*The individualized curriculum is tailored to each fellow’s interests and career goals. This flexible time can be used for advanced degree programs (such as an MPH), dedicated scholarly work and research, or elective experiences in areas like Rheumatology, Behavioral Health, Child Abuse, Radiology, the Emergency Department, or additional inpatient service time.

During core clinical rotations, our fellows gain experience across the full spectrum of pediatric hospital medicine. This includes caring for medically complex patients, co-managing children undergoing surgical interventions, stabilizing critically ill children, providing newborn care, and offering inpatient consultation.

Most of these rotations take place at Monroe Carell Jr. Children’s Hospital at Vanderbilt, where fellows care for hospitalized children and adolescents on a variety of PHM teams:

• Team A or B: large, multidisciplinary teams with multiple levels of learners and ancillary staff
• Team C: a team led by advanced practice providers (APPs)
• Team E: a senior-level team with upper-level residents only

In each of these settings, fellows are supported by faculty who are deeply committed to mentorship and fostering graduated autonomy.

At our community hospital site, fellows also care for children and adolescents admitted to the PHM service, provide newborn nursery care, and manage pediatric patients in the Emergency Department—broadening their clinical exposure in a different practice environment.