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Brigham Health Physician Assistant Fellowship Program

The Brigham Health Physician Assistant (PA) Fellowship is a 12-month post-graduation inpatient hospital medicine fellowship program for physician assistants which will provide new graduates with additional educational opportunities while providing a robust curriculum and clinical experience at both Brigham and Women’s Hospital (BWH) and Brigham and Women’s Faulkner Hospital (BWFH).

Fellowship Information

Mission, Vision, Values and Goals

Mission

The program’s mission is to develop confident, competent, and collaborative clinicians who deliver high-quality and equitable care to patients with varied and complex diseases and socio-economic backgrounds and make an impact on the larger care environment through education, quality improvement, and clinical leadership.

Vision

By harnessing the power of world-renowned healthcare expertise, the Brigham Health PA Fellowship will set the standard for advanced practice provider (APP) practice and ignite the growth of post graduate educational opportunities for APPs.

Values and Goals

We Value:

  • Providing an exceptional experience
  • Presenting meaningful educational opportunities
  • Building collaborative relationships at all levels
  • Delivering equitable care to all patients
  • Developing a diverse workforce

Goals:

  • The Brigham Health PA Fellowship will elevate the reputation and role of APPs in healthcare delivery on a local, regional, and national basis.
  • Our graduates will be
  • Diverse, well-rounded, and highly skilled
  • Confident in their acquired skills in quaternary and tertiary care as well as community-based care
  • Well-rounded with various experiences across hospital medicine
  • Actively engaged in regional and national APP organizations and causes
  • Well positioned to take the Hospital Medicine CAQ
  • Trained in quality improvement and internal operations
  • Equipped to be both mentors and mentees in their fields
  • Brigham Health will
  • Gain diverse, well-rounded, and highly skilled PAs
  • Retain current APPs by offering additional opportunities for growth and career development
Didactic Course Work

The fellowship includes over 350 hours of protected time for lectures, simulation, journal club, Grand Rounds, and other educational conferences.

Fellowship-Specific Team Didactics

  • Fellowship team education sessions: Weekly didactics and skills sessions specifically designed for Fellows taught by Instructional Faculty or Fellowship staff.
  • Fellows' Journal Club: Fellows will periodically be expected to prepare a summary of an item in the hospital medicine literature to update their peers and the faculty members.
  • PA Fellowship Simulation Curriculum: Approximately every 2 weeks, Fellows will participate in simulated medical scenarios to complement their clinical learning. Fellows will work together “at the bedside” to manage common acute medical scenarios, practice communication skills, and work in interdisciplinary teams.
  • Procedures and skills lab training: Learning series where Fellows can practice common procedures including nasogastric tube placement, ABG, peripheral IV placement, paracentesis, and lumbar punctures in the simulation lab. Skills like EKG reading, CXR reading, and ABG interpretation will also be developed.

Hospital Medicine Unit and Brigham Health Didactics

  • BWH Hospital Medicine Unit Grand Rounds: This is a weekly lecture series that covers high-impact topics in hospital medicine. Sessions are often updates from subspecialties important to hospital medicine.
  • Weekly Department of Medicine Grand Rounds: This is a weekly lecture series held for the entire Department of Medicine on topics relevant to the practice of internal medicine.
  • Monthly BWH PA Grand Rounds: Monthly lecture series on a wide variety of medical and surgical topics presented by the Brigham medical community.
  • BWFH APP Grand Rounds: This is a monthly conference held at BWFH that covers topics of interest to PAs and NPs practicing inpatient medicine.
  • Monthly DFCI PA Grand Rounds: Monthly lecture series on a wide variety of oncologic medical and surgical topics presented by Dana Farber Cancer Institute community.
  • Point of care ultrasound (POCUS) training: Bedside point of care ultrasound training by either a PA or an attending physician. Fellows will be eligible for Certificate of Completion of ultrasound course if they acquire required practice hours.
  • Harvard Medical School’s “Update in Hospital Medicine” Course: Fellows will have the opportunity to attend and audit this 3-4 day CME course directed and curated by the BWH Hospital Medicine Faculty.
  • Partners’ Clinical Process Improvement Program (CPIP): The Clinical Process Improvement Leadership Program (CPIP) is a course that gives participants a foundation in process and quality improvement in healthcare.
Rotations

Each fellow will rotate through:

  • 2 Weeks of Bootcamp
  • 12 Weeks of BWH Hospital Medicine Service
  • 8 Weeks of BWFH Hospital Medicine Service
  • 4 Weeks of BWFH ICU
  • 12 Weeks of Oncology
  • 8 Weeks of Cardiology
  • 4 Weeks of Elective(s)
  • 2 1-Week Vacations

Clinical Rotations

  • Fellowship Boot Camp: This is an intensive two-week preparation for clinical rotations, life at the Brigham Health hospitals, and joining the fellowship community.
  • Hospital Medicine at BWH: Fellows will spend 12 weeks on the medicine wards at Brigham and Women’s Hospital on a team with a Hospital Medicine attending and PA preceptor. Fellows will have an escalating patient census over the course of the rotation. On this team, a PA is expected to provide all aspects of hospital care including preparing and presenting on daily rounds, admissions, and discharges.
  • Hospital Medicine at BWFH: Fellows will spend 8 weeks at Faulkner Hospital practicing in a community teaching hospital environment. The teams consist of a Hospital Medicine attending and an APP preceptor. Fellows will have an escalating patient census and have similar responsibilities as above.
  • Inpatient Oncology at BWH, Dana Farber Cancer Institute: Fellows will spend 12 weeks on an inpatient Oncology team at Dana Farber/Brigham and Women’s caring for patients with an active or suspected cancer diagnosis. Fellows will be part of a team with an Oncology attending and an Oncology PA preceptor. They will rotate through different oncologic services, such as solid tumor, bone marrow transplant, and palliative care. Patient census will depend on service.
  • Inpatient Cardiology at BWH: Fellows will spend 8 weeks on an inpatient Cardiology service and be part of team with a Cardiology attending and an APP preceptor. They will rotate through inpatient general cardiology, electrophysiology, and cardiac catheterization teams.
  • Critical Care at BWFH: Fellows will spend 4 weeks learning critical care basics in the ICU at Faulkner Hospital.
  • Elective Rotations: Fellows will spend up to 4 weeks on an elective rotation(s) which will be selected by the fellow. Options include, but are not limited to Infectious Disease, Palliative Care, Gastroenterology, Pulmonology, Endocrinology or an extension of a core rotation at BWH and/or BWFH.

circular graphic illustrating fellowship rotation

Application Process

Eligibility

To be eligible for this fellowship, you must have the following:

  • Graduated from an accredited physician assistant program
  • National board certification from NCCPA
  • Massachusetts state license
  • Current Drug Enforcement Administration (DEA) license
  • Current Basic Life Support (BLS) and Cardiac Life Support (ACLS) Certifications

Applicants who have not yet graduated and therefore do not currently have the above prerequisites are encouraged to apply for the fellowship. However, applicants must meet all prerequisites prior to starting the program.

How to Apply

The application for the Jan/Feb 2021 cohort is now closed. We will update this site when the next application cycle begins. To receive email communication about the next cycle, please fill out this form.

Applications for the fellowship will require the following documentation:

  • Personal statement (one page) stating your personal interest in the Fellowship
  • Current Curriculum Vitae detailing work and volunteer experiences prior to PA school
  • Unofficial transcript from training program reporting PA school performance
  • Two letters of recommendation from either a faculty member or clinical rotation preceptor or educator
  • Three references (at least one from a physician preceptor/supervisor, one from peer (eg PA, NP), and one from your PA program (e.g. faculty member)

Leadership

Carla Chipalkatty, PA-C
Program Co-Director, Physician Assistant Fellowship Program
Brigham and Women’s Hospital
Department of Medicine
cchipalkatty@bwh.harvard.edu

Leanne Wines, PA-C
Program Co-Director, Physician Assistant Fellowship Program
Co-Chief Physician Assistant, Hospital Medicine
Brigham and Women’s Hospital
Department of Medicine
lwines@bwh.harvard.edu

Matthew DiFrancesco, MD
Medical Director PA Fellowship Program
Assistant Director of Simulation for Medicine, BWH STRATUS Center
Brigham and Women’s Hospital
Department of Medicine
mdifrancesco@partners.org

Contact Us

Please send all inquiries to PAFellowship@bwh.harvard.edu.

To receive email communication from the program, please complete this questionnaire.

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