Advanced Practice Fellowship Overview
The UC Davis advanced practice fellowship program is designed to support new graduate nurse practitioners (NPs) and physician assistants (PAs) in the critical first year as they transition into practice. The programs’ primary goals are to help you develop relevant practical skills in critical thinking, evidence based practice and procedural skills in your area of interest. Throughout your experience, expert advanced practice professionals and physician colleagues will help you develop specialty specific skills and the confidence you need to begin a career in trauma surgery, neurosurgery, interventional radiology or neurology.
The fellowship curriculum will include an immersive practice based learning environment focused on organizational enculturation and professional development. This will include the following learning strategies:
- Direct patient care in a supervised structured environment
- An understanding of the mission, vision and advanced practice quality metrics at UC Davis
- Simulation training at our state of the art center for virtual care
- Didactic courses in topics related to your specialty.
- Online-learning modules,
- Quality improvement conferences, grand rounds, journal clubs and complete other appropriate clinical rotations to assure comprehensive exposure to procedures and multidisciplinary collaboration along the entire care continuum.
Through out the fellowship, experience surveys and peer feedback will be required to ensure that we provide a meaningful learning experience that prepares you to enter professional practice.
UC Davis Health Advanced Practice Fellowship Opportunities:
- Trauma Surgery/ Acute Care Surgery: As a level 1 trauma center, our advanced practice providers play a critical role in the day to day management of trauma patients including care in the emergency department, critical care areas, floor care management and clinic follow up.
- Neurological Surgery: Our neurosurgery team offers specialized care in a wide range of clinical sub-specialties including traumatic brain injury, complex cerebrovascular disease, spine, skull base neurosurgery, functional neurosurgery, pediatric neurosurgery, neuro-oncology, neurocritical care and more. The fellowship will include experiences in out patient and in patient management with rotations through clinical sub-specialties, in patient care teams and neurocritical care.
- Radiology/ Interventional radiology- The radiology experience offers an opportunity to work in both in patient and out patient settings with an emphasis on developing both procedural and clinical skills need to begin your career in a hospital based radiology group. Advanced practice rotations include interventional radiology with procedural experience in paracentesis, lumbar puncture, line placement as well as peri-procedural management of patients requiring imaging guided procedures.
- Endocrinology/ In Patient Glycemic Control Team- The Advanced practice fellow works within a hospital setting providing care to patients with diabetes or hyperglycemia including the opportunity to work with specific patient population on steroids, enteral and parenteral nutrition, and the transplant population. We will provide comprehensive instruction and exposure to management of complex diabetic patients on Insulin pumps and Continuous Glucose Monitors (CGMs). The Advanced practice fellow will round with the in-patient glycemic control team and provide supervised consultation to medical and surgical teams, patients/families and nursing staff with increasing independence over time. The fellow will incorporate the mission, goals and objectives of UC Davis Health into a structured approach for opportunities to provide excellence in patient care and fiscal integrity. The APP fellow will work with the team to proactively identify via active surveillance patients that would benefit from consultation and provides vision and leadership for Diabetes care with attention to continuous quality improvement and cost-effective outcomes. The fellow will function in a team based environment and collaborate with Primary team in discharge planning to recognize barriers to discharge and offer solutions and adjustments in outpatient regimen based on current guidelines. Clinical decision making will be mentored overtime and the APP fellow will serve as the professional resource and liaison to the hospital’s inpatient diabetes care program and initiates planned change in healthcare delivery as needed. Coordinates the development and maintenance of inpatient diabetes protocols/care-paths/order sets. There will also be exposure to transition of care and integration of Outpatient Endocrinology Clinic to ensure continuity of care and the possibility of a transition clinic in person or via telemedicine. Throughout the fellowship, the fellow will be engaged in projects/programs designed to enhance service delivery and patient satisfaction and ensure patient safety and recognize opportunities for improved patient experience. The APP fellow will participate in the UC Davis Multidisciplinary Diabetes Care Committee to align institution with American Diabetes Association (ADA)
- Dermatology- The Advanced practice fellow will spend at least 75% of their time in dermatology clinics at UC Davis Dermatology sites: including, PCN, 77 Cadillac Drive, and C street (Sacramento). While at these site, the fellow will see patients with board-certified dermatologists who will direct the fellow in the care of dermatology patients. Advanced practice fellows will be expected to call patients back to inform them of test and biopsy results, to describe therapies and treatment plans, and to contact pharmacies electronically or by phone to prescribe medications under the direction of their attending dermatologists. There will be dedicated time for structured learning with 2-4 hours per week in didactic lectures, dermatopathology sessions, or Grand Rounds in order to obtain basic as well as advanced knowledge in clinical dermatology. These didactic hours may also include required journal clubs, outside speaker lectures, cosmetic or surgical dermatology workshops as well as traditional classroom lectures. Intermittent testing through informal as well as formal means (e.g., multiple choice questions, unknown clinical photographs) will be used intermittently to assess knowledge. Surgical skills will be taught through proctored surgical training sessions on clinical dermatology patients under direct supervision of an attending dermatologist. If successfully proctored in areas such as cryotherapy and skin biopsies, the advanced practice Fellow may be allowed to perform such procedures without direct attending dermatologist supervision, but will always do so under the explicit direction of the attending dermatologist. The Advanced practice fellow may be called upon to present interesting cases at Ground Rounds or other conferences. They are expected to take a proactive approach to learning EPIC EMR, to read dermatology journals and textbooks as assigned by the fellowship director, and to assist in the delivery of dermatology in a quality manner by the Dept of Dermatology.
Prior Dermatology experience preferred but not necessary.