The University of Colorado Division of Hospital Medicine’s Advanced Practice Fellowship (APF) is a 13-month post-graduate fellowship program dedicated to enhancing the development of both early-career Acute Care Nurse Practitioners (ACNPs) and Physician Assistants (PAs) or for those new to hospital-based medicine. Recognizing that ACNPs and PAs are increasingly utilized in inpatient care models, our program’s mission is to provide the knowledge, skills, and attitudes necessary for a provider to succeed in the challenging world of acute care medicine.
Started in 2009, the APF is one of the oldest APP inpatient training fellowships based on the successes of the Division's Hospitalist Training Program for Internal Medicine Residents. The APF has graduated more than seventy fellows, who now hold positions in Hospital Medicine, Emergency Medicine, the Intensive Care Unit, the Bone Marrow Transplant Unit and in many other Divisions across the University Hospital and the region. Ideal candidates are those interested in working in a hospital-based environment, both in hospital medicine and specialty practices.
Phase 2: Intermediate Fellowship-Skills Enhancement: Fellows will move beyond daytime general internal medicine services, and will gain experience from the Medical-Oncology service, Consult Medicine service, and Swing/Nights services. Fellows will also start rotations on electives for inpatient specialties.
Phase 3: Senior Fellowship-Skills Refinement: During the final months of the fellowship, senior fellows will spend less time on Swing, Nights, Medical Oncology and Consult services and will devote more time to both electives and the Capstone Medicine rotation.
The APF is a rigorous primarily Monday-Friday program with 10 to 12-hour days. However, while on the resident Medicine Service, fellows have a resident-like schedule of working 6 days a week. Also, during phases 2 and 3, fellows rotate on swing/night shifts. Swing shifts are usually M-F from 2:30pm --midnight (but longer shifts can occur). Night shifts are usually M-R from 7:00pm -7:00am. Some electives will also have the fellows working on weekends.
Five (5) weeks of vacation are spread throughout the fellowship in pre-scheduled week blocks (M-F, including weekends on either end). Fellows cannot request certain vacation days/weeks off. This decision was made in order to achieve our program vision to ensure the highest educational and clinical experience during the fellowship. No vacation is given during the first 16 weeks of the fellowship or the week of Thanksgiving or December 25th. Days/partial days will be granted off for interviews after the mid-point in the fellowship.
We offer a competitive fellowship salary of $65,000 for the 13-month program ($5000/month).
Information on University benefits and eligibility for job title "Faculty Fellow" is located at: https://www.cu.edu/employee-services/benefits and the eligiblity matrix at: https://www.cu.edu/docs/benefit-eligibility-matrix
Each year we accept 2 separate cohorts of 5-6 fellows. Our cohort start dates are March 1st and September 1st. Your application will be accepted for a specific cohort and start date only, applying does NOT make you eligible for BOTH cohorts.
Timelines are as follows and are subject to change. Any changes will be reflected on the website if so.
For March start dates, applications are open the year before from mid-April to mid-July with interviews in Aug and offers given by Sept.
Desired Qualifications: We look for candidates who express a high interest in acute inpatient medicine as a career trajectory and are looking for an intensive training experience. Since it’s a rigorous and lengthy fellowship, the best candidates are those who truly want to spend an additional 13 months in training as a learner. Any courses and specific rotations that show your interest in and ability to excel clinically in the inpatient/acute setting would make you a competitive applicant. However, your application is viewed as a whole (letters of recommendation, transcripts, personal statement, etc.) and we do take everything into consideration.
The following .pdf documents are required to be considered.
1. Cover Letter which addresses the job requirements and outlines qualifications
2. Current Resume/CV
3. Two Separate Personal Essays:
A. A one-page (~700 words) personal statement explaining why you would like to be a part of the fellowship.
B. A half-page essay (~500 words) which answers the following: Our fellowship fosters an appreciation and awareness of diversity, inclusion, and equity for all. How would your personal life experiences, background, or perspectives enrich and contribute to the diversity of our fellowship?
4. Reliable contact information for three (3) professional references--at least one (1) must be from a clinician that personally supervised clinical duties within 1 year of the application submission. Please include your relationship with each reference given.
5. (2 - 3) Confidential Letters of Recommendation*; at least one (1) MUST be from a clinician that personally supervised and observed clinical duties while the candidate was caring for patients. Please have the letter writers include the following language: “[applicant name] has waived the applicant’s right to review this letter prior to submission.” Letters should be emailed as .pdf to DHM-Education@ucdenver.edudirectly from the letter writer-please see below or our FAQs for guidelines! Please include a list of your letter writers in your application to confirm who we will receive them from.
6. Transcripts from your PA/AGACNP school/master's programs only [official is not required, unofficial is acceptable/preferred]
Instructions to Letter of Recommendation Writers:
Thank you for agreeing to write a letter of recommendation for an Advanced Practice Fellowship candidate. Please review the following guidelines.
Directions for Submitting Application/Documents
Please read the following directions for submitting your application carefully:
This fellowship has no guarantee of faculty employment beyond the fellowship period nor are graduates required to commit to positions here at the University of Colorado after graduation.
The University of Colorado Division of Hospital Medicine is committed to diversity, inclusion, and equity. Diversity and equity drive excellence in clinical care, scholarship, and medical education. As a division, we lead and support programs and initiatives that address inequities and injustices in underserved patient populations, as well as inequities within our healthcare workforce. We are dedicated to working with students, residents, fellows, faculty, and staff from diverse backgrounds to continuously foster a culture of inclusivity.
Information on University benefits programs and eligibility for "Faculty Fellows" is located at: https://www.cu.edu/employee-services/benefits as well as the matrix: https://www.cu.edu/docs/benefit-eligibility-matrix
When do applications open/end? Are they on a rolling acceptance? Can I reapply?
Applications are NOT taken on a rolling admission. Applications for specific cohorts open approximately 11-12 months before the start dates. Your application will be accepted for a specific cohort and start date only, applying does NOT make you eligible for both cohorts. Application deadlines are typically 7 months before the start date to allow for candidate selection and credentialing. Specific dates will be posted on the website. If you are not selected for a specific cohort, we do consider reapplications. If you would like to reapply, please update your online submission and make sure the program manager knows.
Application deadlines are typically at least 7 months before the cohort start dates to allow for credentialing. You must provide your licensure exam results at least 60 days before your start date, so if you are only graduating 2 months before the cohort start date, you will not be eligible for that cohort. Unfortunately, the 60 days is a strict deadline due to the University’s credentialing timelines.
Application deadlines are added once the application opens for a specific cohort. If you do not see a deadline for a specific start date on the website, we are not actively taking applications for that cohort. Check back to the website for updates!
After you submit your online application you will receive an automated response from CU HR.
However, you may not hear from us regarding updates until it is closer to the application deadline. Feel free to reach out if you have any concerns with your application or have questions regarding submitting it. YOU are responsible to make sure all documents are attached properly; the program manager or HR manager will NOT check your application before the deadline date to ensure all documents have been included.
You are welcome to address your letters and have your recommenders address letters to “Advanced Practice Fellowship Selection Committee”.
Updated April 2021: Letters are now required to be confidential and should be emailed as .pdf to DHM-Education@ucdenver.edu directly from the letter writer. We do suggest that you submit a document with you application on who will be sending any letter(s) to us directly so we know if we have received all your letters and your application is complete when we go to review it. Please see below for instructions for your letter writer:
Thank you for agreeing to write a letter of recommendation for an Advanced Practice Fellowship candidate. Please review the following guidelines.
Yes, you can be accepted into the program before your graduation as long as you have taken and passed your exam 60 days prior to starting the fellowship.
Unfortunately, at this time we are not able to accept any NPs other than credentialed ACNPs into the fellowship. Since our fellows rotate on services through the University of Colorado Hospital, we have to adhere to their guidelines and they are currently only accepting ACNPs as employees in the inpatient setting as set by national guidelines.
Any courses and specific rotations that show your interest in and ability to excel clinically in the inpatient/acute setting would make you a competitive applicant. However, your application is viewed as a whole (letters of recommendation, transcripts, personal statement, etch) and we do take everything into consideration.
This is entirely up to you! If you make it to the final round of interviews, we will contact your references so be sure you have reliable contact information, and at least 1 has personally observed you in the clinical setting.
After we do our initial review of applications, if you make it to the interview stage, then the process begins with a phone call interview. If the hiring committee decides to accept you to the next stage they will request a second interview which is held via Zoom or in-person if you live in the area*. If you would like to travel to Colorado to complete an in-person interview, we would be happy to have you, but unfortunately, we do not have the ability to reimburse you for any travel costs. [*Update: Due to COVID, we can only hold interviews via Zoom]
We typically aim to notify applicants within a month and a half after the application deadline. If you do not make it through the initial phases, you will be contacted earlier on.
There are 2 cohorts of 5-6 fellows accepted each year. Cohorts begin on March 1st and September 1st.
Typically, about 35-40 applicants per cohort.
We look for candidates who express a high interest in acute inpatient medicine as a career trajectory and are looking for an intensive training experience. Since it’s a rigorous and lengthy fellowship, the best candidates are those who truly want to spend an additional 13 months in training as a learner.
UPDATE: Due to COVID, UCH has temporarily suspended their shadowing program. Once they resume we will be able to accommodate a request.
Unfortunately, the fellowship is too much of a time commitment to do a dual program at the same time. You MUST be credentialed as an ACNP prior to doing the fellowship, but you can apply to a future cohort with plans to get your ACNP credentialing before the fellowship cohort start date you have applied for.
Fellows are from all around the country/world! It truly depends on the cohort, however, we receive about half of our applications from CO residents or candidates that have previously lived in CO. Cohorts are all different but are usually a mix of about half from CO and half from other states.
Applicants/fellows tend to be both recent graduates as well as those who have held previous employment and have been practicing after PA/NP school. Cohorts usually have a mix of both. Keep in mind that our fellowship is quite rigorous, hence, the best candidates are those who truly want to spend an additional 13 months in training as a learner-focused on hospital medicine.
Unfortunately, at this time there is not enough space on our clinical teams to take on students from outside of the University of Colorado’s NP and PA schools. We hope we can do this in the future!
Unfortunately, no. Your 5 weeks of vacation will be spread out throughout the fellowship in pre-set dates. This decision was made in order to achieve our program vision to ensure the highest educational experience for all fellows. Previously, allowing fellows to choose their own vacation dates caused disruptions in the educational/clinical schedule shifts. Breaks in the schedule for vacations left many fellows working 1-week shifts instead of the needed 2-week shifts to attain familiarity with the workings of a clinical team and to succeed in establishing the role as a fellow on those teams.
Yes. Once you are accepted to the fellowship, you can request deferment of loans with our HR Manager. Please note, deferment can only be during your active enrollment of the fellowship (start date to end date), and cannot be started early or extended outside program dates.
This fellowship has no guarantee of employment beyond the fellowship period nor are graduates required to commit to positions here at the University of Colorado Health after graduation. Our graduates have had a 100% placement rate, with 42% taking positions within the University of Colorado Health System in Hospital Medicine, 34% in sub-specialties such as Renal, Neuro, ICU, Emergency Department, BMT and others, and another 24% deciding to take positions outside the UCH system.
You will have a variety of support available to you during the fellowship. The APF Leadership team (co-directors, assistant co-directors, and program manager) will be your main "mentors" to guide you through the clinical aspects of fellowship, performance reviews, job advice, etc. In the first 6 months of the program you will be paired with a senior fellow to guide you through the basics of the fellowship by "showing you the ropes" and providing you with additional camaraderie and moral support. Additionally, you will also be assigned a Clinical Coach, one of our APP faculty members, who will meet with you ~3 times throughout your fellowship to assist you in meeting your clinical goals.
Is this program accredited?
No, at this time our program has not been accredited. However, the fellowship curriculum is designed and is based upon the physician "Core Competencies" from the Society of Hospital Medicine.