Adolescent Medicine

Fellows complete training in the following outpatient clinical settings within the Division of Adolescent Medicine.

• A busy, complex primary care practice serving primarily a Medicaid population
• National Commission on Correctional Health Care (NCCHC)–certified medicine department of the Hamilton County Juvenile Court Youth Center clinic
• Multidisciplinary transgender medicine consult clinic
• Interdisciplinary eating disorder consult clinic
• Adolescent Medicine general consult clinic that includes training in Nexplanon procedures
• Psychiatry clinic

Examples of elective rotations that fellows may complete during their scholarly time include the following.

• Sports medicine
• College health
• IUD procedures

The inpatient rotation consists of assessment and management of medically unstable patients with eating disorders while working closely with the interdisciplinary eating disorder team. Additionally, the inpatient on-call fellow and attending provide inpatient consultations to other specialties throughout the hospital.

Clinical Tracks

The Transgender Program has developed a Leadership in Transgender Medicine Clinical Track. The majority of fellows follow the General Adolescent Medicine Clinical Track, which does include training in transgender medicine.

• Leadership in Transgender Medicine Clinical Track

Incoming fellows aspiring to leadership positions focused on transgender medicine may choose the Transgender Clinical Track. Fellows on this track will work closely with Lee Ann Conard, DO, MPH, RPh, and Rachel Snedecor, MD, MS, as well as the fellowship director to ensure training to prepare the fellow to run a multidisciplinary transgender clinic. Fellows on the Transgender Clinical Track may choose any scholarly work pathway and will focus their scholarly project on identified gaps in transgender medicine.

• General Adolescent Medicine Clinical Track

A majority of incoming fellows will enter the longstanding General Adolescent Medicine Clinical Track. Fellows on this track will also train with the Transgender team and may do their scholarly work in Transgender medicine but will not participate in the additional requirements of the Leadership in Transgender Medicine Clinical Track.

Fellows complete a curriculum that addresses clinical research design and implementation, biostatistics, ethics in research, grant writing, quality improvement, and scientific writing among other scholarly topics. Additional training in quality improvement is available through the internationally recognized Anderson Center for Health Systems Excellence. Fellows also participate in the Divisional Research in Progress seminars and Journal Clubs. Fellows work closely with their mentors and scholarly oversight committee to choose a scholarly pathway and to design and conduct a scholarly project(s).

Recent fellows’ scholarly work has focused on the epidemiology of HPV in young men, evaluation of interventions in the treatment of eating disorders, quality improvement for asthma management, evaluation of a resident education program for depression, and assessment of transgender clinic services.

Fellows have many opportunities to participate in academic work beyond their main project during their fellowship, for example, co-authoring book chapters and reviews with faculty and participating in ongoing research.

Scholarly work pathways within the fellowship help guide fellows’ efforts so they are well positioned for their post-fellowship job and a career directed by their passions and interests. Fellows work closely with their mentors and scholarly oversight committee to choose a scholarly pathway and to design and conduct a scholarly project(s). Examples of scholarly work pathways include the following areas:

Medical Education Scholarly Pathway

• Fellows interested in careers focused on medical education and/or educational research are eligible for this pathway, which includes a Master of Education degree or a certificate of medical education. In addition to refining their precepting and teaching skills in both outpatient and inpatient clinical settings, fellows will complete a scholarly educational project with mentorship from leaders in the field. They will also have the opportunity to participate in the Advanced Educator and Faculty Development Symposium. Fellows will be encouraged to join the Graduate Medical Education Committee, present their work at the Thomas F. Boat Lectures, Pediatric Academic Societies Annual meeting, and Society for Adolescent Health and Medicine Annual Conference and to participate in the Association of Pediatric Program Directors meetings.

Clinical Research Scholarly Pathway

• Fellows interested in clinical research may enter this pathway. Fellows will work with their scholarship oversight committee to determine the most appropriate didactics and advanced degree, including consideration of the Master of Clinical Research or Master of Public Health. Fellows will join an established clinical research team with a goal to prepare for generation of pilot data to support applications for a career development award. Fellows will present their scholarly work at Society for Adolescent Health and Medicine Annual Conference.

Fellows play an active role in organizing and planning the Adolescent Medicine Learning Series.

The Graduate Medical Education office of Cincinnati Children’s provides a year-long curriculum that encompasses the ACGME fellowship core competencies as well as the American Board of Pediatrics core curriculum for scholarly activities.