Our curriculum plan meets the required clinical elements of the consensus framework on the curricular elements of PHM fellowship training. PHM fellowships come in several different "foci", and ours follows the "research-focused" approach detailed in the accompanying document. The chart below demonstrates a typical “rotation” breakdown for our two-year PHM fellowship. The fellowship consists of 26 total units (4 weeks each), with 1 unit of vacation each year. The remaining 24 units are broken down as follows.
The 8 “Core Clinical Rotations” typically occur in four-week blocks, similar to what a candidate may have experienced in residency.
However, the 8 “Systems and Scholarship” units and 8 “Individualized Curriculum” units are typically longitudinal units.
Here are Typical Rotations at MUSC
Core Clinical Rotations (8 units):
Required units include:
Hospital Medicine, Complex Care, and Consultation/Co-management of surgical and subspecialty patients (4 units)
Care & Stabilization of the critically ill child (PICU, Intermediate Care Unit, 1 unit)
Care & Stabilization of Newborn (Newborn Nursery or Level II nursery, 1 unit)
Community Experience (at MUSC After-hours care sites, longitudinal experience, 1 unit)
Elective (may include any of the electives under the heading of “Individualized Curriculum” below; 1 unit)
Systems & Scholarship (8 units):
MUSC meets these requirements typically through the Masters Degree Programs (see drop-down on left), monthly fellows’ seminars, and twice-monthly Division “Research in Progress” meetings with all faculty and fellows.
Typically, fellows choose an area of focus for a research or QI project, working with the program director and faculty mentors at MUSC.
The scholarship training of the program meets all of the developing PHM certification expectations, including training in Improvement Science, Clinical & Translational Research, Medical Education, Leadership, Practice Management, Patient Safety, and Advocacy.
Individualized Curriculum (8 units):
Because we are a research-oriented fellowship, at MUSC these units are typically longitudinal and are met by the fellow’s research project and MPH program completion. Second year fellows are able to add additional (elective) clinical units depending on how their fellowship project and MPH course work are proceeding.
At MUSC, elective rotations are available in the following:
- Level I or Level II Newborn Care
- Internal Medicine (for Med-Peds trainees)
- Transitions in care
- Child Abuse & Neglect
- Palliative Care
- Emergency Medicine
- Community Hospitalist Coverage