UCLA-AVH Administrative Fellowship

The UCLA-Antelope Valley Hospital Administrative Fellowship Program, established in 2015, is a one-year post-graduate, non-ACGME accredited training program. The fellowship aims to train highly qualified emergency physicians to become effective managers and leaders within clinical medicine. The program combines the benefits of working in and participating in the management of an internationally renowned, academic university hospital with a high acuity, high volume community emergency department. Entry to the fellowship program is available only to physicians who have completed an Emergency Medicine Residency. The fellowship graduated its second fellow in Spring 2017.

Institutions

Ronald Reagan UCLA Medical Center

The Ronald Reagan UCLA Medical Center (RRMC) is located at the southern end of the beautiful UCLA campus in Westwood. It is a state-of-the-art 520 bed academic medical center that offers a full range of medical and surgical services from primary to sub-specialty care. The one million-plus square foot, 10-story structure encompasses the operations of Ronald Reagan UCLA Medical Center, the Stewart and Lynda Resnick Neuropsychiatric Hospital at UCLA and the Mattel Children's Hospital.

The Medical Center is one component of UCLA's Center for the Health Sciences, which includes the Schools of Medicine, Nursing, Dentistry, and Public Health; the Jules Stein Eye Institute; the Clarence E. Reed Neurological Research Center; the Brain Research Institute; the Biomedical Cyclotron; the Jerry Lewis Neuromuscular Research Center; and the Jonsson Comprehensive Cancer Center.

US News and World report has ranked RRMC as the number one hospital in the West and a top 5 hospital in the United States for over twenty years.

The 41-bed Emergency Department treats 52,000 patients per year, and serves as a Level 1 Trauma center, as well as Stroke, STEMI, and Pediatric Critical Care center.

Antelope Valley Hospital

The Antelope Valley Hospital is a 420 bed not-for-profit acute care hospital located about 60 miles from UCLA, in Lancaster, CA. AVH serves the communities of Northern Los Angeles County, an economically and socially diverse area. The AVH ED is a high acuity, high volume community ED with over 120,000 visits in 2016.

The ED is a designated Level 2 Trauma Center that sees 11% of the total trauma in LA County. The ED is also a certified STEMI, EDAP and Stroke Center. The ED has served as the primary community rotation for the UCLA/Olive View Residency since 2004 and currently has a resident working in the ED almost every day. The management group of the ED, Antelope Valley Emergency Medical Associates (AVEMA), is a single site contract organization that has staffed the ED for 40 years. Over half the physicians at AVEMA are part-time faculty members at UCLA. AVEMA has been at the forefront of many changes in emergency medicine, including the utilization of mid-level providers, scribes, and implementation of lean principles to emergency medicine.

Curriculum

Educational Objectives

  • The administrative fellowship is designed to provide fellows with a foundation for developing into ED medical directors in any practice setting by providing training at two different clinical sites.
  • At the same time, the fellowship also provides for some flexibility for fellows to tailor their education to specific interests.

Experience

  • The UCLA-AVH Administrative Fellowship is unique because it provides Fellows with the experience of managing an emergency department both at a world-class academic institution and at community emergency department as a contract organization. The challenges, opportunities and skills required to effectively manage these two disparate situations while overlapping, are also very different. Graduating fellows will feel prepared to manage an emergency department, regardless of the setting they ultimately choose to practice in.
  • Fellows will get exposure to all aspects of ED management, including human resources, daily operations, data analytics, medical malpractice, contracting, hospital-wide interactions, and overall ED strategic planning at both sites. Mentors at each site will additionally help Fellows understand and navigate effective administrative techniques at each site.
  • Fellows will get exposure to all aspects of ED management, including human resources, daily operations, data analytics, medical malpractice, contracting, hospital-wide interactions, and overall ED strategic planning at both sites. Mentors at each site will additionally help Fellows understand and navigate effective administrative techniques at each site.

Professional Development

  • Fellows will have a didactic curriculum consisting of assigned readings and participation in small group discussions of various high-yield topics.
  • Fellows will have the opportunity to earn certification through UCLA in QI & Lean process improvements.
  • Fellows may participate in the ACEP ED Director’s Academy, at the discretion of the fellowship directors.
  • Fellows may participate in meetings with Cal-ACEP, at the discretion of fellowship faculty members, Dr. Larry Stock (current Cal-ACEP President) or Dr. Matt Richard (Cal-ACEP section leader on billing and reimbursement).

Project

  • Each fellow with pick at least one project to explore in-depth during the course of the year, with the guidance of the fellowship faculty.

Clinical

  • Fellows will work in the UCLA EMC as a Clinical Instructor/Fellow and as an attending at AVH. At UCLA, fellows will primarily supervise UCLA residents while at AVH, fellows will primarily see patients as community physicians on their own. Given the high acuity, AVH is a great place for fellows to hone their clinical skills post-residency.
  • Fellows work 4 twelve-hour shifts at AVH and 2 eight-hour shifts at in the UCLA EMC each month.
  • Additional clinical work for additional income may be possible by request.

Program Faculty

  • Malkeet Gupta, MD, MS: Fellowship Director; Managing Partner at AVEMA; Additional board certification in Clinical Informatics
  • Lynne McCullough, MD: Fellowship Co-Director; Medical Director UCLA Emergency Medical Center; Additional board certification in Clinical Informatics
  • Gregory Hendey, MD: Chair of UCLA Emergency Medicine
  • Tom Lee, MD: Expertise in contract negotiation, medical malpractice & human resources; Managing Partner at AVEMA
  • David Schriger, MD, MPH: Director of Research at UCLA Emergency Medicine
  • Medell Briggs-Malonson, MD, MPH, MSHS: Senior Medical Director of Quality, Martin Luther King Jr. Community Hospital
  • Mike Gertz, MD: Medical Director Antelope Valley Emergency Department; Managing Partner at AVEMA
  • Matt Richard, MD: Expertise in billing and reimbursement; Managing Partner at AVEMA
  • Mark Brown, MD, JD: Expertise in contract management, medical malpractice; Managing Partner at AVEMA
  • Larry Stock, MD: Chair Antelope Valley Emergency Department; President of Cal-ACEP; Managing Partner at AVEMA
  • James Schaeffer, JD: Partner at Boyce Schaeffer Mainieri- a highly acclaimed medical malpractice defense law firm in Southern California
  • Fellows will have the opportunity to interact with numerous other administrative leaders as well.

Stipends and Benefits

  • Full time UCLA employee with health and retirement benefits
  • Annual salary of $100,000
  • $5,000 travel allowance
  • $2,000 CME allowance
  • Four weeks of vacation

To Apply

Interested applicants should send Curriculum Vitae to:

Malkeet Gupta, MD
Fellowship Director
ude.alcu.tendem@atpugm

 

 

 

Interviews will be granted to qualified applicants by invitation.

Applicant Requirements

  • Graduation from a 4-year ACGME accredited Emergency Medicine Residency training program or a 3-year program with at least one year of post-residency clinical experience or fellowship.
  • Eligible to obtain a California Medical License.
  • References.

Current Fellows

Jennifer Roh, MD

Fellowship Alumni

Nicole Wojtal, MD (2017-2018)
Christopher Belfour, MD (2016-2017)