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Hospitalist Fellowship Program

The Johns Hopkins Bayview Hospitalist Fellowship is one of the premier hospitalist fellowship training programs for academic hospitalists and future leaders of hospitalist programs. Fellows are trained and mentored by the nationally recognized faculty of The Johns Hopkins University School of Medicine. The curriculum is based on the core competencies in hospital medicine, described by the Society of Hospital Medicine.

Overview

Eligibility
Must have completed an ACGME-accredited internal medicine residency

Citizenship
Able to accept U.S. citizens or permanent residents

Salary
$45-50,000/year, depending on PGY

Duration
Two years

Emphasis
Leadership, medical education, QI, research

Clinical Duties
Four months per year

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Goals and Mission

The goals of the curriculum are to advance each fellow’s knowledge, attitudes and skills in the domains of clinical medicine, health care systems, professionalism, education and research. The curriculum will prepare fellows to become leaders in clinical and educational program development, agents of systems change, role models of professionalism and effective researchers.

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Objectives

The fellowship curriculum is based on the Core Competencies in Hospital Medicine, defined by the Society of Hospital Medicine (SHM) in 2006. All physicians graduating from an internal medicine residency program are thoroughly trained in clinical medicine and procedures. However, internal medicine residents receive very little education in the topics listed within the "Health Care Systems" section of the Core Competencies. Some of these content areas include:

  • Consult medicine
  • Care of elderly patients
  • Palliative care
  • Evidence-based medicine
  • Practice-based learning and improvement
  • Team approach and multidisciplinary care
  • Patient safety and quality improvement
  • Leadership
  • Patient handoff and transitions of care
  • Financial management processes
  • Information management
  • Medical ethics and professionalism
  • Equitable allocation of resources
  • Risk management
  • Communication
  • Education
  • Research

We have arranged the twenty-four Core Competencies into five content areas representing the five overall goals of our curriculum:

  1. Clinical Medicine: Fellows will advance their proficiency in providing clinical care for hospitalized patients, with emphasis on the following areas not necessarily focused on during internal medicine residency: evidence-based practice, palliative care, care of elderly patients, medical consultation, co-management with surgical services, and practice-based learning and improvement.
     
  2. Health Care Systems: Fellows will develop the knowledge, attitudes and skills necessary to facilitate health care systems change in ways that improve the processes and outcomes of patient care, with emphasis on the following areas: patient safety, quality improvement methods, transitions of care and risk management.
     
  3. Professionalism: Fellows will develop the knowledge, attitudes, skills and behaviors that constitute professionalism, including: altruism, respect, cross-cultural sensitivity, accountability, confidentiality, communication and shared-decision making, integrity, compassion/empathy, duty, recognizing and managing conflicts of interest, self-awareness, and commitment to excellence and ongoing professional development.
     
  4. Education: Fellows will develop teaching and curriculum development skills that incorporate principles of adult learning, which will help prepare them to become educational leaders and innovators in hospital medicine.
     
  5. Research: Fellows will develop skills in research design, instrument development, data collection and analysis, research collaboration and the dissemination of findings, which will promote success, satisfaction and advancement in their academic medicine career.

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Program Details

The hospitalist fellowship is a two-year program based at Johns Hopkins Bayview Medical Center.

Educational methods will include:

  • Clinical rotations
  • Required readings
  • Fellowship projects
  • Participation in academic conferences
  • Participation in courses such as faculty development, curriculum development and public health classes

Fellows will complete many of the objectives independently, with skilled, dedicated mentors available for questions, advice and guidence. Mentors will engage the fellow's reflection regularly to stimulate their professional and personal growth and development.

Fellows also will rotate on established services such as the hospitalist service, teaching service and medicine consult service. They will join the faculty to serve on committees throughout the Medical Center and participate in national professional conferences. Fellows will present ideas and work, such as new practice guidelines or QI initiatives, at faculty meetings and fellow's conferences (along with fellows in general internal medicine and geriatrics).

Mentors will be assigned to fellows for each of their rotations. Most of the mentors will be faculty in the Divisions of Hospitalist Medicine, General Internal Medicine or Geriatrics. Mentors will work closely with fellows to provide ongoing feedback. Quarterly meetings between the fellow and the fellowship committee (made up of the program directors and other faculty within the Division of Hospitalist Medicine) will address the fellow’s overall progress through the program.

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Fellowship Curriculum and Courses

At the beginning of their fellowship training, each fellow will select one of the four tracks (Medical Education, Research, Quality Improvement or Leadership), based on their career goals and interests. Fellows are expected to complete required and elective courses and a fellowship project by the end of their training. Mentors will guide each fellow in selecting courses and classes to ensure that their unique learning needs are met.

Requirements for all fellows:

Year One

  • Research Compliance (HIPAA, CORE)
  • Intro to Clinical Research
    (two weeks in July)
  • Intro to stat I & II (Summer/Fall)
  • Teaching Skills Part I & II (Sept. - Feb.)
  • Academic Hospitalist Academy (Fall)
  • SHM Foundation for Leadership (Level I)

Year Two

  • Consult Medicine (two weeks at JHH)
  • Grant Writing
  • SHM Advanced Leadership: Personal Leadership Excellence (Level II)

Years One and Two

  • EBM
  • Clinical Months (four months per year)
  • Research in Progress (JHH)
  • Fellow-led conference/M&M (every two months)
  • Fellowship Project
  • SHM annual meeting (Spring)

Additional required courses for each track:

Medical Education Track

Year One

  • Curriculum Development (nine months)
  • Intro to Methods for Health Services Research I & II (Jan. - May)

Year Two

  • Elective Courses and Activities

Years One and Two

  • TRIPLE (Spring)
  • TTW (Spring)

Research Track

Year One

  • Science of Clinical Investigation Certificate Program
  • Curriculum Development Workshop (two days in October)

Year Two

  • Elective Courses and Activities

Quality Improvement Track

Year One

  • Intro to Methods for Health Services Research I & II (Jan. - May)
  • Measuring and Improving Culture of Safety (two days)
  • Patient Safety Practitioner (two-day seminar)
  • Creating a Patient Safety Strategy for Your Hospital (three days)

Year Two

  • Curriculum Development (nine months)
  • Lean Sigma: Prescription for Healthcare Green Belt Course (five days)
  • Elective Courses and Activities

Leadership Track

Year One

  • Curriculum Development (nine months)
  • Intro to Methods for Health Services Research I & II (Jan. - May)
  • Half-Day Workshops:
    - Your Best Year Ever
    - Working Together: Getting to Know Yourself and Others
    - Crucial Conversation
    - Influencing for Impact: On Being Influential
    - Influencing for Impact: Influence and Power Case
    - Negotiation Skills: Creating Agreement and Managing Conflict
    - Overview of Decision-Making and Risk-Taking Strategies
    - Facilitating Group Decision-Making
    - Speak Like a Pro

Year Two

  • Business of Medicine certificate (nine months)
  • Elective Courses and Activities
  • SHM Advanced Leadership: Strengthening Your Organization (Fall)*
    (*option of completing SHM Leadership Certification Program)

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Fellowship Administration

Flora Kisuule, M.D., MPH
Co-Program Director
fkisuul1@jhmi.edu

Eric Howell, M.D.
Co-Program Director
ehowell@jhmi.edu

Haruka Torok, M.D.
Associate Program Director

htorok1@jhmi.edu

Tiffani Panek
Program Coordinator
tpanek1@jhmi.edu

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Contact Information

Click here to download an application for the fellowship program. Complete the application and e-mail or mail it using the addresses below. For additional information, please contact us at:

Johns Hopkins Hospitalist Fellowship Program
Johns Hopkins Bayview Medical Center
CIMS Hopsitalist Division Suite
MFL West Tower, 6th Floor
5200 Eastern Avenue
Baltimore, MD  21224

410-550-5018 phone
tpanek1@jhmi.edu

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Links and Resources

Collaborative Inpatient Medicine Service (CIMS) at Johns Hopkins Bayview
www.hopkinsmedicine.org/johns_hopkins_bayview/medical_services/your_care_team/collaborative_inpatient_medicine_service

Johns Hopkins Bayview Medical Center
www.hopkinsmedicine.org/jhbmc

The Johns Hopkins University School of Medicine
www.hopkinsmedicine.org/som

Greater Baltimore Medical Center (GBMC)
www.gbmc.org

Society of Hospital Medicine
www.hospitalmedicine.org

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