Observation Medicine PA and NP Fellowship

This dynamic program includes didactic instruction and clinical training components that two fellows will complete over 12 months. Orientation (general to Carilion Clinic and specific to the Observation Fellowship) will be approximately six weeks long.

Clinical Rotations

• Emergency Medicine
• Otolaryngology
• Neurology
• Cardiology
• Inpatient Medicine
• Wound Care
• Rural Medicine
• Palliative Medicine
• Pulmonology/Critical Care
• Geriatrics
• Telemedicine
• Ultrasound*

*Fellows will also attend an ultrasound course during their fellowship.

Clinical time will be spent in various departments of Carilion Clinic, under the supervision and direction of Carilion Clinic faculty. Fellows will primarily work at Carilion Roanoke Memorial Hospital, a Level I Trauma Center, while also rotating at other Clinical Decision Units within Carilion Clinic. Fellows will provide direct patient care to the full spectrum of patients presenting to the Emergency Department Observation Medicine Unit. They will be working alongside resident physicians, NPs and PAs, and attending physicians. They may also take call on some off-service rotations.

Didactic Sessions

Didactics include, but are not limited to:

• Journal club
• Case presentations
• Case-based simulation
• Lectures/presentations from faculty and staff
• Procedure labs
• Shadow shifts with various departments (nursing, respiratory, case management/social work, pharmacy, vascular, physical and occupational therapy)
• Ultrasound: Every fellow will complete an emergency medicine ultrasound course which combines traditional didactics with hands-on ultrasound experience.

The didactic portion begins with 5 weeks of orientation and skills workshops designed to provide an introduction to observation medicine that will serve as the foundation for advanced education. Fellows will attend lectures that cover the core curriculum for observation medicine and consideration will be given to a scholarly project. 

Graduation from an accredited PA/NP program, with preference given to master's degree candidates. To be competitive, applicants should have graduated with a minimum of 3.0 grade point average in their program. Academic performance will be considered in the selection process. Certified (or certification eligible) PA or NP in good standing. Completed applications will include personal statement, curriculum vitae, transcripts, and three letters of recommendation.

• Application Deadline: Applications will be accepted at any time. For fall interviews, applications will be reviewed/considered until November 1.
• Interviews are typically held in September and October, but other scheduled interviews may be considered.
• Fellow selections are typically complete by December 1.
• The fellowship starts at the end of February.
• We accept two Fellows per year.

To apply, please submit the following items:

• Transcripts from Undergraduate and PA/NP program
• Three letters of recommendation
• Certification by PA or NP accrediting agency (if available)
• CV including recreational and community service activities
• Personal Statement: Discuss anticipated strengths that you bring to the fellowship as well as professional knowledge, skill and or behavior that you wish to enhance.