APP Fellow Our fellowship program supports and mentors nurse practitioners (NPs) and physician assistants (PAs) as you develop your ability to provide high-quality care to diverse pediatric patients with complex conditions.

This one-year post-graduate fellowship is designed for new graduates. We also accept experienced NPs and PAs who are interested in changing specialties.

Building on your graduate school preparation, the APP Fellowship Program strives to:

  • Strengthen your confidence, critical thinking, knowledge and procedural skills as you gain experience in a professional clinical setting.
  • Introduce you to a variety of patient care populations and build your skills in a subspecialty that matches your interests.
  • Hone your aptitude for self-directed, motivated, life-long learning.
  • Help you develop your own practice style by providing opportunities to work with and receive feedback from skilled mentors.
  • Reinforce the advanced practice provider’s role on multidisciplinary clinical care teams that provide stellar patient care.
  • Bolster your resilience and introduce you to methods to prevent burnout.

  • The APP fellowship combines:

    • Practice as a fully credentialed provider, seeing patients independently with mentorship and feedback
    • Rotations through related services
    • Didactic opportunities, including lecture, simulation and case-based learning

    The year-long fellowship:

    • Provides a comprehensive introduction to family-integrated pediatric healthcare at Seattle Children’s
    • Is structured so fellows’ time is spent:
      • 70% doing the work with feedback
      • 20% learning by observing others
      • 10% on didactic, including evidence-based best practices
    • Provides a minimum of 1,500 mentored clinical hours with specific feedback tailored to your goals
    • Introduces you to Seattle Children’s workplace culture and processes
    • Includes participation in an improvement project using Seattle Children’s resources for clinical quality and innovation
    • Practices 360-degree evaluation, inviting feedback from you on mentors and the fellowship program
    • Is designed to increase your clinical independence as the program progresses

  • See the Deadlines section for estimated start dates for the various tracks:

    • Neonatology: Prepares PAs to practice in the Neonatal Intensive Care Unit (NICU).
    • Orthopedics: Includes rotations in sports medicine, orthopedic trauma and perioperative care. Open to NPs and PAs.
    • Emergency Services: Includes management of common urgent and emergent conditions, team-based care and procedural proficiency. Open to NPs and PAs.
    • Hospitalist: Includes rotations through various inpatient services and prepares the fellow to manage hospitalized children in a team-based environment. Open to NPs and PAs.
    • Developmental Medicine and Pediatric Neurology: Includes rotations in various ambulatory subspecialties, with a focus on developmental medicine. Open to NPs and PAs.
    • Pediatric Ambulatory Subspecialty: The focus will be based on the fellow and institutional need. Open to NPs and PAs.
    • Critical Care: Open to pediatric acute care NPs and PAs with critical care experience.

  • APP Benefits

    • NPs and PAs who finish the fellowship will be prepared to practice in settings such as specialty clinics, hospital medicine, urgent care and emergency departments.
    • You will gain experience working in a licensed credentialed provider role for a minimum of 1,500 supervised clinical hours.
    • Dedicated time for learning supports you as you grow into your professional role.

    We help prepare you for a job in pediatric healthcare.

    • Without completing a fellowship, new graduate PAs are not likely to qualify for pediatric subspecialty positions. Although some new graduate nurse practitioners with clinical experience do get jobs immediately, a fellowship increases your chance of being hired for a regular position.
    • Working in Seattle Children’s collaborative environment, you will learn from other APPs, physicians, nurses and other healthcare providers. Read more about our workplace culture.
    • Seattle is a fantastic place to live and work in. See details.

    • Fellowships are for one year, for both nurse practitioners and physician assistants.
    • Schedules are planned in advance and you can expect to work days, nights, weekends and holidays.
    • Fellows are fully credentialed providers who can see patients independently with mentorship and feedback.
    • Fellows are employees of Seattle Children’s, with salary and full benefits.
    • We offer a $2,500 continuing medical education allowance for license fees, professional association dues, textbooks, journals or conference expenses.
    • If you are chosen for a regular position after completing the fellowship, we will award a $15,000 bonus.

  • To be eligible for the program, candidates must:

    • Have graduated from an accredited nurse practitioner or physician assistant program.
    • Hold credentials/licensure required by the State of Washington.
    • Nurse practitioners: Active, unencumbered registered nurse and advanced registered nurse practitioner licensure in the state of Washington, plus active Drug Enforcement Authority registration.
    • Physician assistants: Active, unencumbered physician assistant licensure in the state of Washington and NCCPA board certification, plus active Drug Enforcement Authority registration.
    • Some positions will require advanced life support training, such as Pediatric Advanced Life Support (PALS) or Neonatal Resuscitation Program (NRP).

  • We prioritize candidates who are:

    • Newly graduated nurse practitioners or physician assistants
    • Experienced NPs or PAs who are open to learning a new specialty

    Greater consideration is given to candidates with:

    • Pediatric clinical experience
    • Acute care certification
    • Stated interest in pediatrics and a career at Seattle Children’s

  • Fellowship cohort start dates are staggered throughout the year:

    • October 2017 – Emergency Services focus (full, no further applications being accepted)
    • November 2017 – Neonatology focus (PAs only)
    • January 2018 – Orthopedics focus (full, no further applications being accepted)
    • January 2018 – Pediatric Cancer and Blood Disorders focus (application deadline September 16, 2017)
    • May 7, 2018 – Pediatric Inpatient focus* (application deadline December 18, 2017)
    • May 7, 2018 – Pediatric Specialty focus* (application deadline December 18, 2017)
    • September 10, 2018 – Tracks TBD

    * These tracks can be personalized based on the clinical interests of the fellows selected and the projected job availability.

    Applications are accepted 5 to 6 months before the start of the fellowship. Contact our HR recruiter, Trettia Wells, for application deadlines.

    Interested candidates can review job postings and apply on our website. Select “Advanced Practice Providers” from the “Areas of Interest” dropdown menu. When fellowship positions are posted, the job titles are listed as:

    • PAs: “Fellow – Physician Assistant”
    • NPs: “Fellow – Nurse Practitioner”
    • Neonatal Fellowship: “Fellow – Physician Assistant Neonatology”


For additional questions, email Trettia Wells, our HR recruiter.