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Program Mission Statement:

We seek to train pediatric hospitalists for the future of hospital medicine, creating leaders that deliver high quality, high value, patient- and family-centered care in academic and community environments while promoting health and equity among all children. The Pediatric Hospital Medicine Fellowship at North Carolina Children’s Hospital is a two-year program that focuses on clinical experience, academic teaching, research and administrative skills.

Training:

Clinical training takes place primarily at North Carolina Children’s Hospital, recognized by U.S. News & World Report as one of “America’s Best Children’s Hospitals.” It is also a Level 1 pediatric trauma center, pediatric burn center, home of a prominent pediatric airway center and has full range of pediatric medical and surgical subspecialists.

Academics and teaching are integral parts of the program. Our pediatric hospitalists are members of the core teaching staff for University of North Carolina medical students and residents, through bedside rounding, daily teaching activities, and formal lectures for medical students and residents. In addition, fellows spearhead our division’s journal club, inpatient case reviews, and morbidity and mortality conferences.

Scholarly activity is expected and supported during this fellowship. The formal two-year curriculum integrates principles of evidence-based medicine, epidemiology, biostatistics, quality, medical manuscript writing and scientific presentation. A scholarly project is created through mentorship with a goal of publication and/or presentation as a graduation requirement. Trainees also receive education in patient safety and risk management, participate actively in administrative committees, and participate in quality improvement projects.

Curriculum

During the first year, fellows will work directly with attending faculty on our general pediatric teaching services (which include nephrology, neurology, and surgical co-management and complex care patients) with the primary goals of becoming strong clinical leaders of multidisciplinary teams and improving bedside teaching skills in the context of family-centered rounds. In addition, fellows will work with our supportive care, complex care, and sedation teams to further broaden their skills. In order to provide an adequate foundation for work in medical education, quality improvement/patient safety, research, and administrative work, the fellow will undergo a scholarly introduction rotation (second rotation of their first year) that provides additional education.

In the second year, fellows focus on developing further independence on the general pediatric teams and select additional clinical experiences tailored to their career interests. Experiences in community hospital medicine at our Rex Campus and on an attending-only hospitalist service are included in the second year. Electives time with our pediatric ICU, infectious diseases and child maltreatment teams are strongly recommended. In the final year, fellows spend the majority of their time on academic experiences tailored to their interests. Each year includes an even division between required inpatient units, individualized curriculum, and research, as well as 4 weeks of vacation.

A multitude of non-clinical professional development curriculum options are available: fellows participate in an institutional fellowship curriculum, engage in dedicated divisional activities geared to fellows and junior faculty, and attend 1-2 national conferences yearly.

Academic Experiences

Our fellows are exposed to all academic facets of Pediatric Hospital Medicine – including clinical research, quality improvement science, patient safety, medical operations, and medical education. With the guidance of a mentorship team and Scientific Oversight Committee, each fellow will choose an area for their primary academic focus in which to acquire additional advanced skills.

Administrative
  • Leadership training and mentorship from PHM faculty and senior administrators
  • One-on-one shadowing experiences with high-level administrators (e.g. administrator on duty, chief operations officer, chief nursing officer, senior vice-presidents
    • To contextualize hospital operations and view different perspectives on hospital challenges
  • Guidelines and standardization committees to establish best practices and standardization across the UNC system
  • Leading sessions at institutional inter-professional education conferences (M&Ms, Grand Rounds, etc) with the goal of broader dissemination in national meetings
Quality Improvement
  • Institute for Healthcare Improvement Open School QI training modules
  • QI projects, working closely with leaders from nursing and other ancillary staff
  • Fellows with specific interest in QI will have additional dedicated mentorship from faculty involved in and with leadership positions in quality and patient safety
Medical Education
  • Participation in existing core fellowship curricula (fellows’ college)
    • Topics such as professionalism, cultural humility, innovative approaches to teaching, teamwork and training, and academic promotion
  • Diversity and Inclusion Curriculum including LGBTQ+ awareness and Ally training workshop, Implicit Bias workshop, and monthly fellow-led discussions of various DEI topics with mentorship from the UNC Pediatrics DEI subcommittee
  • Opportunities at both campuses to teach nursing students, medical students, residents of all specialties (anesthesia, medicine-pediatrics, pediatrics)
  • Dedicated mentorship from faculty with leadership positions in medical education
Current Fellows

1st Year

Madison Archer, MD

Madison Archer, MD

2022 Fellow, Pediatric Hospital Medicine
Residency Program: Cincinnati Children’s Hospital
Medical School: Medical College of Georgia at Augusta University
Pediatric Career Interests: Medical education, the implementation of competency based medical education, utilizing the QI model to improve the ways in which we educate those in the medical field as well as patients and their families.
Hobbies: Hiking, running, UGA football (Go Dawgs!), traveling, and reading. I was technically a nationally rated fencer in college and in medical school I competed in the southeast medical wilderness adventure race (MedWAR) our team “Failure to Thrive.”

Why UNC? UNC has many qualities that appealed to me as an applicant. I appreciated that UNC offered a wide array of experiences that I knew would help refine my clinical skills as a fellow, such as the co-management of Nephrology, Neurology, and Surgical patients on the HM teams. There are also ample non-clinical opportunities available to help develop skills in QI, medical education, and leadership depending on your interest. The inclusion of a scholarly introductory rotation during the second month of fellowship sets you up for success in developing your main fellowship project in whatever area of interest your passion lies. I plan for medical education to be a large part of my career, the shared interest in medical education by many of the program’s faculty and leadership cultivate an environment that greatly supports work in this area. In addition, the strong medical school and residency programs at UNC offer ample opportunity to be involved in the education of future pediatricians. And of course, all of the faculty I spoke with on my interview day were kind, bright people who were clearly passionate about their work at UNC Children’s Hospital. Chapel Hill itself, and the nearby cities of Durham and Raleigh, provide an array of options for where and how to spend your time, whether you prefer a bigger city or a small-town feel.

 

Melissa Diaz, MD

Melissa Diaz, MD

2022 Fellow, Pediatric Hospital Medicine
Residency Program: Nicklaus Children’s Hospital
Medical School: Florida International University Herbert Wertheim College of Medicine
Pediatric Career Interests: Quality improvement and medical education; teaching and working with underserved communities
Hobbies: I enjoy outdoor activities including kayaking, biking, hiking, and playing badminton!

Why UNC? Many qualities attracted me to the PHM fellowship at UNC. As a large academic institution, I knew I would have the opportunity to work alongside many experts in the field. Since Quality Improvement and Medical Education are my areas of interest, having the opportunity to work with faculty who are passionate about these topics was crucial in my decision. The program at UNC is very well structured, with the flexibility to tailor your schedule to your interests. Additionally, since I hope to continue working with underserved populations, I was searching for an institution committed to serving those in need. Finally, I was also impressed by the atmosphere of camaraderie and support evident within the faculty. Throughout the interview day, every faculty member mentioned “the people” as one of their favorite aspects of the program, and I continue to feel this support as I embark on this journey. I am very excited to be a part of such an innovative and compassionate team in this beautiful city!

 

Program Leadership
Pediatric Hospital Medicine fellowship program director
Jennifer Fuchs, MD
Assistant Professor
Program Director

Jennifer Fuchs is the program director of the PHM fellowship. She completed pediatric residency in 2014 and graduated from PHM fellowship in 2016 from Baylor College of Medicine, Texas Children’s Hospital. On the national level, she has served as a graduated fellow mentor at the PHM fellowship conference, ran the national website for PHM (www.SOHMlibrary.org) and has presented various national workshops on fellowship wellness, core faculty, interviewing applicants, and fellowship autonomy and mentorship. Dr. Fuchs’ primary interests include high value care, faculty development, resident education in the area of child maltreatment, and promoting quality improvement education in trainees. In her free time, she enjoys being outdoors on the water or hiking, listening to her musician husband perform, cooking/baking or trying unique local eats, traveling, and spending time with her daughter and two dogs.

Pediatric Hospital Medicine fellowship associate program director and Division chief
Lindsay Chase, MD
Associate Professor
Associate Program Director

Lindsay Chase is the director of inpatient services, medical director of children’s short stay unit, and the division chief of Hospital Pediatrics at UNC Children’s Hospital, where she also serves as the associate program director of the PHM fellowship. She completed a PHM Fellowship at Emory and has previously served as the medical director for inpatient services and program director for the PHM Fellowship at Baylor College of Medicine, Texas Children’s Hospital. Nationally, she serves as the medical editor for the American Board of Pediatrics Hospital Medicine Sub board and was a member of the AAP Section of Hospital Medicine Executive committee from 2016-2019 and the former webmaster and founder of the SOHM library. Her primary interests include diagnosis of undifferentiated patients, high value care and optimization of use of limited resources, thinking about thinking, and cuddling babies in the newborn nursery. In her free time, she enjoys dominating her two children at board games, cuddling with her two dogs, and enjoying takeout from all of the great Chapel Hill restaurants.

Gonzalo Loza Pediatric Hospital Medicine Fellowship program coordinator
Gonzalo Loza
Administrative Specialist
Program Coordinator

Gonzalo received his BS in Health Services Management from East Carolina University, College of Allied Health Sciences and a minor in Early Childhood Development and Family Science, College of Health and Human Performance. He has a background of quality improvement and providing support to faculty since graduating in 2019.

Division Faculty
Pediatric Hospital Medicine Group Photo
Pediatric Hospital Medicine Team

Pediatric Hospital Medicine (PHM) at the University of North Carolina Children’s Hospital is a group of ~35 pediatricians, combined medicine-pediatrics trained physicians, nurse practitioners, and nurse coordinators with an interest in the care of hospitalized children. We strive to ensure the delivery of high quality, efficient, and safe care with 24-7 in-house coverage for pediatric inpatients, newborn nursery, surgical co-management, and consultations for many children on specialty or surgical services.

The pediatric hospitalists are members of the core teaching staff for UNC medical students, residents, and fellows. In fact, the Designated Institutional Official (DIO), Pediatrician-in-Chief of the hospital, Director of Inpatient Services, Associate Pediatric Residency Program Directors, Med-Peds Residency Program Director, and Director of Student Education in Pediatrics are all faculty members of our division.

To learn more about our faculty, visit the Meet the Team page.

 

Timeline

The timeline for application into the Pediatric Hospital Medicine fellowship at UNC Children’s Hospital is as follows:

Application Requirements

UNC Children’s Pediatric Hospital Medicine Fellowship program is using the Common Application. Please be sure to include your CV with your application. Letters of recommendation are required including one from your residency program director. Graduation from an ACGME pediatrics (or medicine-pediatrics) program is required. Applicants must be board-eligible/certified in General Pediatrics through the American Board of Pediatrics. For applicants who require Visa sponsorship, we are able to consider applicants eligible for a J-1 Visa sponsored by the ECFMG only.

Contact Us

All questions and materials should be directed to phmfellowship@med.unc.edu

Jen Fuchs, MD
Fellowship Director

Gonzalo Loza
Fellowship Coordinator

Division of Pediatric Hospital Medicine
333 S. Columbia Street
MacNider Hall, Suite G-055
CB# 7225
Chapel Hill, NC 27599-7225
(p) (919) 966-9980
(f) (919) 966-3852