APP FellowOur 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 upcoming start dates and application deadlines. 

    • Neonatology: Prepares PAs to practice in the Neonatal Intensive Care Unit (NICU). This track is open to PAs only and starts in the fall.
    • Pediatric Psychiatry: Includes managing patients on our inpatient Psychiatry and Behavioral Medicine Unit (PBMU) and in the ED and outpatient clinics. This track is open to NPs with a psych/mental health certification. Consideration may be given to PAs or NPs with other certifications with a strong background in pediatric psychiatry.
    • APP Fellowship: With the exception of Neonatology and Pediatric Psychiatry, all fellows start in a general pediatric role. Clinical activities include precepted work in areas such as ED, Urgent Care, inpatient teams and ambulatory subspecialties. The first several months are focused on mastering core APP competencies. The second half of the fellowship is focused on more specialized training to prepare the fellow for a clinical role after the fellowship. Training sites will be chosen based on the clinical interests of the fellow and the forecasted job growth in a given area. These areas could be any of the 39 specialty areas, including Emergency Services; Cancer Care; Orthopedics; Neurosciences; Developmental and Behavioral Medicine; Hospital Medicine; Surgical Services; and Critical Care.
  • 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 $2,000 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 $10,000 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:

    • Are newly graduated nurse practitioners or physician assistants with a strong background in hands-on pediatric acute care
    • Are NPs with acute care certification
    • Have a stated interest in pediatrics and a career at Seattle Children’s

    NP or PA candidates who are interested in a critical care concentration must have hands-on critical care experience outside of school clinical rotations.

  • Fellowship cohort start dates are staggered throughout the year: 

    • November 26, 2018 – Neonatal PA Track. This cohort is full. No further applications are being accepted.
    • January 28, 2019 – Pediatric psychiatry, two openings. Application deadline is September 7, 2018.
    • January 28, 2019 – APP Fellowship, eight openings which will include four who will concentrate in critical care. Application deadline is September 7, 2018.

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

    Interested candidates can review job postings and apply on our website. Select “Advanced Practice Provider” from the “Category” 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.