Because we all have a role
in making care exceptional

The Cleveland Clinic Children’s Cardiology and Critical Care Advanced Practice Provider (APP) Fellowship is an innovative 12-month program with a mission to safely transition Certified Pediatric Acute Care Nurse Practitioners (CPNP-AC) and Physician Assistants (PA) to practice within the Pediatric and Adult Congenital Heart Center. This program provides a robust infrastructure to build not only clinical competency, but also role proficiency through mentorship, professional development, leadership training, and organizational enculturation. Fellows of the program will graduate with the critical thinking, diagnostic, and clinical skills necessary for the management of complex congenital heart disease, providing safe, efficient, and evidence-based care to critically ill patients in today’s multi-disciplinary, team-based care model.

 

The 12-month, intensive training program provides the APP fellow with a comprehensive, structured transition into the fast-paced environment of Pediatric Cardiac Critical Care. Fellows begin with a boot camp to review and establish the fundamentals of practice. Each week includes protected didactic learning that includes case studies, lectures, and simulation, all with an emphasis on applying evidenced based medicine. The APP in the Fellow role reflects the mission, vision, and values of Cleveland Clinic, adheres to the organization's Code of Ethics, Corporate Compliance Program and complies with all relevant policies, procedures, guidelines, and all regulatory and accreditation standards.

 

Throughout their training, Fellows are supervised and developed by department APP’s and physician experts in each care area. Each fellow receives instruction and mentoring in professional development including a structured, 1 on 1 experience of either development and delivery of APP education or completion of a quality project, with the option to submit an abstract or peer reviewed article to a national society.  Upon completion of this program, the Fellow will be a highly skilled and capable APP in the field of Pediatric Cardiac Critical Care Medicine.

 

Cleveland Clinic Department of Pediatric Critical Care Medicine & Cardiology

 

With more than 20 APP’s and 30 attending physicians, the Department of Pediatric Cardiology is currently ranked #6 as one of the best Children’s Hospitals for Cardiology and Heart Surgery. As a premier quaternary care center, Cleveland Clinic Children’s Main Campus provides cutting edge care modalities and a full range of specialty and subspecialty care.

Why Apply / Choose Fellowship Training Post-graduate fellowship training is rapidly becoming the expected path of entry for an NP or PA who desires a rewarding and successful career in Critical Care Medicine. The Cleveland Clinic Children’s Cardiology & Critical Care APP Fellowship seeks driven, passionate APP’s and provides an innovative opportunity to train in an enriching, supportive environment, learning from world-leaders in medicine. Cleveland Clinic maintains a world-renowned reputation as a forerunner in patient care, leadership, innovation, and education. As a graduate of this program, you will accelerate your clinical abilities and have a distinct advantage in gaining desired employment in the field of Pediatric Cardiac Critical Care.

 

Eligibility Requirements

 

1. Pediatric Acute Care Nurse Practitioner certified through PNCB

2. Master’s degree in Pediatric Acute Care from an accredited school/college of nursing

3. Current license as a Registered Nurse and APRN in the State of Ohio*

4. Physician Assistant: Master's degree from an accredited Physician Assistant Program, current OH license*

 

*All certifications and board examinations must be successfully completed 6 weeks prior to program start date.

 

Education & Experience Overview

 

Clinical Rotations: Clinical mentor assigned for each location

 

1. Intermediate Care Unit

 

2. Pediatric Intensive Care Unit

 

3. High-risk Infant Program

 

4. Electrophysiology

 

5. ECHO Lab

 

6. Pulmonary Hypertension Program

 

7. Catheterization Lab

 

8. Heart Failure & Transplant Service

 

9. Cardiac Care Unit Step-Down

 

10. Heart Failure/Transplant Stepdown

 

11. Pediatric Cardiac ICU Step-Down

 

12. Pediatric Cardiac ICU

 

Didactic Education & Additional Opportunities

 

1. Critical Care & Cardiology Boot Camp during the first month of training

 

2. APP Fellow Core Curriculum with weekly didactic time

 

3. PCICU Grand Rounds weekly

 

4. PCCM & Cardiology Fellowship weekly lectures

 

5. Cardiothoracic Surgical Conference Weekly

 

6. PCCM & Cardiology Quality & System Care Review Conference monthly

 

Simulation Training:

 

1. CCF Central Venous Line Insertion Course

 

2. POCUS

 

Professional Development

 

1. Cleveland Clinic Values

 

2. Interprofessional Teaming

 

3. Mentorship

 

4. Introduction to Quality Improvement & Research Methods

 

5. Communication Training

 

6. End of Life Training

 

7. Leadership Development

 

Salary & Benefits The fellow will be hired in a full-time, salaried position not to exceed 12 months of employment. The fellow will be eligible for the full-time benefits as described in the Total Rewards Brochure. The salary will be paid on a semi-monthly basis. After successful completion of the fellowship and the termed program the fellow will have the opportunity to apply for any open position within the Cleveland Clinic Children’s. If the fellow does not secure employment within Cleveland Clinic, their employment will be terminated per the terms of this fellowship. Employment at the end of the fellowship is not guaranteed. APRN/PA learns the role of an Advanced Practice provider under supervision of the APRN/PA preceptor and/or Physician preceptor for no longer than 12 months.

 

APRN: Nationally certified licensed healthcare provider who provides primary and/or specialty nursing and/or medical care in a variety of healthcare settings. Functions in collaboration with a physician according to an APRN protocol and specialty certification. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems.

PA: Nationally certified licensed healthcare provider who provides primary and/or specialty medical care

(the practice of medicine) in a variety of healthcare settings. Functions within the collaboration agreement of a Physician, as per regulatory requirements. Performs complete histories and physicals on patients of all ages to establish and record patient's current health status and to develop a working diagnosis and treatment plan to provide continuing medical care, including daily examinations, writing orders, chart notes, discharging patients and completing discharge summaries. This medical care may be in a variety of clinical settings. PAs in the Hospital care role provide outpatient and/or hospital based care to patients (more than 50% of their time) with complex, acute, and chronic health conditions. Outpatient/Hospital care PAs practice in a setting that requires the performance of diagnostic and therapeutic interventions to manage acute and chronic health problems.

Must have the ability to work with multi-disciplinary teams.

Requirements for Application

1. CV/Resume

2. Personal Statement declaring why you are interested in this opportunity

3. Minimum of 2 letters of recommendation (one from your current employer, another from your clinical faculty)

4. Eligible for DEA licensure

5. Current PALS/BLS/ACLS certification*

*If not already completed at time of application, all qualifications must be completed 6 weeks prior to the start date.

Job Description

Responsibilities:

• Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.  Works in collaboration with the health care team.
• Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
• Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
• May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies.
• Educates patients and answers questions regarding their disease, treatments, related drug and treatment side effects and hazards.
• Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care.
• Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
• Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
• Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.
• Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
• Supports professional development of the health care team.
• Promotes translation of evidence-based practices, guidelines, and research.
• May conduct research studies.  May assists in data collection and analysis.
• May serve as clinical preceptor for students. May onboard new caregivers.
• Other duties as assigned.

Languages:

• Oral and written communication in English

Education:

APRN 

Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role. 
Graduate of an accredited APRN program. 
If in neonatal care service area Master’s Degree is required upon hire. 

PA 

Graduate of an A.R.C. approved Physician Assistant Program. 
Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board. 

Certifications: 

NP 

• Currently licensed as a Nurse Practitioner in applicable state(s). 
• Must be licensed as an RN in applicable state(s).
• National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing. 
• Basic Life Support (BLS) through the American Heart Association (AHA) required. 
• Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting. 
• Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. 
• Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.

PA

• Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board. 
• License to practice and prescribe issued by their practicing states Licensing Board.
• Current DEA License or DEA designee as required by NCQA.
• Basic Life Support (BLS) through the American Heart Association (AHA) required. 
• Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting. 
• If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system. 
• Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement. 
• Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. 

Complexity of Work:

• Excellent analytical and decision-making skills are required.
• Strong written and verbal communication skills.
• Ability to work as a member of a multi-disciplinary team.
• Demonstrated competency and the ability to perform advanced assessment and diagnosis.
• Demonstrated ability to utilize the electronic medical record.
• Demonstrates a high standard of moral and ethical behavior.
• Demonstrates compassion and professionalism and a commitment to excellent patient care.
• Requires critical thinking skills, decisive judgement, and the ability to work independently.
• Must be able to work in a stressful environment and take appropriate action.

Work Experience:

• Related clinical experience preferred.

Physical Requirements:

• Typical physical demands include the ability to walk and stand for long periods of time.
• Manual and finger dexterity and eye/hand coordination to perform physical examinations.
• Requires corrected vision and hearing to a normal range.
• Occasionally lifts and carries items weighing up to 50 pounds.
• May require exposure to communicable diseases and/or body fluids.

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment as required.