May 08, 2020
UPMC Center for Community Hospitalist Medicine
APP Hospitalist Fellowship Program
The UPMC Center for Community Hospitalist Medicine (CCHM) APP Hospitalist Fellowship Program was established in 2018 to train certified graduate physician assistants and nurse practitioners as autonomous staff working under the scope of their license to practice in a supportive learning environment with a supervising physician and identified mentors. The fellowship program providers the Hospitalist APP fellow with the general medicine knowledge, critical care training, and manual skills necessary to make sound clinical judgments and function at the top of their scope of practice. The Hospitalist APP fellows that complete the six-month fellowship then transition to work as autonomous night hospitalist APPs for UPMC CCHM.
A formally structured didactic curriculum and broadly-based clinical experience in both critical care medicine and hospitalist medicine are offered during the six-month UPMC CCHM APP Hospitalist Fellowship. While at various clinical rotations, the Hospitalist APP fellow functions as a staff APP under direct supervision of a physician. During this time, the APP fellow is also mentored by physicians and APPs within the department to provide a highly effective learning environment supplemented by rigorous didactic lectures and courses. The focus is for the Hospitalist APP fellow to be able to provide current evidence-based practice to patients with varying degrees of acuity. The APP fellow should be competent in rapid response techniques and procedures such as intubation, central line insertion, and arterial line insertion at the end of the fellowship.
Three months are spent at core critical care clinical rotations and the remaining three months are spent at varying core hospitalist clinical rotations. The Hospitalist APP fellow is placed at their home community hospital base as well as hospitals with similar patient demographics and acuity in the community. While on clinical services, the APP fellows perform history and physical examinations, create daily assessments and plans, and evaluate and assist patient care in most settings, including emergencies.
Graduation from the fellowship is contingent upon continued demonstration of clinical and professional competency throughout the duration of the fellowship. This is measured in various ways including, but not limited to global assessments, end of rotation evaluations, critical care and hospitalist examinations, clinical competency in standardized patient simulations, and successful completion of all predetermined critical care procedures. The goal of the CCHM APP Hospitalist Fellowship is to promote and encourage APP autonomy and excellence within their scope of practice to provide patients with evidence-based, quality care.