Hospitalist Fellowship Program

Hospitalist Fellowship Program

In 2015, Community began offering a one-year fellowship for internal medicine and family medicine graduates interested in pursuing a career as a hospitalist. Graduates gain the experience needed to meet the credentialing and clinical qualifications that many hospitalist programs require.

Program Overview

Dedicated hospitalists, when compared with physicians who have combination inpatient and outpatient practices, have been shown to improve a number of hospitalization-related variables, including mortality, patient satisfaction, re-hospitalization rate, length of stay and overall cost effectiveness.

Many of these benefits may result from hospitalists spending more time becoming experts in the delivery of care in the hospital. We believe that hospital medicine is sufficiently distinct from general family medicine/internal medicine to justify special training in this field.

Our goal is to train physicians who will provide outstanding collaborative and comprehensive inpatient care, become superior medical educators and clinician researchers, and become the future leaders in hospital medicine.

For questions about the Hospitalist Fellowship Program, please contact Kaylee Burget at 317-355-1435 or e-mail Kaylee.

Community Hospital SouthThe Hospitalist Fellowship at Community Hospital South provides graduates with the experience needed to meet the credentialing and clinical qualifications that many hospitalist programs require. Fellows will train at Community Hospital South, a 406,000 square foot facility with 150 all-private rooms that underwent a $130 million expansion project in 2010.

Fellows will have the opportunity to sharpen their skills with a variety of sub-specialty faculty preceptors for rotations that include cardiology, nephrology and critical care. By participating in hospital processes including quality improvement, utilization review and medical education, fellows will be guided by a team of highly qualified and engaged physicians who are passionate about numerous aspects of hospitalist care.

Goals of the Fellowship

The Hospitalist Fellowship curriculum provides trainees with increased knowledge and improved skills in hospital medicine through clinical sessions, didactic sessions, quality improvement projects and other learning opportunities. The curriculum is tailored to the goals of the individual fellow and can include the development of a research project, and is based on the core competencies in hospital medicine, described by the Society of Hospital Medicine.

The goals of this fellowship will be to provide:

  • Outstanding clinical and academic instruction in hospital medicine
  • Leadership and academic opportunities
  • Education and mentorship for QI and research initiatives
  • Enhanced job marketability of our graduates

This will be accomplished via the following components of the fellowship:

  1. Hospitalist training focused on inpatient adult medicine. Fellows will work one to one with faculty preceptors while on the Inpatient Service. The clinical curriculum follows the Society of Hospital Medicine Core Competencies.
  2. Critical care and subspecialty rotations including cardiology, pulmonology, critical care, nephrology, neurology, pediatric inpatient, critical care and electives.
  3. Participation in longitudinal research, quality, and safety, guideline or development project.
Curriculum

The curriculum is structured into 13 4-week blocks.

  • 5 blocks of Hospital Medicine Service
    • Care of the medical inpatients on the Hospitalist Service.
    • Fellows work as an integrated member with the attending physicians and nurse practitioners who comprise the hospitalist team.
  • Post-Acute Care (optional)
    • Recognizing the growing need for hospitalists in the thousands of post-acute care facilities, including skilled nursing facilities, nursing homes, assisted living facilities and rehabilitation facilities, fellows will have the option to spend up to four weeks dedicated to post-acute care. This is integrated into the 5 blocks of Hospital Medicine.
    • Improving the overall quality of patient care. A focus on the prevention of avoidable hospital readmissions, improved overall patient experience with better continuity of care, ensuring a safe and effective transition of care for the patient moving into or out of a post-acute facility, and working to improve operational efficiencies and cost savings throughout the inpatient care delivery system are some of the objectives of this rotation.
  • 2 weeks (1/2 block) Attending Physician
    • Toward the end of the academic year, fellows will spend two weeks on the Family Medicine Residency Program's Hospital Medicine Teaching Service as attending physician.
  • 2 blocks of Pulmonary/Critical Care Medicine
    • Management of critically ill patients under the supervision of board-certified intensivists.
    • During this time, the fellows will become experienced and competent in ventilator management and performing procedures including CVC lines, chest tubes, arterial lines, endotracheal intubation, etc.
    • Time spent with anesthesia devoted to improving airway management skills.
  • 1 block of Cardiology
    • The fellow will work one-on-one with staff cardiologists. The fellow's duties will include evaluation and treatment of new admissions and consults to the cardiology team, including patients in the emergency room. Time will also be set aside for EKG interpretation as well as discussion of common cardiologic conditions including CHF, cardiac arrhythmias and acute coronary syndrome.
    • While the fellow will have some exposure to percutaneous coronary intervention (PCI) in the treatment of STEMI and to diagnostic cardiac catheterization, consultations and daily rounding will be the emphasis of the rotation.
  • 1 block of Nephrology
    • Working with a staff nephrologist, the fellow will round on a small number of dialysis patients and a much larger consultative service of patients. Consultative patients include, but are not limited to, patients with acid-base disorders, electrolyte/metabolic disorders, chronic and acute renal diseases, systemic diseases and renal replacement therapies.
  • 1 block of Neurology
    • The fellow will spend one four-week block with the neurology team. The fellow will evaluate and manage neurology consults, with a focus on the evaluation and treatment of strokes, seizures and delirium.
  • 2 blocks of elective time
    • Electives can be used on inpatient rotations including: Infectious Disease, Anesthesia, Interventional or Diagnostic Radiology, Inpatient Pediatrics (off-site), NICU (off-site), Palliative Care, Hematology/Oncology, Pharmacotherapy, Gastroenterology, or a variety of other rotations to suit the individual fellows’ educational and career objectives.
  • Scholarly activity
    • The fellow will have dedicated time to participate in a process improvement project designed to meet his or her individual needs. This may be a scholarly project related to hospital medicine suitable for presentation or publication. This could also include participation in process improvement and Lean Six Sigma through the Network’s Performance Improvement Department.
    • Fellows are expected to be actively involved in teaching residents and students, and to present 2-3 lectures or clinical cases (Grand Rounds) during the year.
  • Nocturnist experience
    • Night call is not a requirement of the fellowship, but fellows are encouraged to spend some of their time on their Hospital Service Rotation on the nocturnist team. This would take the place of an equivalent amount of time on the “day” team, and not additional hours.
    • There are also opportunities to earn additional income by providing additional night call for licensed physicians.
  • Weekend coverage
    • While not required, fellows are encouraged to spend some of their weekends with their preceptors or teams during each block. This is at the discretion of the preceptor and fellow.
  • Membership and participation on hospital QI and Leadership committees
    • Based upon their personal interests, fellows are encouraged to participate in a Root Cause Analysis project and be active members on one or two hospital committees. Examples include: Patient Safety Council, Code Blue, Continuous Process Improvement, Medication Safety, and Pharmacy and Therapeutics, Ethics Committee, Critical Care Committee, etc.
Salary and Benefits

Community Health Network's Hospitalist Fellowship program offers a competitive salary and benefits to its fellows. Please click below for complete details.

Salary and Benefits

 

How to Apply

Applications are now closed for the 2018-2019 academic year.

Applications are accepted through October for the following academic year. For example, you may apply through October 2017 for the 2018-2019 academic year.

Applicants must be a third-year resident in good standing or a recent graduate of an accredited family medicine or internal medicine residency. Applicants are required to be licensed or eligible for licensure in the state of Indiana.

Interested candidates should submit a current CV, a personal statement about career goals, and three letters of recommendation (program director, attending faculty, and a third individual of your choice).

Documents may be e-mailed or mailed to:

Community Health Network
Hospitalist Fellowship Program
c/o Kaylee Burget
8202 Clearvista Parkway, Suite 6B
Indianapolis, IN 46256

For questions about the Hospitalist Fellowship Program, please contact Kaylee Burget at 317-355-1435 or e-mail Kaylee.

Meet Our Directors

Randall Lee, MD

Randall Lee, MDRandall Lee, MD, is the Director of Medical Education at Community Hospital South as well as the Vice President of Medical and Academic Affairs and Clinical Performance for Community South. He received his medical training and degree from IU School of Medicine (1975) and completed his internship and residency in internal medicine at Methodist Hospital (1975-1978). He is board certified in internal medicine by the ABIM.

 

 

Mark Lisby, MD

Mark Lisby, MDMark D. Lisby, MD, is an associate director of the Community Hospital East Family Medicine Residency Program.

Dr. Lisby graduated from Wabash College in 1984, and then Indiana University School of Medicine in 1989, and completed his residency training in family medicine at St. Vincent Hospital (Indianapolis) in 1992. He left private practice in 2001 to join the faculty at Community, and in 2004 completed a Faculty Development Fellowship at the University of North Carolina in Chapel Hill.

Dr. Lisby’s clinical interests include the full spectrum of primary care, including inpatient medicine, obstetrics and office-based procedures. His educational interests include process improvement, information technology and practice management. He was involved in the development and implementation of CareConnect, Community's fully-integrated electronic medical record.