Advanced Practice Provider (APP) Hospital Medicine Post-Graduate Fellowship

Candidates/Requirements

  • Two APP Fellows (PA-C or NP-C)
  • Proof of completion and graduation from an accredited program (PA or NP)
  • Must pass certification exam/boards
  • Maine state license (unrestricted)
  • DEA license (unrestricted)
  • ACLS/BLS certifications

Application Process

  • Selection committee includes Hospitalist Medical Director, APP Fellowship Director, and 2-3 other Hospitalist providers (can be a mix of APPs/physicians)
  • Must complete formal Application through HR/Recruiting
  • Site visit and interviews
  • Review of Required References
  • Check back here for application periods.

Base Hours

  • Approximately 2000 clinical hours in 12 months (approximately 40 hours per week)
  • Shifts rotate based on preceptor availability
  • Mandatory Didactic Learning (weekly or every other week)
  • Holiday rotation is required in the scheduling process
  • The Hospitalist Service Coverage includes a 12 hour shift requirement (7 a.m. to 7 p.m., swing shift, or 7 p.m. to 7 a.m.)

Benefits/Compensation

  • Full employee benefits
  • Vacation time – 3 weeks vacation time in 12 months
  • Salary - $75,000 per fellow
  • CME money – $5,000 per fellow, to account for required learning

Per Diem Opportunities

  • Can be considered after 3-6 months of onboarding and once approved by preceptors on the Hospitalist service
  • Will be paid at full Hospitalist APP Per Diem Rate

Program Requirements – Fellows will

  • be working within a team to provide comprehensive, evidenced based, compassionate care for patients.
  • be responsible for assessment, diagnosis, management, selection of interventions/treatment, educating patients/families, care coordination with interdisciplinary team, as well as follow-up evaluation of the patient’s progress towards goals.
  • have ownership of patients with complex medical conditions, and will manage all aspects of their care.
  • will follow the same shift requirements as Hospitalist team members and will be required to stay for the duration of their shift.

Hospitalist Service Coverage

  • One fellow will remain on the hospitalist service schedule to help offload the census, while the other fellow will rotate through an externship (as noted below).
  • The fellows will alternate time between specialty externship and hospitalist service coverage
  • Fellow on the hospitalist service will help with one afternoon admission/consult
  • Fellow will see 4-6 inpatients per day while rounding initially (could consider increasing volume of patients incrementally, up to 12 patients, depending on how the fellow progresses throughout the year).
  • Any downtime during a clinical day can be utilized to complete assigned clinical education modules

Specialty Externships/Rotations

Rotation schedules will be arranged to provide opportunities for additional inpatient learning outside of hospital medicine. Any concerns related to the rotations should be brought immediately to the attention of the program director. We reserve the right to change the rotation schedule at any time in order to meet the needs of the individual fellow or the needs of the institution or specialists accommodating a rotation.

Specialty Externships/Rotations may include but not be limited to the following

(entirely inpatient, 1-2 weeks per rotation)

Goal is to allow fellow opportunity to understand inpatient specialty care areas, work-up including testing, procedures and intervention, as well as appropriateness of consultation.

  • Infectious disease
  • Critical Care/Pulmonology
  • Cardiology
  • Nephrology
  • Medical Oncology/Hematology
  • Palliative care
  • Gastroenterology
  • Geriatrics
  • Radiology/Interventional Radiology
  • Orthopedics

Didactic Education/CME

  • Attend every other week didactic education
  • CME Money to attend the Hospitalist Boot Camp held annually by the AAPA, as well as additional required hospitalist conferences such as Harvard or UCSF
  • Encouraged to attend the “Hospitalist Academy” lecture series
  • Encouraged to attend weekly MGMC Grand Rounds programing
  • MGMC provided Audio Digest for license maintenance, on demand CME, and specific required podcasts per Fellowship Director
  • Complete Policy and Safety Modules
  • ACLS/BLS (recertification if needed)

Supervision

  • Mentored by Attending physicians, Physician Assistants and Nurse Practitioners
  • For the majority of the rotations, fellows will be paired with a faculty member with whom they will provide a totality of care, including assessing and responding to patient care needs, providing medical management, and assessing both patient and family immediate and long-term needs
  • An APP Fellow will have a period of initial shadowing, at which time the Fellowship Director in conjunction with additional faculty and preceptors will complete an initial assessment of skills
  • Fellows will be expected to demonstrate clinical abilities before more degrees of independence are provided, especially when working with specialty teams

Responsibilities of the Fellow

  • Fellows are expected to make these learning opportunities the best they can be, to provide the highest quality patient care they can provide, and to learn everything they can from the mentors each day.
  • Fellows are required to log their clinical hours and their outside didactic education hours. Logs will be reviewed every 2 weeks in order to ensure compliance with training program. Failure to comply with these logging policies will result in disciplinary action.
  • Evaluation of rotations: These evaluations are done and must be completed after each rotation has occurred. This information will be used to improve future rotations as well as to determine the appropriateness of the rotation for future fellows.
  • It is the responsibility of the fellow to ensure that all certifications are kept current. This includes but is not limited to Maine License, CPR/BLS, ACLS, annual license/certification CME requirement, and DEA. If there are questions about maintenance of certifications, license or CME, then questions should be brought to the fellowship director prior to any expiration or lapse in license/certification.
  • This list is not all-inclusive. Further detailed responsibilities will be provided in Hospital Medicine APP Fellow Handbook, which will be distributed during orientation.
  • Fellows will choose an inpatient medicine specific topic and complete a research project/presentation.

Completion of Program

In order to successfully complete this program, the fellow must receive an "average to above average" evaluation rating in all competency areas. This is considered the minimal performance standard for successful progression through and completion of the MaineGeneral APP Hospital Medicine Fellowship Program.

The following areas will be evaluated:

  • Clinical Performance/Professionalism.
  • Attendance (on time) to all scheduled shifts, didactic labs, and lectures.
  • Upholds/demonstrates the MaineGeneral’s values and standards.
  • Didactic Learning (active participation).
  • Presentation of research project.

Contact Us

For more information, please contact the Specialty & Medical Staff Recruitment Team at medicalstaffrecruit@mainegeneral.org.