1. Pediatric Hospital Medicine Fellowship Rady Children’s Hospital San Diego in affiliation with the University of California San Diego

2. The PHM Faculty Directorships Medical Director of Chadwick Center for Child Protection Co-Medical Director of Polinsky Children’s Home for neglected and abused children Medical Director of Juvenile Hall Medical Director of Pediatric Hospice Medical Director for Quality and Patient Safety Medical Director of GME Medical Director of Children’s Home Care Director of Inpatient Services at RCHSD Chief Medical Informatics Officer, RCHSD Medical Director, Pediatric Unit, Palomar Medical Center Medical Director, Pediatric Unit, Sharp Grossmont Hospital Co-Director of Children’s Emergency Transport Services Advanced Degrees, and Advanced Clinical Training Masters in Medical Management Masters of Business Administration Masters in Education Board Certification in Hospice Clinical Dermatology Fellowship Genetics Fellowship Ethics formal training Palliative Care formal training

3. Overview Clinical TrainingClinical Training Academics and TeachingAcademics and Teaching AdvocacyAdvocacy Quality Improvement and LeadershipQuality Improvement and Leadership ResearchResearch

4. Clinical Training Admissions and ConsultationsAdmissions and Consultations Children’s Emergency Transport and TraumaChildren’s Emergency Transport and Trauma Pediatric ICU trainingPediatric ICU training Skills knowledge and evaluationsSkills knowledge and evaluations Community sites atCommunity sites at Palomar Medical Center and Sharp Grossmont Hospital (non-teaching experience) Palomar Medical Center and Sharp Grossmont Hospital (non-teaching experience)

5. Academics and Teaching Weekly ward schedule at Rady: * Attending Rounds - team * EBM Conferences * Morning Case Conf * Professor’s Rounds Fellows attend multiple conferences, including: Pediatric, ICU, and CHET M&M; Hospitalist Core Curriculum Series; UCSD Fellows Research Conference; Grand Rounds, and others.Fellows attend multiple conferences, including: Pediatric, ICU, and CHET M&M; Hospitalist Core Curriculum Series; UCSD Fellows Research Conference; Grand Rounds, and others. Fellows present yearly at the following conferences: Resident Noon Conference, Division Journal Club, UCSD Fellows Research ConferenceFellows present yearly at the following conferences: Resident Noon Conference, Division Journal Club, UCSD Fellows Research Conference

6. Advocacy Experiences Juvenile HallJuvenile Hall HospiceHospice AAPAAP California Specialty Care CoalitionCalifornia Specialty Care Coalition Polinsky Children’s HomePolinsky Children’s Home Chadwick Center for Child ProtectionChadwick Center for Child Protection Home CareHome Care Doctor’s Black Bag ConferencesDoctor’s Black Bag ConferencesPresentations/Project One mini-project (4-6 week)One mini-project (4-6 week) One presentation to Division or ResidentsOne presentation to Division or Residents

7. Doctor’s Black Bag Conferences Medi-Cal and California Children’s ServicesMedi-Cal and California Children’s Services HMOs and PPOs – a guide through alphabet soupHMOs and PPOs – a guide through alphabet soup Politics and LegislationPolitics and Legislation Special Community Programs to help kidsSpecial Community Programs to help kids Physician LiabilityPhysician Liability Ethics in Medicine 1Ethics in Medicine 1 Ethics in Medicine 2 Finding a Job, Keeping “fit” Communication Outcomes and Quality Assessment Information Systems Cultural and Social Issues Hospice and Palliative Care

8. Quality Improvement and Leadership QI and Risk Management CommitteesQI and Risk Management Committees Pathways and AlgorithmsPathways and Algorithms Rapid Cycle Improvement with mini-projectRapid Cycle Improvement with mini-project Leadership Training on site and available through American College of Physician ExecutivesLeadership Training on site and available through American College of Physician Executives

9. Research Formal clinical research training through UCSD CREST program: Patient- Oriented Research, Basic Epidemiology, Health Services Research integrated into first year.Formal clinical research training through UCSD CREST program: Patient- Oriented Research, Basic Epidemiology, Health Services Research integrated into first year. Optional second year CREST and MPH or MAS (MPH or MAS requires 3 yr program; please ask for details)Optional second year CREST and MPH or MAS (MPH or MAS requires 3 yr program; please ask for details) Research mentor selected first yearResearch mentor selected first year Project to be presented as abstract at SHM, APA, AAP, or other appropriate entityProject to be presented as abstract at SHM, APA, AAP, or other appropriate entity

10. The Two Year Schedule 96 weeks of training over two years96 weeks of training over two years *4 weeks of vacation per year to equal 52 week per year*4 weeks of vacation per year to equal 52 week per year 50% of year one is clinical; 50% of year two is research50% of year one is clinical; 50% of year two is research Schedules may be modified to meet the needs of the fellowSchedules may be modified to meet the needs of the fellow (training weeks below are estimates) Year One Year Two TOTAL Clinical (includes shadowing weeks, ED/PICU, 4 weeks clinical elective)271845 Research (exclusive of research education)72229 Advocacy, Teaching, Presentations, Quality Improvement and Leadership11718 Orientation, vacation, Boards, Society meeting 7512 Total52 104

11. The One Year Schedule Training weeks below are estimates Weeks 52% Clinical (includes required ED/PICU, shadowing, 2 wks electives) 27 17% Research 9 6% Quality Improvement, Admin 3 6% Education: Academics and Teaching 3 6% Advocacy 3 4% Orientation 2 10%Vacation, Boards, Society meeting 5 99% TOTAL 52

12. The Rady Children’s Pediatric Hospital Medicine Fellowship Training Program: Training tomorrow’s leaders