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Advanced Practice Provider Fellowship


This 18-month post-graduate program is designed to prepare Advanced Practice Providers (APPs) for a career in emergency medicine through hands-on experiences in a supportive teaching environment. Fellows will spend the majority of the fellowship in the emergency department, followed by off-service rotations with other specialties such as anesthesia, trauma, pediatric emergency medicine, and procedure service. During the emergency department blocks, the fellow will work alongside seasoned emergency medicine APPs and attending physicians who will teach, mentor and foster their growth as a new APP.  

In this fellowship, you will: 

  • Develop the skills and knowledge necessary to become an independent provider
  • Oversee the care of your own patients, under the direct guidance of an attending physician
  • Access shared resources with the Denver Health emergency medicine residency, including facilities, conferences and lectures
  • Work directly with faculty who have been trained in a variety of fellowships (including ultrasound, toxicology, global health, wilderness medicine, critical care, climate change, and administration)

Program Leadership


Fellowship Co-Director

Clinical Site: University of Colorado Hospital

 

John Matthews

John Matthews, Masters, PA-C

Fellowship Co-Director

Clinical Site: University of Colorado Hospital

[email protected] 

Fellowship Details


The Advanced Practice Post Graduate Fellowship will combine hands-on emergency medicine experiential learning with the opportunity for fellows to learn in a non-clinical environment as well. Fellows will spend the majority of the fellowship in the emergency department, integrated with off-service rotations with other specialties such as anesthesia, trauma, pediatric emergency medicine, and procedure service.  
  
During the emergency department blocks, the fellow will work alongside seasoned emergency medicine APPs and attending physicians who will teach, mentor and foster their growth as a new APP. The fellow will have the responsibility of caring for his or her own patients, under the direct guidance of the attending physician. It is this aspect of the fellowship which will help the fellow to develop the skills and knowledge necessary to become an independent provider. 
 
Information sessions, including Q&As, are available at the link below. This page includes both live and recorded sessions to provide additional information. 

Explore More: Clinical Sites | Innovative Emergency Care  

The purpose of this post-graduate fellowship is to expose, train and immerse APPs to the vast and fast-paced environment that is emergency medicine. The physician emergency medicine residency at Denver Health and The University of Colorado Department of Emergency Medicine is one of the oldest emergency medicine residencies in the country and is considered a premier, flagship residency.

The APP residency at The University of Colorado has the privilege of shared resources with this residency including facilities, conferences and lectures, and faculty who have been trained in a variety of fellowships (including ultrasound, toxicology, global health, wilderness medicine, critical care, climate change, and administration).

Requirements

  • Graduate of an Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)–accredited Physician Assistant program or an American Academy of Nurse Practitioners (AANP)–accredited program in the United States
  • Certification or board eligibility through the National Commission on Certification of Physician Assistants (NCCPA) or American Association of Nurse Practitioners (AANP)
  • Eligible Physician Assistant candidates must have passed the Physician Assistant National Certifying Examination (PANCE) prior to the start of the fellowship

Required Certifications

  • Advanced Cardiovascular Life Support (ACLS)
  • Advanced Trauma Life Support (ATLS)
  • Pediatric Advanced Life Support (PALS)

Certification Maintenance
Fellows are required to independently maintain current certification throughout the duration of the program. This requirement applies to:

  • ACLS
  • ATLS
  • PALS

Fellowship applications are reviewed in a rolling fashion with the goal of selecting one new fellow to start every six months (e.g., Fall and Spring start dates). While the dates below represent ideal application and interview time frames, there is no set timeline to allow for more flexibility for applicants regarding starting dates.

Spring/Summer start date:

  • October 15: Applications due

  • November 1-15: Preliminary interviews

  • December 1-7: Final interviews

  • Jan 1: Credentialing begins

  • April 1: Fellowship begins

Fall/Winter start date: 

  • March 15: Applications due

  • April 1-15: Preliminary interviews

  • May 1-7: Final interviews

  • June 1: Credentialing begins

  • October 1: Fellowship begins 

All applications will be reviewed and considered; review and response time may be variable.

Curriculum


 

The fellowship delivers a comprehensive, hands-on learning experience that integrates clinical practice, simulation, and structured didactics to prepare APPs for success in emergency medicine. 
  • Weekly Case Conference (Wednesdays): Mandatory attendance at the emergency department’s case conference, followed by a series of lectures
  • Simulation & Skills Training: Dedicated sessions providing hands-on experience in procedures and resuscitation scenarios 
The didactic curriculum consists of targeted emergency medicine–focused lectures and learning experiences. This interactive, multi-modal approach is designed to reinforce and enhance the clinical training gained in the emergency department.  
 
Post Shift Feedback: Qualtrics (QR code-based) provides an easy-to-use, electronic, and free platform for fellows to receive feedback 
  1. Department of Emergency Medicine Grand Rounds
  2. Wednesday emergency medicine resident conferences: 
    1. https://www.denverem.org/resident-resources
      1. Case conference (formerly M&M)
      2. Emergency medicine resident lectures 
  3. APP journal club
  4. APP lectures 
  5. APP SIM/skills sessions          
    1. Central lines
    2. Intubation
    3. ACLS
    4. Point of care ultrasound (POCUS)

This sample schedule is provided for general reference. Rotation offerings and structure may vary, and additional experiences may be available. 

Introduction/Onboarding

  • April*- Emergency Medicine (Paired shifts)
  • May*- Emergency Medicine (Paired shifts)
  • Jun*- Emergency Medicine/Procedures (2 weeks paired shifts, 2 weeks procedure team)

Three-month formal evaluation 

  • July*- Emergency Medicine (paired shifts)
  • August*- Emergency Medicine
  • September- Trauma/Super Track (2 weeks with trauma, 2 weeks training in ST)
  • October- Emergency Medicine/Observation (Intro to Observation Medicine)
  • November- Emergency Medicine
  • December- Emergency Medicine/Anesthesia (2 weeks emergency medicine, 2 week Anesthesia)

Nine-month formal evaluation 

  • January- Emergency Medicine/Elective (2 weeks emergency medicine, 2 weeks elective)
  • February- Emergency Medicine
  • March- Pediatric Emergency Medicine (full month at Children’s Hospital emergency department)
  • April- Emergency Medicine
  • May- Emergency Medicine
  • June- Emergency Medicine

Fifteen-month formal evaluation, post-graduation planning

  • July- Emergency Medicine
  • August- Emergency Medicine
  • September- Emergency Medicine

Final evaluation

*Longitudinal U.S. rotation to occur during first six months of training.

Introduction\Onboarding

  • Abdominal pain
  • Acid base
  • ACS, different types of stress tests
  • AKIs
  • AMS/encephalopathy
  • Atrial fibrillation
  • Cardiac/chest pain didactics
  • Cirrhosis
  • Dyspnea
  • Eclampsia
  • GI bleeding
  • Hepatorenal syndrome
  • LFTs abnormalities
  • PE, PERC score, WELLS criteria
  • Pulmonary emergencies
  • Shock
  • Strokes
  • Syncope
  • Toxidromes
  • Urologic emergencies
  • Vaginal bleeding
  • Withdrawal
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