documents (via email) to the job posting contact. Review of applications will continue until the position is filled. The University of Colorado offers a full benefits package. Information on University benefits programs, including eligibility, is located at: http://www.cu.edu/employee-services/benefits​

The University of Colorado is dedicated to ensuring a safe and secure environment for our faculty, staff, students and visitors. To achieve that goal, we conduct background investigations for all prospective employees. Some positions may require a motor vehicle records check.

If you have additional questions, email Sami Campbell​​.