The two-year Pediatric Hospital Medicine fellowship program is based at Riley Hospital for Children in Indianapolis, one of the nation’s top-ranked children’s hospitals. Fellows have the opportunity to work at three different hospitals, each providing different clinical experiences.
The largest quaternary children’s hospital in Indiana, Riley Hospital is a free-standing children’s hospital that treats children from all over the state. The Level 1 trauma emergency department is always busy, and every pediatric subspecialty is available for consultation when needed. The Indianapolis campus is home to a large pediatric residency program and one of the largest medical schools in the country, which provides plenty of teaching experiences for fellows.
IU Health North Hospital is the community site for the PHM Fellowship. Hospitalists cover a 16-bed general pediatric and pediatric intensive care unit, where they see a broad range of pediatric patients and have many opportunities for teaching students and residents. Newborn hospitalists also cover a busy newborn unit here. PHM fellows may choose to rotate in the newborn unit, NICU, and PICU at this location.
Hospitalists here staff a newborn unit and Level 2 NICU. They attend deliveries often for infants with prematurity or other concerning conditions during pregnancy or labor. This site is optional for PHM fellows.
The fellowship program provides a flexible curriculum based around the fellow’s interests for their future career. The hospitalist program currently provides inpatient care for more than 17,000 patients each year, ensuring that fellows are exposed to a wide range of clinical patient care issues. The program is proud to co-manage patients with physicians in multiple other subspecialties, many of which are ranked nationally by U.S. News & World Report.
Trainees develop skills in pediatric hospital medicine, critical care, emergency medicine, the care of medically complex children, procedural sedation, surgical service co-management, and other topics that may be addressed through elective choices based on interest. Fellows participate in overnight, in-house shifts independently after initial training, in order to promote autonomy.
Available electives include but are not limited to: toxicology, child protection team, transport medicine, pain team, neurology, rheumatology, genetics and metabolism, infectious disease, education, leadership and many other subspecialties available at Riley Hospital. Indiana University School of Medicine offers additional training pathways including global health, health equity, clinician-educator and leadership, which fellows may participate in if interested.
Two-Year Curriculum
| 32 weeks of core clinical time | |
| Inpatient Hospitalist at Riley Hospital for Children | 6 weeks |
| Community Hospitalist at IU Health North Hospital | 4 weeks |
| Newborn Hospitalist at IU Health West Hospital | 4 weeks |
| Hospitalist Nights | 4 weeks |
| Complex Care | 2 weeks |
| Sedation | 2 weeks |
| Pediatric ICU | 2 weeks |
| Individualized core curriculum (additional weeks of core clinical above or Emergency Department) | 8 weeks |
| Individualized Curriculum (Electives or additional core clinical above) | 32 weeks |
| Scholarly Time | 32 weeks |
| Vacation | 4 weeks per year |
Education
Education is a priority for the pediatric hospitalist group, and many hospitalists have completed formal training in education. Practicing at the site of one of the biggest medical schools in the United States and a large pediatric residency program, there are always plenty of opportunities to teach medical students and residents. The pediatric hospitalist service is divided into two teams, each staffed by one staff hospitalist and composed of a senior resident, two to three pediatric interns or family medicine residents, one sub-I student and two third-year medical students. Fellows will lead one of these teams while on service, acting as the staff while receiving supervision from a hospitalist.
Fellows participate in education training through didactics and the completion of Tier One of the Academy of Teaching Scholars. Each fellow completes and receives feedback on teaching sessions for residents and students, along with their clinical teaching while on service.
Advocacy is an important part of education and health care. A pediatrician's duty is to advocate for their patients’ health and well being. As part of the pediatric hospitalist curriculum, fellows receive training in advocacy and can create an advocacy project based around their interests in a health care process that requires change.
Global Health
IU School of Medicine provides many opportunities in global health, including the AMPATH partnership with Moi University School of Medicine in Kenya. PHM fellows with interests in global health may use individualized curriculum (elective) time to travel to locations approved by the GME to complete global health rotations.
Camp Riley
PHM fellows may spend individualized curriculum (elective) time at Camp Riley during the summer months. Learn more on the Camp Riley website or by contacting the fellowship director.