Training Opportunities and Education
Teaching Services
Hospitalist faculty have the opportunity to work on direct care services as well as teaching services. Teaching services include both the Osler Wards Service as well as the Brancati Wards service.
Brancati Services
Named for the legendary GIM clinician, researcher, and mentor Fred Brancati (1959 – 2013), the Brancati service provides hospitalist faculty with the opportunity to teach Osler medical residents on the wards. This service comprises junior residents and interns from the internal medicine and ophthalmology preliminary tracks. This is the first opportunity for second-year internal medicine residents to take on leadership and teaching roles; our hospitalist faculty guide them as they develop critical skills in education and supervision, along with continued honing of clinical acumen.
Osler Services
The Osler Services are named for four historic chiefs of medicine under Sir William Osler. Separated into firms, these serve as the primary training grounds for interns and senior residents in the Osler Medical Residency Training Program. Interns, medical students, and dedicated firm pharmacists join teaching rounds (either in person or via video chat) while another resident manages the service and minimizes distractions to create the optimal teaching environment every morning. As the attending on service, you will lead ACS rounds, provide bedside teaching, and mentor senior residents as they learn to manage a service that is typically high in complexity and acuity.
Intermediate Care Service
Our closed general medicine intermediate care (IMC) teaching service is a geographically located team responsible for providing care for patients with a higher severity of illness than typical internal medicine services on the floors. This team, consisting of Osler residents under the leadership of hospitalist faculty, provides care for patients with a wide breadth of other illnesses that require higher nursing ratios and close monitoring. This popular service has a lower census than other floor teams and has allowed for closer relationships with nursing staff and dedicated bedside teaching rounds.
Training Opportunities
Sub-internship Elective Rotation
The rotation is an advanced medicine clerkship for medical students who have already completed their basic clinical rotation in medicine. The four-week rotation provides training in the care of hospitalized patients in a tertiary-care setting. We accept sub-interns year-round, and interested parties should contact the course director, Dr. Padmini Ranasinghe, at [email protected]. Note: Johns Hopkins medical students who want to apply for a sub-internship spot on the Osler Firms or the Polk Unit should refer to the Advanced Clerkship website.
Resident Elective Rotation
Second and third year Internal Medicine residents training in an ACGME recognized program who wish to gain experience in Hospital Medicine may apply for the four-week visiting resident elective. The elective provides an excellent opportunity for residents who are considering a career as a hospitalist or a fellowship in hospital medicine to experience clinical work in an academic center. To apply, contact the director of education for the hospitalist service, Dr. Padmini Ranasinghe, at [email protected]. Applications are reviewed on a rolling basis.
Fellowship Training
-
Overview
The primary goal of the Johns Hopkins Medicine (JHM) Fellowship in Health Systems Management (HSM Fellowship) is to foster the growth and development of early-career physicians interested in health systems management. The longitudinal rotations and project-based curriculum are designed to create a path for future physician leaders by training them in skills relevant to integrated health systems. Through direct involvement in various JHM initiatives and interactions with system leaders, fellows will gain an understanding of health management and policy.
Scope of Training
The HSM Fellowship provides a formal curriculum and series of immersion experiences throughout Johns Hopkins Medicine. Fellows will directly participate in projects, committees and work groups to foster development of competencies in areas including, but not limited to, operations, population health, utilization management, care redesign tactics, accountable care, innovative payment models, quality and safety, and general management principles. At the conclusion of the fellowship, fellows will have the requisite skills, knowledge and experience to succeed as mid-level healthcare managers.
Program Duration, Size and Affiliation
The fellowship will be one year in duration with one new fellow selected each academic year. The fellow will be Johns Hopkins Medicine faculty (or resident) and will maintain an affiliation with their respective clinical department.
Program Leadership
Sarah Johnson Conway MD serves as Program Director, and Peter Najjar MD, MBA serves as the Assistant Program Director. Based on each fellows’ career interests, the Program Directors will assist the fellow in identifying and establishing additional mentors from among Johns Hopkins Medicine leadership.
Fellowship Structure
The fellowship includes 2 core rotations at the Johns Hopkins Hospital and Armstrong Institute for Patient Safety and Quality. Additional rotations will be developed based on fellow interest. For each rotation, an executive champion will be identified to serve as a sponsor for the fellow and guide their work. Fellows and mentors will work together to choose a related project for which the fellow will take primary ownership. Each rotation and associated project(s) will have a corresponding deliverable due by the end of the year. Additionally, fellows are expected to prepare academic output related to their work to establish a research foundation.
Additional Opportunities
Fellows will dedicate 70-90% of their time to fellowship activities. Residual time will be dedicated to clinical responsibilities or available for elective participation in additional leadership and training opportunities. Fellows can apply to participate in the Armstrong Institute’s Patient Safety and Quality Leadership Academy and will be invited to join the JHM Administrative Fellows for monthly lecture series and a fall Operations Bootcamp.
Sample Rotations
- Armstrong Institute for Safety and Quality (required)
- Johns Hopkins Hospital (required)
- Johns Hopkins Community Physicians
- Johns Hopkins Health Plans
- Johns Hopkins Health System
- Johns Hopkins Medicine Office of Telemedicine
- Johns Hopkins Medicine
- Office of Johns Hopkins Physicians
- Office of Population Health Clinical Practice Association
To learn more, please contact Dr. Sarah Johnson Conway at [email protected]. To apply, click here.
-
Johns Hopkins General Internal Medicine fellows who have academic interests in Hospital Medicine will have the opportunity to work with faculty in the Johns Hopkins Hospitalist Program in both clinical and non-clinical settings. The Hospitalist Unit and the Internal Medicine Comprehensive Consultation Service (directed by the Hospitalist group) serve as venues for teaching medical students and residents, and provide unique patient-care opportunities. Research projects related to Hospital Medicine are encouraged. Types of projects may include:
- Measuring, refining and improving coordination between primary care and hospital care
- Developing and testing strategies that use information technology (such as prompts in the electronic order-entry system) to improve safety and quality of care for hospitalized patients
- Participating in evidence-based systematic reviews and meta-analyses of conditions associated with hospital care
- Studying behavioral medicine, physician-patient communication and ethics in the setting of hospital care
- Investigating the clinical epidemiology of cardiovascular disease in hospitalized patients.
Fellows who choose to pursue Hospital Medicine research projects will receive mentorship not only from Hospitalist faculty, but also from other faculty mentors within the GIM Division who have expertise in epidemmiology, health services research or fields of public health.
Applicants interested in the Johns Hopkins Hospitalist Research Fellowship should specify this interest in the cover letter of the application for the General Internal Medicine Fellowship. To learn more about how to apply, click here.
For more information, visit the GIM Fellowship Program page.