UCSF STUDENT PROGRAMS
Core clerkships (numbered 110) are reserved for UCSF students and are usually taken during the third year. Exceptions to this policy may be considered if the following criteria are met:
- there is space available for a non UCSF student
- the student has successfully completed the first two years of medical school at an accredited U.S. or Canadian school
- the student is in good standing at his/her current medical school
- students from international schools must follow the international student policy to first determine eligibility
- approval of 110 core clerkships is subject to institutional affiliation agreement between UCSF Fresno and student’s school
Family and Community Medicine 110
Fresno’s Family and Community Medicine rotation offers students an opportunity to see a wide variety of common health problems in several different outpatient settings. The rotation is based primarily at three residency training Family Medicine Centers; Community Medical Center in Fresno, Clinica Sierra Vista, an urban primary health center, and Selma FMC in the rural community of Selma, 20 miles away. Students have primary responsibility for evaluating and managing patients, with close one-on-one supervision by faculty. Students may also spend time in private practices, admit health center patients to the hospital when necessary, complete in-depth community projects, and take part in a weekly series of behavioral science and ambulatory care seminars. The rotation also includes 8 hours at the Alzheimers and Memory Center and 8 hours with a hospice program, both in Fresno. Enrollment is limited to three students per rotation. A car is necessary to take full advantage of the variety of opportunities.
The core clerkship in medicine is a traditional inpatient experience for 3rd-year medical students from UC Davis as well as for UCSF LIFE (Longitudinal Integrated Fresno Experience) and UC Davis PRIME students. The clerkship takes place primarily at Community Regional Medical Center (CRMC) though the VA Central California Medical Center is occasionally utilized for core students. CRMC is a very large, tertiary, level-1 trauma center with a rich and diverse mix of patients. Core students spend 4 weeks in Fresno, alternating the other 4 weeks in Sacramento. Each student is assigned to one of the inpatient teaching teams and works side-by-side with the interns, senior resident, and faculty on the team. All core students are expected to participate in the regular teaching activities of the UCSF Fresno residency program (ie. teaching conferences, didactics, morning report) and are looked on as integral to the whole academic purpose within the Department of Internal Medicine. Structured feedback and observations by faculty are key throughout the 4 weeks of the core experience. LIFE and PRIME students spend 2 weeks on inpatient medicine near the beginning of their longitudinal experience and then have additional weekend calls throughout their 6-months while in Fresno.
Since its beginning in 1979, Fresno’s Ob/Gyn core rotation has enjoyed a reputation among students for providing a well-rounded clinical experience. Based at Community Regional Medical Center where there are approximately 700 deliveries a month, a student may expect to participate in multiple deliveries over the six week experience. Students also have the opportunity to rotate in the busy ambulatory clinic where they are able to gain valuable experience in performing the pelvic exam under supervision. In addition, students are scheduled to rotate in the high risk obstetric clinic where they work directly with attending perinatologists and observe multiple ultrasound procedures. Students also spend one third of their time in the operating room where the hands-on opportunity has given the rotation an outstanding reputation. A lecture series accompanies the clinical experience and students appreciate the direct working relationship with faculty members. .
The UCSF Fresno program offers a unique, community based, core clerkship in Pediatrics. The rotation experience is based at the Children’s Health Center (CHC) outpatient facility near Community Medical Center-Cedar Campus (formerly UMC). Medical students spend 3 weeks at CHC, working closely with a multi-disciplinary team including UCSF Fresno faculty, pediatric residents, pediatric nurse practitioners, social workers, psychiatrists and behavioralist. Pediatric sub-specialty clinic experience is offered at CHC or can be arranged at the specialists’ offices. Included in this continuity experience is one week of newborn nursery with infant follow-up at CHC. The remaining 3 weeks are spent at Children’s Hospital Central California (CHCC), the only pediatric tertiary care referral center for the entire San Joaquin Valley.. Student’s experience is supplemented by a structured core lecture series provided by the Department of Pediatrics primary and specialty faculty, as well as visiting UCSF professors. Although the emphasis is on primary care medicine, the student will see many interesting patients referred from throughout the Central Valley.
“The core clerkship in the Fresno Division of the UCSF Psychiatry Department emphasizes an integration of the biological, psychological, and social dimensions of patients evaluation and treatment. The training sites include a combination of inpatient, outpatient, and consultation-liaison venues at the Community Regional Medical Center and the Fresno VA Medical Center — both core teaching hospitals in the UCSF Fresno Medical Education Program.
The Community Regional Medical Center is a 450-bed facility that houses very busy medical, surgical, and obstetric services, along with the largest emergency department in California and the only Burn and Level I Trauma Centers between Los Angeles and Sacramento. The rotation at the Community Regional Medical Center emphasizes hands-on experience in psychiatric consultation combined with outstanding teaching from UCSF Fresno psychiatry faculty. The patient population is richly diverse both ethnically and socio-economically, and there is an abundance of patients with combined medical and psychiatric disorders.
The Fresno VA Medical Center supports a full spectrum of mental health services for veterans in the Central Valley. The Mental Health Clinic is the site of an 8-week longitudinal outpatient continuity experience for students, wherein they are able to evaluate and manage their own small caseload of outpatients under the close supervision of a senior faculty member.
The Psychiatry 110 clerkship in Fresno also includes a specialized didactic curriculum, an integrated Psychiatry-Neurology weekly case conference, weekly Psychiatry Grand Rounds, an in-depth biopsychosocial case report, and a formally-presented literature review.”
This core clerkship is for third year medical students, is four weeks in duration, and takes place primarily at the VA with some time spent also at Community Medical Center, Kaiser, and the Alzheimer Disease Center. The rotation emphasizes the approach to the Neurologic patient through history and exam and then the analysis of a case and its management. This takes place in both outpatient and in patient settings. Each patient is gone over with one of the core faculty (four at the VA and two at CRMC). There are clinics in covering geriatric Neurology, Movement disorders, general Neurology, and neuromuscular patients. At CRMC there is a stroke unit. There is also exposure to Brain Cutting, Neuroradiology, and cognitive Neuropsycholgy through special sessions. Teaching is accomplished in addition through review of vignettes and in didactic teaching sessions. The students are expected to write notes on the cases they see which will be in the chart of the patient and the notes will be reviewed by faculty. One afternoon a week is spent with Psychiatry as part of the continuity experience. All faculty are strongly committed to teaching.
Core experience in General Surgery in Fresno is provided at Community Regional Medical Center. Busy clinical services providing a spectrum of surgical care, from the simple to the complex, and the opportunity to perform many procedures have made this a popular clinical site for medical students. Daily lectures and an extensive amount of direct faculty contact serve to maximize the educational experience. The use of mid-level practitioners on the surgical services helps to minimize the amount of “scut.”
Students follow patients from clinic or Emergency Department presentation through surgery and the post-operative period. The clerkship includes 4 weeks on the Elective service and two weeks each on the Trauma Service and Burns/Plastics Service for a total of 8 weeks.
Postgraduate PA School Residency and Fellowship Programs
As a new, or even experienced PA, it is normal to feel uncomfortable with the thought of jumping into a medical specialty.
Often we have had little more than 30 days of training in a particular field, and we are joining a team of specialists who expect us to perform at the level of seasoned doctor.
PA training is generalist in nature with the ability to pick and choose among rotations as a student that may help one gain more experience in a particular field of study prior to graduation.
If you have been practicing in a field for some time and want to change directions, it can be very intimidating.
We want to do right by our patients, providing them with the very best care in all situations. While on the job training is fine and dandy, depending on your practice you may receive a lot or very little hand holding. This can be a setup for occupational success, professional and personal growth or, on the flip side, failure!
To help PAs looking to successfully transition into careers of medical specialty postgraduate PA programs began popping up in the early 1970's. As the profession grows and more and more PAs are entering specialty practice, PA residency programs have adapted to fit our needs.
Over the past four decades the PA postgraduate training movement has slowly expanded, and in 2017 there are more than 84 postgraduate PA programs with 70 of those listed on the Association of Postgraduate PA Programs (APPAP) website.
All of these postgraduate training programs also referred to as residencies or fellowships, provide some form of advanced learning in various medical and surgical specialties.
PA Residency Program Accreditation
Unlike PA schools across the country which must undergo a rigorous accreditation process through the ARC-PA, PA residency programs do not require a formal accreditation to exist. Although I think this will change with time, here are the two accrediting bodies:
- ARC-PA: There are currently only 8 accredited clinical residencies for PAs in the US, listed on ARC-PAs website here. Accreditation is voluntary through ARC-PA and does ensure a certain level of educational standards, but it is not required and offers no current benefit. Since 2014 The ARC-PA has placed the accreditation process for clinical postgraduate PA programs in abeyance while it studies a different type of process to recognize program educational quality.
- Association of Postgraduate PA Programs (APPAP): At the American Academy of Physician Assistants Convention in Los Angeles in May 1988 a group of postgraduate PA programs met to formalize a national postgraduate PA program organization. Bylaws were written and approved by the eight founding programs and the Association of Postgraduate Physician Assistant Programs (APPAP) was formed to further specialty education for PAs. Programs are not required to be registered with APPAP and certain membership criteria must be met to be eligible. While there are benefits to being registered with APPAP, there are also very expensive membership fees that programs may not wish to spend their money on.
Do not be hesitant if the program you find interesting is not on APPA's or ARC-PA website. In 2017 this says very little about the quality of the postgraduate program.
The Pros and Cons of Physician Assistant Residency Programs
There are pros and cons to completing a residency program, but it is the decision of each individual PA to choose to participate, which greatly depends on the specialty.
PROS of PA Residency Programs
- Residency programs allow the physician assistant to gain both clinical and didactic knowledge that would take years of on-the-job training to attain. It provides a faster paced, formalized training program of supervised practice, which allows physician assistants to be utilized much faster than new graduates.
- The PA can develop the judgment and technical abilities in a specialized practice area, thus increasing their confidence in their chosen specialties.
- Many employers give preference to residency-trained physician assistants.
- Residency programs can be a great way to transition to specialty practice for a mid-career PA looking for a new challenge.
- It is also recognized that most employers are willing to pay more for a physician assistant who completed a residency program.
Emory University Critical Care Residency
I attended the Norwalk/Yale Surgery residency 2 years ago. I thought the training was invaluable. The pay was less and the work was exhausting but I'm absolutely positive I am a much better surgical PA because of it. I went into CT surgery after and feel like I've always had a huge advantage in my field because of my training.
I think most of the negative attitude towards residency comes from PAs that didn't complete one or had very little exposure to any. Most of the people I know that attended residencies were happy they did. I know there's a fear that residency training limits you to one specialty but I think it does the opposite. If you end up switching specialties it shows employers that you have a passion to learn and were willing to put in a little harder work for better training. It doesn't hurt your lateral mobility at all. If two candidates want to switch from CT surgery to Derm, who is the stronger candidate, the one with 3 years of CT experience, or the one with 2 years CT and 12 months of intensive surgical training?
Sure, you can get a job that does an excellent job of training you up and allowing you to become a well-rounded, knowledgeable PA but some jobs just need you to crank out patients and know the right answer, not necessarily understanding why that's the right answer. Residency training just concentrates everything you have the potential to learn in your first 2-3 years into 12 long months.
I personally believe if more people did residencies it would strengthen our entire career field. We pride ourselves in being trained in the medical model and residencies are what really separate Physicians from APPs, so why not.
I am currently in a cardiology post graduate residency/fellowship at The Ohio State University. However, it is not accredited/not listed on the APPAP website. I decided to pursue this after graduation because I wanted more exposure in the different subspecialties of cardiology, something I don't think I could've received if I got a general cardiology position. Here are some +/- of my experience so far (~4 months in)
(+) -Exposure to many different sub-specialties: ep, hf, CT, vascular, transplant, adult congenital etc. Also get to spend time with palliative (mostly pts with hf), stress/echo lab, consults etc. -Decent pay (70k). I know I could get paid more but this amount was imo a good trade off. -Lots of learning opportunities. I can and am encouraged to attend grand rounds, conferences etc that are set up for md residents/fellows. We don't work excessive hours - unlike medical residents. My hours average from 36-40ish a week m-f. Throw in study time and obviously it goes up. -Good mix of inpatient/outpatient exposure. More so inpatient. -Program is very open to feedback/suggestions and are accommodating. For example, I wanted to spend some time in the stress lab to see vo2/stress/etc test and it was set up very soon after. I imagine the program to get better every year.
(-) -Taking a hit on salary. -Moving to a new st 2500 miles from home is/was an adjustment. -The cardiology fellowship for mid-levels is a new thing at Ohio St - so there are obviously things that can be improved such as some teams allowing us to just shadow, or some preceptors not knowing what the fellowship really entails. Each team I am part of is different from the next in terms of learning opportunity, etc. For the most part, many of the teams I am on I feel like I am part of a team and have preceptors who are genuinely interested in my education. Other times (which is rare) I feel like I'm just there to shadow.
In conclusion, the program here at OSU could use some more structure but overall I'm glad I applied and was accepted. After just four months in, I am confident I will have more experience/knowledge than if I just took a job. With that said, after one year I obviously have much to learn and will be that way for the rest of my career.
CONS of PA Residency Programs
- PAs who jump into specialty without residencies claim you can get paid 2-3 x as much, work less, and learn just as much while getting your training on the job.
- Even though employers are willing to pay more for a PA who completed a residency, the salary maxes out and becomes equal to those who did not do a residency program.
- Residency requires more education thus increasing the duration of school and structuring the profession more like a physician. Tuition for a Physician Assistant Program is around $78,000 for didactic months and the clinical year. If a student has to take out a loan for $36,000 for two semesters, and, with seven total semesters, our total debt at the end of our physician assistant program is around $126,000. This does not include any interested accumulated. Adding on more expenses and loans for residency programs may put the PA graduate in more debt and leave one with more accumulated interest that is more difficult to pay off in a timely fashion.
- A negative aspect of employers’ rewarding those who complete residency programs with a larger salary is that it could become mandatory for physician assistants to complete specialty residency training in order to compete for the positions since more applicants may apply for higher paying jobs than lower paying ones.
- Residencies require more education, therefore delaying those practitioners from entering the clinical setting on a full-time basis. This delay limits the number and availability of physician assistants as mid-level practitioners, exacerbating the lack of health care providers to meet the increasing demands of the population for health care.
As you can see, this can turn into a contentious debate! What do you think, are fellowship programs here to stay?
PA program residency quick facts:
- What about my loans? You can defer student loans during your residency and some programs offer loan repayment.
- Do I get paid during my residency? Most residencies provide stipends of 40 - 75 k and require 40-80 hours per week up to 6 days per week.
- How many hours will I be required to work? The average program length is 12 months but some programs are up to 24 months long.
- How competitive is the process? 10-30 people interview at each program annually and accept on average 1-4 residents.
PA Residency Program offerings
Below, is an exhaustive list of US PA postgraduate residency and fellowship programs as of January 2017.
- By far the most comprehensive PA residency program is hosted by the Carolinas Healthcare system which offers eight PA fellowships in Acute Care, Critical Care/Trauma, Family Medicine, Hospitalist, Internal Medicine, Pediatrics, Urgent Care and Urology!
- The Mayo Clinic also offers a deep network of PA residency programs in Critical care/Trauma, Hospitalist, Hematology and Oncology, Internal Medicine, Otolaryngology and ENT.
I have added a brand new section for Postgraduate PA residency programs as part of the PA School finder website. You can now search by program and specialty via a geographical search console or use the new interactive perfect match tool.
PA Postgraduate Residency and Fellowship Programs by Specialty (Updated March 2017)
Use the search box to search by specialty or location. Click the header column to sort based on that criteria. Click on the web link to visit the postgraduate residency program website.
|Name of Program||Specialty||Location||Duration||Class Size||web|
|University of Missouri||Acute Care||Columbia, MO||15 months||2||http://medicine.missouri.edu/acutepa/|
|Carolinas Healthcare System Center||Acute Care||Charlotte, NC||12 months||28||http://www.carolinashealthcare.org/center-for-advanced-practice-fellowship|
|Advanced Practitioner Acute Care residency at Mission Health||Acute Care||Asheville NC||6-12 months||4 every 6 months||http://www.mission-health.org/index.php|
|Mercer-Piedmont Heart||Cardiology||Atlanta, GA||12 months||2||http://www.piedmont.org/medical-professionals/join-the-team/mercer-piedmont-residency-program|
|St. Joseph Mercy Hospital||Cardiothoracic||Ypsilanti, MI||12 months||1||http://www.stjoesannarbor.org/physicianassistantresidencyprogram|
|Dartmouth-Hitchcock Medical Center||Cardiothoracic||Lebanon, NH||12 months||2||http://med.dartmouth-hitchcock.org/heart_vascular/ctparesidency.html|
|Methodist DeBakey Heart and Vascular Center||Cardiothoracic||Houston, TX||12 months||2 to 3||http://www.houstonmethodist.org/heart-vascular/for-healthcare-professionals/learning-opportunities/|
|Carolinas Healthcare System Center||Critical Care & Trauma||Charlotte, NC||12 months||28||http://www.carolinashealthcare.org/center-for-advanced-practice-fellowship|
|Intermountain Medical Center||Critical Care & Trauma||Murray, UT||12 months||1||https://intermountainhealthcare.org/careers/residencies-training/medical-resident-fellow-training/trauma-residency/|
|Einstein/Montefiore Division of Critical Care Medicine||Critical Care & Trauma||Bronx, NY||12 months||contact program||http://www.einstein.yu.edu/departments/medicine/divisions/critical-care/division.aspx?id=21583|
|Emory Critical Care||Critical Care & Trauma||Atlanta, GA||12 months||2||http://whsc.emory.edu/home/education/critical_care/|
|Johns Hopkins Hospital||Critical Care & Trauma||Baltimore, MD||12 months||6||http://www.hopkinsmedicine.org/surgery/education/pacc_residency/description.html|
|St. Joseph Mercy Hospital||Critical Care & Trauma||Ypsilanti, MI||12 months||1||http://www.stjoesannarbor.org/physicianassistantresidencyprogram|
|St. Luke's Hospital||Critical Care & Trauma||Bethlehem, PA||12 months||4||http://gme.slhn.org/fellowships/critical-care-emergency-medicine-advanced-practitioner-fellowship|
|Mayo Clinic Arizona||Critical Care & Trauma||Phoenix, AZ||12 months||1||http://www.mayo.edu/mshs/careers/physician-assistant/physician-assistant-fellowship-hospital-internal-medicine-arizona|
|WakeMed Health and Hospitals||Critical Care & Trauma||Raleigh, NC||12 months||3||http://www.wakemed.org/careers-surgical-physician-assistant-residency-program|
|Winthrop University Hospital||Critical Care & Trauma||Mineola, NY||12 months||1||http://www.winthrop.org/pa-postgraduate-residency|
|Medical College of Wisconsin||Dermatology||Milwaukee, WI||12 months||contact program||http://dermatology.mcw.edu/education/physician-assistant-fellowship-program/|
|Albany Medical Center||Emergency Medicine||Albany, NY||12 months||5||https://www.amc.edu/academic/GME/programs/ed_pa_fellowship/index.cfm|
|Albert Einstein Medical Center||Emergency Medicine||Philadelphia, PA||18 months||2 or 3||http://www.einstein.edu/education/non-physician-programs/em-physician-assistant|
|Arrowhead Regional Medical Center||Emergency Medicine||Colton, CA||14 months||15||http://armcemergency.org/|
|Baylor College of Medicine||Emergency Medicine||Houston, TX||12 months||4 to 6||https://www.bcm.edu/departments/medicine/sections-divisions-centers/emergency-medicine/education/physician-assistant-fellowship|
|Brown Alpert Medical School||Emergency Medicine||Providence, RI||12 months||contact program||https://www.brown.edu/academics/medical/about/departments/emergency-medicine/index.php?q=emped|
|Carilion Clinic||Emergency Medicine||Roanoke, VA||12 months||3||https://www.carilionclinic.org/emergency-department/fellowship/np-pa|
|Eastern Virginia Medical School||Emergency Medicine||Norfolk, VA||12 months||2 to 4||https://www.evms.edu/education/centers_institutes_departments/emergency_medicine/fellowships/physicians_assistant_fellowship/|
|St. Luke's Hospital||Emergency Medicine||Bethlehem, PA||12 months||4||http://gme.slhn.org/Fellowships/Critical-Care-Emergency-Medicine-Advanced-Practitioner-Fellowship|
|Jane R. Perlman / NorthShore University Health System||Emergency Medicine||Evanston, IL||12 months||2||http://www.northshore.org/academics/academic-programs/fellowship-programs/np-pa-emergency-medicine/|
|Johns Hopkins - Bayview Hospital||Emergency Medicine||Baltimore, MD||18 months||1 every 6 months||http://www.hopkinsmedicine.org/johns_hopkins_bayview/education_training/residency_programs/emergency_medicine_physician_assistant_residency_program/|
|Lakeland Regional Health||Emergency Medicine||Lakeland, FL||12 months||4||https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&uact=8&ved=0ahUKEwi1kJyEh7jRAhVFqVQKHbEKC58QFggfMAE&url=https%3A%2F%2Fwww.lakelandhealth.org%2Fgmemain%2Fresidencyprograms%2Femergency-medicine-residency&usg=AFQjCNE6m-nXMUTYPyXqxafA_rlbSNpdCQ&sig2=mDO2tjXsIu4huhfhI0kqeA|
|Marquette University - Aurora Health||Emergency Medicine||Milwaukee, WI||12 months||contact program||http://www.marquette.edu/physician-assistant/postgraduate.shtml|
|New York University (NYU)||Emergency Medicine||New York, N.Y.||10 months||2||https://med.nyu.edu/emergency/education/PA-Fellowship|
|University of Missouri||Emergency Medicine||Columbia, MO||13 months||2||http://medicine.missouri.edu/emergencypa/home.html|
|New York Presbyterian-Weill Cornell Medical Center||Emergency Medicine||New York, NY||12 months||4||http://www.weillcornellparesidency.org/|
|Regions Hospital||Emergency Medicine||St. Paul, MN||18 months||2||http://www.regionsem.org/pa-residency|
|Staten Island University Hospital||Emergency Medicine||Staten Island, NY||24 months||4||http://www.statenislandem.com/pa-fellowship/|
|Team Health EMAPC Fellowship||Emergency Medicine||Oklahoma City, OK||12 months||2 to 3 every 6 months||http://myemergencymedicinecareer.com/Residents/Residency-Programs.aspx|
|University of Iowa||Emergency Medicine||Iowa City, IA||18 months||https://medicine.uiowa.edu/emergencymedicine/education/pa-residency-programs|
|University of New Mexico School of Medicine||Emergency Medicine||Albuquerque, NM||18 months||2||http://emed.unm.edu/education/prospective-applicants/physician-assistant-residency-in-emergency-medicine.html|
|UCSF Fresno||Emergency Medicine||Fresno, CA||18 months||2||http://www.fresno.ucsf.edu/em/pa/|
|The US Army/ Air Force-Baylor Emergency Medicine Physician Assistant (EMPA) Residency Must be Active Duty Army or Air Force, with a minimum of 4 years (Army) or 2 years (Air Force) active commissioned service as a Physician Assistant.||Emergency Medicine||JBSA Fort Sam Houston, TX||18 months||https://www.bamc.amedd.army.mil/staff/education/allied-health/empa/|
|Yale New Haven Hospital||Emergency Medicine||New Haven, CT||18 months||2||https://medicine.yale.edu/emergencymed/residency/pa/|
|University of Kentucky||Emergency Medicine||Lexington, KY||12 months||4||http://wildcatem.com/app-residency/|
|Carolinas Healthcare System||Family Medicine||Charlotte, NC||12 months||28 per cohort, variable||http://www.carolinashealthcare.org/center-for-advanced-practice-fellowship|
|Carilion Clinic Urgent Care and Rural Health||Family Medicine||Daleville, VA||12 months||2||https://www.carilionclinic.org/family-medicine/fellowship|
|Michael E. DeBakey VA Medical Center - Houston, Texas - Physician Assistant Post-Graduate Residency in Geriatric Medicine||Geriatrics||Houston, TX||12 months||contact program||http://www.houston.va.gov/Education/Physician_Assistant_Residency_Geriatric_Medicine/Physician_Assistant_Residency_Geriatric_Medicine.asp|
|Mayo Clinic Arizona||Hematology & Oncology||Phoenix, AZ||12 months||1||http://www.mayo.edu/mshs/careers/physician-assistant/physician-assistant-fellowship-hospital-internal-medicine-arizona|
|MD Anderson Cancer Center - The University of Texas||Hematology & Oncology||Houston, TX||12 months||2||https://www.mdanderson.org/education-training/clinical-research-training/clinical-education-for-non-physicians/physician-assistant-program-in-oncology.html|
|Carolinas Healthcare System||Hospitalist||Charlotte, NC||12 months||28 per cohort, variable||http://www.carolinashealthcare.org/center-for-advanced-practice-fellowship|
|Mayo Clinic Arizona||Hospitalist||Phoenix, AZ||12 months||1||http://www.mayo.edu/mshs/careers/physician-assistant/physician-assistant-fellowship-hospital-internal-medicine-arizona|
|Regions Hospital||Hospitalist||St. Paul, MN||12 months||1||http://www.regionshospital.com/rh2/careers/physician-assistant-fellowship/index.html|
|Carolinas Healthcare System||Internal Medicine||Charlotte, NC||12 months||28 per cohort, variable||http://www.carolinashealthcare.org/center-for-advanced-practice-fellowship|
|Children's Hospital of Philadelphia||Neonatology||Philadelphia, PA||12 months||2||http://www.chop.edu/pages/neonatal-physician-assistant-residency-program|
|University of Kentucky||Neonatology||Lexington, KY||12 months||2 to 3||https://pediatrics.med.uky.edu/pa-neonatology-residency|
|Arrowhead Regional Medical Center||OB-GYN||Colton, CA||12 months||6||https://www.arrowheadmedcenter.org/resObyGen.aspx|
|Montefiore Medical Center||OB-GYN||Bronx, NY||12 months||2||http://www.montefiore.org/obgyn-pa-residency|
|Arrowhead Orthopedics||Orthopedics||Redlands, CA||12 months||4 to 6||https://www.arrowheadmedcenter.org/mpOrtho.aspx|
|Carilion Clinic||Orthopedics||Roanoke, VA||12 months||2||https://www.carilionclinic.org/orthopaedics/fellowship-acp|
|Illinois Bone and Joint Institute||Orthopedics||Park Ridge, IL||12 months||5 to 7||http://www.ibji.com/education/professional-education|
|DMC Orthopaedics and Sports Medicine||Orthopedics||Warren, MI||12 months||2||http://www.dmcmedicalgroup.com/pa-orthopaedic-fellowship/|
|UCSF Fresno||Orthopedics||Fresno, CA||13 months||2||http://www.fresno.ucsf.edu/orthosurgery/pa/|
|Riverside University Health System||Orthopedics||Moreno Valley, CA||12 months||contact program||http://rcrmc-ortho.org/home/index.php?option=com_content&view=article&id=115&Itemid=51|
|Navy PA Graduate Training: Orthopedics - Career military physician assistants||Orthopedics||Portsmouth, VA||12 months||2-4||https://navypa.com/navy-pa-info/professional-development/orthopedics-fellowship|
|Mayo Clinic Arizona||Otolaryngology||Phoenix, AZ||12 months||2||http://www.mayo.edu/mshs/careers/physician-assistant/physician-assistant-fellowship-otolaryngology-arizona|
|Carolinas Healthcare System||Pediatrics||Charlotte, NC||12 months||28 per cohort, variable||http://www.carolinashealthcare.org/center-for-advanced-practice-fellowship|
|Shasta Community Health Center||Primary Care||Redding, CA||12 months||2-3||http://www.shastahealth.org/nppa-fellowship|
|North Florida-South Georgia Veterans Health System – University of Florida Physician Assistant Residency in Primary Care||Primary Care||Gainesville, FL||12 months||contact program||http://pap.med.ufl.edu/about-us-2/post-graduate-programs/|
|The Emory Physician Assistant Program and The Veterans Atlanta Medical Center (VAMC)||Primary Care||Atlanta, GA||12 months||contact program||https://med.emory.edu/pa/education/cme.html|
|Nationwide Children's Hospital Child and Adolescent Psychiatry PA Program||Psychiatry||Columbus, OH||12 months||2||http://www.nationwidechildrens.org/psychiatry-pa|
|University of Iowa||Psychiatry||Iowa City, IA||12 months||2||https://medicine.uiowa.edu/psychiatry/education/fellowship-programs|
|The Cherokee Mental Health Institute (CMHI)||Psychiatry||Cherokee, IA||12 months||contact program||http://psychiatricfellowship.com/program-details/|
|Bassett Healthcare||Surgery||Cooperstown, NY||12 months||2||http://www.bassett.org/education/medical-education/residency-programs/surgical-postgraduate-physician-assistant-program/|
|Duke University Medical Center||Surgery||Durham, NC||12 months||varies||https://surgery.duke.edu/education-and-training/residency-programs/physician-assistant-surgical|
|Hartford Healthcare||Surgery||Hartford, CT||12 months||2 to 4||https://hartfordhospital.org/health-professionals/education/residencies-fellowships/pa-surgical-critical-care-residency|
|Johns Hopkins Hospital||Surgery||Baltimore, MD||12 months||up to 11||http://www.hopkinsmedicine.org/surgery/education/pa_residency/|
|Montefiore Medical Center - Albert Einstein College of Medicine||Surgery||Bronx, NY||14.5 months||5||http://www.montefiore.org/postgraduate-residency-physician-assistants-surgery|
|Norwalk Hospital/Yale||Surgery||Norwalk, CT||12 months||12||http://www.norwalkhospital.org/departments/residencies-and-fellowships/pa-surgical-residency|
|Texas Children's Hospital Pediatric Surgery||Surgery||Houston, TX||12 months||6||https://www.texaschildrens.org/health-professionals/fellowships-and-residencies/surgery-physician-assistant-fellowship|
|University of Florida||Surgery||Gainesville, FL||12 months||4||http://surgery.med.ufl.edu/education/pa-surgical-residency/program-information/|
|University of Pittsburgh Medical Center||Surgery||Pittsburgh, PA||12 months||2||http://www.upmc.com/healthcare-professionals/education/advance-practice-providers/education/advanced-practice-provider-surgical-residency-program/Pages/default.aspx|
|Carolinas Healthcare System||Urgent Care||Charlotte, NC||12 months||28||http://www.carolinashealthcare.org/center-for-advanced-practice-fellowship|
|Carilion Clinic Urgent Care and Rural Health||Urgent Care||Daleville, VA||12 months||contact program||https://www.carilionclinic.org/family-medicine/fellowship|
|Carolinas Healthcare System||Urology||Charlotte, NC||12 months||28||http://www.carolinashealthcare.org/center-for-advanced-practice-fellowship|
|UT Southwestern Medical Center||Urology||Dallas, TX||12 months||1||http://www.utsouthwestern.edu/education/medical-school/departments/urology/education-training/residency-program/pa-postgrad.html|
|Hepatology Physician Assistant Fellowship||Hepatology||Alexandria, VA||12 months||contact program||http://www.aasld.org/foundation/awards-fellowship/nppa-clinical-hepatology-fellowship-program|
|Hispanic Serving Health Professions Schools (HSHPS) Graduate Fellowship Training Program||Other||Multiple Locations||12 months||contact program||http://www.hshps.org/programs|
|Public Health PA Fellowship, GA Epidemic Intelligence Service (EIS)||Public Health||Atlanta, GA||12 months||contact program||https://www.cdc.gov/eis/|
|Physician Assistant Abdominal Organ Transplant Fellowship (Arizona)||Organ Transplant||Arizona||12 months||contact program||http://www.mayo.edu/mshs/careers/physician-assistant/nurse-practitioner-or-physician-assistant-abdominal-organ-transplant-fellowship-arizona|
|The Ohio State University||Oncology||Columbus, OH||27 months||contact program||https://cancer.osu.edu/cancer-specialties/nursing/acute-care-oncology-fellowship-program|
By the Numbers - What do the studies say?
According to this PAEA study:
PA postgraduate residency education provides an important educational vehicle for training graduate PAs in specialty care. A substantial proportion of residents proceed directly from entry-level to postgraduate training. Residents report satisfaction with their programs generally and specifically in terms of knowledge and skills acquired. More information comparing the differences between academic and internship models of residency education is needed as is consideration of greater standardization in program record-keeping and support for research into the longitudinal outcomes associated with postgraduate education.
According to this PAEA study:
Although most students (89.3%) were aware of residency training programs, results indicated that few (7%) had definite plans to attend. Two-thirds of students stated that they received no information on residency training programs at school (journal ads were the most popular information source). Student perceptions of residency training programs were mixed. Their opinions varied according to their program level (p<0.03) and intended region of future practice (p<0.007). Additional significant variables related to student perceptions included student graduation date, age, and gender. However, these factors were not as significant as geographic region of intended practice and degree level.
Discussion: Although only one-third of students reported receiving material or information related to residency training programs from their faculty, two-thirds of faculty respondents stated that they provide students with residency information. Of those providing information, only 32.5% of faculty stated that they actually encourage their students to attend postgraduate training. Like their students, faculty members had mixed positive and negative perceptions of residency training programs
Personally, I have mixed feelings about residency programs for PAs.
I see the benefits for PAs, supervising physicians and patients. But, I fear that residency programs may become a requirement rather than an option.
This will lead to increase cost and time in school which is one of the key differentiators of the PA and MD profession.