Fellowship
A three-year ACGME accredited fellowship program in Adolescent Medicine is offered by the division of Adolescent Medicine in the Department of Pediatrics at Stanford University School of Medicine. The graduates of the fellowship program are envisioned as future academicians in the field of Adolescent Medicine. The program provides a balance of clinical experience, teaching and clinical research. Over the three year fellowship, approximately 60% of time is devoted to clinical activities with 40% to research. In the first year of training, approximately 75% of time is spent on clinical activities, in the second year approximately 50% of time is spent on clinical activities with 50% devoted to research, and in the third year 70% of time is devoted to research.
Exposure to a wide range of medical conditions occurs in our two inpatient units (the Comprehensive Care Program, a specialized Eating Disorders Unit and the Teaching and Consultation Service at LPCH) and in the outpatient clinics at the Center for Adolescent Health located in Mountain View. The clinics include the Teen and Young Adult Clinic, Eating Disorders Clinic, Adolescent Gynecology Clinic, and Healthy Weight Clinic. Fellows also get exposure to homeless and uninsured youth on the mobile Teen Health Van, to minority youth at the San Francisco Mission Community Clinic, and to incarcerated youth at the Santa Clara Juvenile Detention facility. The fellows work closely with colleagues in the fields of Child Psychiatry, Adolescent Gynecology, Social Service, Nursing and Nutrition and have the opportunity to teach Stanford medical students and pediatric residents.
There is a structured educational curriculum consisting of weekly grand rounds, weekly division educational meetings, monthly journal clubs, monthly case conferences, and quarterly Fellows College. In addition, in the first year, the fellow completes a 10-week Training in Clinical Research (TICR) course and in the second year, a one-week intensive immersion program called the Intensive Course in Clinical Research conducted by the Department of Pediatrics in conjunction with the School of Medicine. The expectation is that by the second year of training, the fellow will have submitted a research proposal to the IRB, will have initiated a research project, and is strongly encouraged to have submitted and presented an abstract at a national scientific meeting.
Current areas of research in the division include:
- health outcomes and quality of life in adolescents with eating disorders and obesity
- treatment of reduced bone mass in adolescent girls with anorexia nervosa
- prevalence of the female athlete triad in collegiate athletes
- effect of higher caloric intake on weight gain, length of stay and refeeding syndrome in hospitalized adolescents with anorexia nervosa
- diffusion tensor imaging (DTI) to assess white matter integrity in adolescents with anorexia nervosa
- office-based interventions to prevent adolescent obesity
- smoking cessation in adolescents
- access to confidential health services
- expedited partner treatment for sexually transmitted infections
- the use of a self-defense program to reduce the incidence of rape in Kenyan adolescent girls
- access to services for incarcerated and at-risk youth.
The fellowship offers an opportunity for the study of adolescent health through a variety of clinical, didactic and research experiences. There is a heavy reliance on preceptor-supervisory experiences. Primary patient responsibility is the focus of the Teen and Young Adult Clinic, the Eating Disorders Clinic, and the Outreach Clinics. Through supervisory sessions by the Child Psychiatry attending staff and experience on the Inpatient Comprehensive Care Program, the fellow develops expertise with adolescent behavioral issues. Working on the in-patient unit and consultation service offers further clinical opportunities. Teaching of medical students and residents is an integral part of the program.
Supervision of the fellow is provided by the faculty in the Division of Adolescent Medicine, all of whom are board-certified in adolescent medicine. Current faculty include:
Neville H. Golden, MD |
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Cynthia J. Kapphahn, MD, MPH
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Seth D. Ammerman, MD |
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Jennifer L. Carlson, MD Clinical Assistant Professor of Pediatrics |
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Catherine A. Miller, MD |
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Sophia Yen MD, MPH
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Arash Anoshiravani, MD, MPH |
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Leslie Gee, MD Clinical Instructor of Pediatrics |
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Shelley Aggarwal, MD Clinical Instructor of Pediatrics |
Each fellow is assigned a scholarship oversight committee and it is expected that at the end of the fellowship program, the fellow will have completed a scholarly work product. On graduation from the program, it is expected that the fellow will have demonstrated the necessary medical knowledge, clinical competence, and research experience required of the program in order to practice adolescent medicine competently without supervision.
Fellowship applications are submitted on- line through ERAS, beginning July 1st of each year and the program participates in the National Resident Matching Program (NRMP).