Residency and Fellowships

Advanced Practice Provider (APP) Fellowship Program

Group photo of advanced practice providers fellowship members The mission of the APP Fellowship Program at Seattle Children’s is to support newly graduated APPs or APPs with limited pediatric experience, in successfully entering their practice in a complex, highly collaborative pediatric setting. This one-year program will build on graduate academic training to strengthen and develop skills in a variety of domains critical to successful practice.

Seattle Children’s has a diverse and often complex patient population. APPs work in a variety of settings including inpatient; ambulatory clinics; diagnostic and surgical areas; critical care; ED; and urgent care. Learning opportunities include hands-on patient care and formal and informal didactic opportunities. 

Education is aimed at:

  • Strengthening critical thinking, evidence-based practice, procedural skill and confidence in a professional clinical setting
  • Clinical practice with a variety of pediatric patient populations
  • Development of a self-directed, life-long approach to learning
  • Acquisition of an individual practice style developed by exposure to multiple mentors and continuous feedback
  • Exposure to a variety of APP roles and their contribution to care teams
  • Bolstering resilience and acquiring skills to prevent burnout, including the use of a narrative medicine format of storytelling

There are approximately 350 APPs at Seattle Children’s working in a variety of pediatric specialties and subspecialties. APPs are an integral part of patient care and APP opportunities are expanding. Our fellowship program is designed to prepare newly graduated APPs to successfully enter their practice with a solid knowledge base in pediatric acute care. The acute care fellowship has three cohorts per year and accepts 6-9 candidates per cohort. This approach ensures new hires have a support group of peers, many of whom are new to the Seattle area.

Current APP students should visit our APP Student Clinical Rotation Request page for information on clinical rotations.  

  • September 2021

    Molly Barbarotta
    University of Colorado, Aurora, CO

    Molly_Barbarotta.jpg

    Lauren Holmes
    Arizona State University, Phoenix, AZ

    Lauren_Holmes.jpg

    John Lee
    University of Washington, Seattle, WA

    John_Lee.jpg

    Emily Nelson
    St. Catherine University, Saint Paul, MN

    Emily_Nelson.jpg

    Alex Prekeges
    University of California, Berkeley, CA

    Alex_Prekeges.jpg

    Rosie Tallud
    University of California, Los Angeles, CA

    Rosie_Tallud.jpg

    January 2021

    Rachel Gulden
    Duke University, Durham, North Carolina

    Rachel Gulden

    Raven Hayes
    Duke University, Durham, North Carolina

    Raven Hayes

    Haayoung Hwangpo
    University of Washington, Seattle, WA

    Haayoung Hwangpo

    Lauren Levesque
    University of Cincinnati, Cincinnati, OH

    Lauren Levesque

    Melissa Pettini
    University of Washington, Seattle, WA

    Melissa Pettini

    Ellie Spiro
    University of Washington, Seattle, WA

    Ellie Spiro

    Grace Uebele
    Case Western Reserve University, Cleveland, OH

    Grace Uebele

    May 2021

    Alexandra Green
    University Alabama, Birmingham, Alabama

    Alexandra Green

    Angela Leo-Nkoah
    University of Texas, Arlington, Texas

    Angela Leo-Nkoah

    Bryanna Garitty
    University of Florida, Jacksonville, Florida

    Bryanna Garitty

    Joyce Faucett
    University of Arizona, Tucson, Arizona

    Joyce Faucett

    Katie Machado
    University of California, San Francisco, California

    Katie Machado

    Kristen Benjamin
    Duke University, Durham, North Carolina

    Kristen Benjamin

    Shelley Brandstetter
    University of Washington, Seattle Washington

    Shelley Brandstetter

     

     

     

  • Advanced practice providers at cribside

    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
    • 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

    Clinical rotations

    All fellows spend the first two weeks in Boot Camp. Boot Camp is a period of intensive introduction to the practice environment at Seattle Children’s. During Boot Camp, fellows will learn about the core rotations and electives and begin making their choices of assignments that will begin after the initial inpatient assignment.

    After Boot Camp, the next four to six months are spent on an inpatient team working side-by-side with physicians, nurses, respiratory therapists, pharmacists and other direct care providers. Fellows rotate through at least two to three inpatient care teams during this time period. These assignments are made by the fellowship faculty and are mandatory for all fellows. 

    After these initial inpatient rotations, fellows will begin doing core rotations. Examples of these rotations include ED, Orthopedics, Cardiac Surgery, APP Hospitalist Team, Newborn Rounders, Urgent Care, Cancer Care, Adolescent Medicine and PICU. 

    Fellows spend approximately 1,500 hours in clinical practice during their fellowship year. All rotations provide transferable skills to any pediatric hospital-based setting. Examples of these skills are history gathering, physical exam, medical decision-making, clinical reasoning, presenting to a preceptor, creating a treatment plan, documentation, ordering, writing prescriptions, discharge planning, patient and family education and working within a care team. Clinical independence increases throughout the progression of the fellowship year. Preceptors from all practice areas communicate frequently and share information about fellows across practice settings so that growth can be continuous and aimed at identified areas of opportunity.

    Evaluations are frequent and include everything from informal, in-the-moment feedback to formal, timed, structured feedback. 

    Didactic sessions are held twice monthly and all fellows attend all sessions. Content is spread out over the course of a year, so no matter which cohort a fellow is in, fellows attend all lecture topics. Lectures are delivered by a variety of disciplines across multiple specialty areas. Because Seattle Children’s is a teaching hospital, there are multiple additional didactic opportunities that will be accessed throughout the course of the year. 

    In addition to clinical preceptors, fellows will be assigned to a fellowship supervisor who will act as their mentor throughout the course of the year. An important aspect of the APP Fellowship Program is the acquisition of professional behaviors and skills that will support a successful entry into practice. The fellowship mentor guides this process. 

    APP Fellows are also matched with a peer mentor. This peer mentor is an alumnus of the APP Fellowship. The goal of this relationship is to provide APP Fellows with support in navigating professional practice issues during their transition into the APP role.

    ACTIVE

    • ACTIVE – The APP Fellowship is Committed To Inclusion and using our Voices to support Equity at Seattle Children’s Hospital and in the community.
    • Our ACTIVE curriculum is an embedded component of the APP Fellowship program.  This curriculum focuses on equity, diversity, and inclusion (EDI) education for APP Fellows and the APP Fellowship Leaders.
    • Our ACTIVE curriculum includes:
      • Didactic speakers
      • EDI training
      • Action in our community
  • See the Deadlines section for upcoming start dates and application deadlines. 

    • APP Acute Care Fellowship: With the exception of Neonatology and Psychiatry, all fellows start in a general pediatric acute care role. Some fellows will identify a specialty interest early on in their year. The fellowship leadership team will work with each fellow individually to maximize their learning with the understanding that we strongly believe in the concept of cross-team, interprofessional training and that all patient care activity during the fellowship year will help the fellow obtain transferable skills useful for whatever job they apply for.  
    • Neonatology: The Neonatal Physician Assistant Fellowship prepares PAs to practice in the Neonatal Intensive Care Unit (NICU). This track is open to PAs only and starts in the fall. 
    • Psychiatry: The Psychiatry APP Fellowship supports the transition to practice of new Psychiatric Mental Health Nurse Practitioners as well as Physician Assistants wanting to pursue a professional practice in pediatric psychiatry. The program will prepare the Psychiatric APP Fellow in managing the complex care of children and adolescents with acute and chronic mental illness. This track currently rotates between a fall and winter start date.
  • APPs painting at a tableSeattle Children’s is committed to the concept of values-based behavior and the APP Fellowship incorporates these values in all of our activities. These behaviors are expected from the fellows, the leadership team and clinical mentors and preceptors. These six core values are universal across all departments at Seattle Children’s, and the following are some examples of how our fellows exemplify them:

    • Compassion: We treat others with dignity and understanding in each and every encounter. We listen with humility and seek to understand.
    • Excellence: We practice at the highest standards of quality and safety. We learn from experience and commit to continually improve.
    • Integrity: We do what we say we are going to do. We are accountable for our actions.
    • Collaboration: We partner with others to help us succeed. We recognize the value and skills of others.
    • Equity: We create an environment where everyone feels heard, respected and engaged. We address biases and work to overcome stereotypes.
    • Innovation: We are inquisitive and have a desire to make things better. We are open to trying new things. 
  • APPs at Space Needle

    • 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 take a regular position after completing the fellowship, you will receive a 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).
  • You must have taken and passed your boards by the application closing date.

    APP Fellowship cohort start dates are staggered throughout the year. New grads do not need to be licensed yet to apply, but you must be fully licensed and complete the credentialing process before your start date. This process takes about 12 weeks.

    Upcoming cohorts and dates:

    May 2022 Cohort

    • Application close – January 24, 2022
    • Start Date – May 2, 2022

    September 2022 Cohort

    • Application close – May 16, 2022
    • Start Date – September 5, 2022

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

Questions?

For additional questions, email Sandra Kirkevold.

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