Division of General Pediatrics|Complex Care Fellowship

为期两年的复杂护理奖学金的目的是为学习者提供宝贵的临床培训和经验，以照顾有医疗复杂性儿童的职业。奖学金使学习者拥有有效的临床医生，学者和领导者的技能。可以个性化课程，以适应同伴的学习需求和职业目标，同时提供标准的复杂护理培训。所有研究员将从事一个学术项目的临床护理和完成，并提供教学和倡导的机会。

复杂的护理奖学金提供了两年内有医疗复杂性儿童的护理培训。

Clinical training

研究金的第一年是主要临床。研究员有机会参加由Division of General Pediatricsat Boston Children’s Hospital and in community sites.

Opportunities for deep clinical exposure will occur in the following areas:

• 初级保健医疗家
• 咨询护理协调
• multidisciplinary clinic care
• 围手术期护理
• inpatient care
• palliative care
• 紧急护理
• 家庭护理
• 远程医疗
• post-acute facility care
• skilled nursing facility care

Complex Care fellows will also provide longitudinal care throughout the fellowship to their own cohort of children with medical complexity. Fellows will be the primary manager of the children’s health, working to fulfill all of the children’s healthcare needs, including chronic medications, durable medical equipment, acute illness treatment, specialty co-management of coexisting conditions, etc. Fellows are expected to fully integrate with nurses, social workers, case managers, therapists, schedulers, and other healthcare professionals in these efforts. Fellows also participate in various multidisciplinary clinical programs, with the potential for other clinical experiences based on individual interests.

• 彩虹计划：有特殊医疗保健需求的儿童和青少年的初级保健医疗之家。
• 复杂护理服务（CCS）：现有基于社区的初级保健提供者的儿童咨询健康之家。CCS提供门诊诊所就诊，专用的住院住院医生服务和家庭就诊。
• 脑瘫和痉挛中心：Care of children and youth with cerebral palsy and abnormal muscle tone, through collaboration with Orthopedics, Physiatry, Neurology, Neurosurgery, Augmentative Communication, physical and occupational therapy, social work, and CCS.
• Spina Bifida and Spinal Cord Conditions Center:Care of children and youth withspina bifida,通过与神经外科,泌尿外科, Nephrology, Gastroenterology, Plastic Surgery, Orthopedics, Physiatry, Endocrinology, physical therapy, social work, and CCS.
• 气化中心：Care of children and youth who havedysphagia, feeding problems, respiratory symptoms, and related gastrointestinal issues, through collaboration with Gastroenterology, Pulmonology, Feeding Team, Nutrition, social work, and CCS.
• 颅面计划：Care of children and youth with a craniofacial condition, through collaboration with Plastic Surgery, Oral Surgery, Neurosurgery, Dentistry, Genetics, social work, and CCS.

研究计划

在研究金的第二年，研究员的临床责任将减少，他们将积极地与指定的复杂护理导师一起在学术项目上工作。研究员将通过每月的研讨会和期刊俱乐部获得设计，方法和分析的研究技能。研究员将在奖学金过程中进行一个学术项目。该项目可能与临床，教育或倡导有关。他们将可以获取有关医学复杂性儿童的本地，区域和国家数据。研究员将受到有成就的教师的指导，拥有医疗保健管理，金融，医学教育，医学信息学，质量改进，系统工程和卫生服务研究的专业知识。他们将在与教师顾问进行的双年度工作中介绍他们的学术作品。

研究员将被要求通过临床研究中心以及团契培训和研究生医学教育的办公室完成研究和职业发展课程。

Medical education training

医学教育是临床培训计划的重要重点。奖学金课程基于一个可委托专业活动（EPA）的框架，该框架定义了护理医学复杂性儿童的基本临床活动。由国家复杂的临床医生，教育工作者和家庭领导者组成的国家团队开发的课程组成部分用于培训和评估。活动包括以下内容：

• evaluate and manage common clinical issues in children with medical complexity (including pain/irritability, aspiration, feeding difficulties, and abnormal muscle tone)
• provide routine care and troubleshoot common issues for children with medical complexity who use medical technology
• provide comprehensive perioperative assessment and management for children with medical complexity
• develop and implement safety and emergency plans for children with medical complexity
• 进行有效的，基于团队的，患者和以家庭为中心的护理协调
• 倡导医学复杂性的儿童及其家人

研究员通过诊所研讨会和医院范围的课程接受正式培训，并有机会参加职业发展课程，专门的临床教学和复杂护理的期刊俱乐部。研究员还将教居民关怀医疗复杂性的儿童。研究员有机会参加Harvard Medical Schooland in theBoston Combined Residency Program, the pediatric residency program based at Boston Children’s Hospital and波士顿医疗中心.

For further information and to apply

研究员hip director:
Kathleen Huth, MD, MMSc, FRCPC
kathleen.huth@childrens.harvard.edu

研究员hip coordinator:
Olivia Deverix
Olivia.Deverix@childrens.harvard.edu