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Critical Care Advanced Practice Provider Fellowship

Critical Care Advanced Practice Provider Fellowship

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The Critical Care Advanced Practice Provider Fellowship at Penn State Health Milton S. Hershey Medical Center is a one-year, non-ACGME-accredited program that admits two fellows per year.

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Program Details

Katherin Pavlos, APP fellow, on the left, performs an intubation using simulation equipment. Jennifer King Wilson, MSN, AGACNP, CRNA, stands to the left.

Jennifer King Wilson, MSN, AGACNP, CRNA, left, and APP fellow Katherine Pavlos PA-C, are pictured. Pavlos is performing an endotracheal intubation.

Penn State Health’s Critical Care Advanced Practice Provider (APP) Fellowship is a post–graduate, transition-to-practice training program for physician assistants and acute care nurse practitioners who have a sincere interest in a career as a critical care APP.

The 12-month program includes clinical rotations through Penn State Health’s adult critical-care units. In addition, trainees will have clinical experiences with services that are integral in supporting critical care including nephrology, palliative care and infectious disease. Trainees are expected to work a minimum of 36 hours per week clinically.

In addition to the variety of clinical experiences, there are didactic sessions as well as hands-on in the high-fidelity Clinical Simulation Center. Learning are also be enhanced using online learning modules, case conferences, evidenced-based readings and journal clubs. The trainee can expect to dedicate approximately 10 to 12 hours a week completing these learning activities.

Learn More about the Fellowship

To Apply Expand answer

Applications to the Critical Care APP Fellowship are now being accepted for the Fall of 2022 admission. Application deadline is January 1, 2022.

General Applicant Information

The program is affiliated with Penn State Health Milton S. Hershey Medical Center, and fellows are hired as full-time employees with benefits, which includes a Continuing Medical Education allowance. Applicants must be graduates of an accredited nurse practitioner or physician assistant program, and board-certified through one of the major accrediting bodies specific to their discipline.

To apply for the Critical Care APP Fellowship, applicants must provide the following items:

  • A personal statement, to include the applicant’s purpose in fellowship study and future professional goals as they relate to Critical Care.
  • An updated curriculum vitae, to include a detailed description of prior critical care experience, if applicable.
  • Minimum of three letters of recommendation, at least one from current or recent supervising physician or advanced practice clinician (nurse practitioner or physician assistant).
  • An application through the Human Resources website.

Apply now

About Penn State Health Expand answer

A screenshot shows the 2020 virtual tour of Penn State Health and Penn State College of Medicine.

Virtual Tour

A recently developed virtual tour showcases locations across Penn State Health and Penn State College of Medicine in Hershey, Pa.

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Penn State Health

Penn State Health is a multi-hospital health system serving patients and communities across 29 counties of Pennsylvania. Its mission is to improve health through patient care, research, education and community outreach.

In December 2017, the system partnered with Highmark Health to facilitate creation of a value-based, community care network in the region. The shared goal of Highmark and Penn State Health is to ensure patients in the community are within:

  • 10 minutes of a Penn State Health primary care provider
  • 20 minutes of Penn State Health specialty care
  • 30 minutes of a Penn State Health acute care facility

Learn more about Penn State Health

Penn State Health Milton S. Hershey Medical Center and Penn State College of Medicine campus is seen in an aerial photo on a sunny day.

Penn State Health Children’s Hospital (left), Penn State Health Milton S. Hershey Medical Center (center) and Penn State Cancer Institute (right)

Penn State Health Milton S. Hershey Medical Center

500 University Dr., Hershey, Pa., 17033 (Derry Township, Dauphin County)

  • The health system’s 548-bed flagship teaching and research hospital
  • The only medical facility in Pennsylvania accredited as both an adult and a pediatric Level I (highest-level) trauma center
  • Dedicated surgical, neuroscience, cardiovascular, trauma and medical intensive care units
  • Accredited Life Lion critical-care transport providing more than 1,100 helicopter and approximately 750 ground ambulance transports per year
  • More than 1,300 faculty members and more than 650 residents and fellows
  • Approximately 28,500 admissions, 75,000 emergency department visits, 1.1 million outpatient visits and 32,000 surgical procedures annually
  • Designated as a Magnet hospital three times

Learn more about Milton S. Hershey Medical Center

Penn State Health Children’s Hospital

600 University Dr., Hershey, Pa. 17033 (Derry Township, Dauphin County)

  • An eight-story, 263,000-square-foot-facility built in 2013 and expanded in 2020
  • 104 acute-care beds and 56 neonatal intensive care unit beds
  • Level IV (highest-level) neonatal intensive care unit
  • Level I quaternary (highest-level) pediatric intensive care unit
  • Level I (highest-level) pediatric trauma center designation
  • Intermediate care unit
  • Dedicated pediatric operating rooms
  • More than 150,000 pediatric outpatient visits and approximately 5,000 pediatric patient discharges annually

Learn more about Penn State Health Children’s Hospital

About Hershey Expand answer

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Welcome to Hershey

Our new guide to the Hershey, Pa., area showcases the highlights of life in central Pennsylvania.

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More About Hershey

Interested in learning more about living and working in Hershey, Pa.? See details here:

Wellness Initiatives Expand answer

Fellow wellness, including emotional, spiritual, social and physical health, is a crucial component to training and to becoming a professional, compassionate and resilient physician. Self-care is a skill which must be continually practiced and reinforced. Penn State College of Medicine and Penn State Health are committed to addressing wellness, with multiple resources readily available.

Institutional resources

Diversity Expand answer

Institutional Resources

Penn State Health and Penn State College of Medicine celebrate, embrace and support the diversity of all patients, faculty, staff, students and trainees.

Office for Diversity, Equity and Inclusion

In keeping with this, Penn State Health has an active Office for Diversity, Equity and Inclusion with various programs, networks and resource groups, including:

  • Talks and lectures on diversity, equity and inclusion through Inclusion Academy
  • Regular events on topics such as eradicating racism and creating a culture of inclusiveness
  • An allyship support group
  • Many affinity resource network groups, including:
    • Disability Affinity Resource Network Group
    • Group on Women in Medicine and Science
    • Interfaith Affinity Resource Network Group
    • LGBTQ and Allies Affinity Resource Network Group
    • Military/Veterans Affinity Resource Network Group
    • Multicultural Affinity Resource Network Group
    • NextGen

Learn more about the Penn State Health Office for Diversity, Equity and Inclusion

Learn more about the College of Medicine’s Office for Diversity, Equity and Belonging

Office for Culturally Responsive Health Care Education

The vision at Penn State College of Medicine and Penn State Health is to equip learners with the knowledge, skills and attitudes they will need to provide culturally excellent health care and research for an increasingly diverse U.S. population. The Office for Culturally Responsive Health Care Education was formed to help meet that goal.

Learn more about the Office for Culturally Responsive Health Care Education

Office for a Respectful Learning Environment

In addition, the institution does not tolerate discrimination, biases, microaggression, harassment or learner mistreatment of any kind, and any concerns are immediately addressed by the Office for a Respectful Learning Environment.

Learn more about the Office for a Respectful Learning Environment

Contact Us Expand answer


Curriculum Details

Mission Expand answer

The fellowship’s mission is to provide a structured, comprehensive, transition-to-practice program to enhance the knowledge and skills of APPs who will serve the health needs of critically ill adults.

Program Goals Expand answer
  • Expand the knowledge and skills of novice APPs in order to provide safe, high-quality, cost-effective and evidence-based care to critically ill adults.
  • Cultivate the APP leaders of the future, who will inspire innovation and share knowledge that will benefit all.
  • Increase the confidence of APP trainees in performing procedures and therapeutic interventions.
Clinical Rotations Expand answer
Katherine Pavlos, PA-C, at left, points to a CT scan image on a screen while Ed Stene, AGACNP-BC, looks at the screen.

Katherine Pavlos, PA-C, and Ed Stene, AGACNP-BC, both APP Critical Care fellows, review a CT scan of the chest.

  • Anesthesia surgical critical care
  • Neuroscience intensive care
  • Heart and vascular intensive care
  • Medical intensive care
  • Nephrology
  • Infectious disease
  • Palliative care
  • Interventional pulmonary
  • Medical emergency team
  • Elective (six weeks)

Note: These clinical rotations are subject to change.

Special Training (as available) Expand answer
  • Advanced trauma life support
  • Emergency neurological life support
  • Fundamental critical care support
  • Bedside ultrasound
  • Clinical simulation (skills lab and OSCEs)
  • Professional development and mentoring
Procedures Expand answer

Ed Stene, AGACNP, practices airway skills at a table the simulation center with Katherine Pavlos, PA-C, looking on at right and Jennifer King Wilson, AGACNP, CRNA, at left on the other side of the table.

Ed Stene, AGACNP, and Katherine Pavlos, PA-C, APP Critical Care fellows, practice airway skills in the simulation center under the direction of Jennifer King Wilson, AGACNP, CRNA.

Procedures to be performed include, but are not limited to:

  • Central line insertion
  • Arterial line insertion
  • Pulmonary artery catheter insertion
  • Endotracheal intubation
  • Bedside ultrasound for hemodynamic assessment
  • Bronchoscopy for airway evaluation
  • Chest tube insertion
  • Thoracentesis
Program Completion Criteria Expand answer
  • Satisfactory review on all end of rotation clinical evaluations.
  • Obtain minimum grade of 85 percent on end-of-rotation quizzes.
  • Completion of one scholarly project (e.g., manuscript submission to a professional journal or completion of QI or research project with abstract submission to a state or national meeting of a professional organization).
  • Satisfactory completion of all OSCEs (clinical simulations).
  • Attendance at two advanced practice council meetings.
  • Attendance at one advanced practice grand rounds.
  • Presentation of monthly case conference assigned.
  • Facilitation of journal clubs as assigned.
  • Completion of FCCS course (as available).
  • Completion of ATLS course (as available).
  • Completion of ENLS course (as available).
Evaluations Expand answer

Evaluations will be completed by the clinical mentors at the end of each clinical rotation. End-of-rotation quizzes will also be administered. In addition, quarterly evaluations will be completed by the program director to ensure satisfactory progression in the program, as well as discuss trainee professional goals.

Penn State is an equal opportunity, affirmative action employer, and is committed to providing employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.