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A Day in the Life

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A Day in the Life
of an APP Fellow

 

Immerse yourself in the pulse of the Fellowship, where every day brings the challenge of advanced clinical care, the spark of mentorship, and the satisfaction of growth within UVA Health's elite APP community.

This is not just training, it’s transformation. From early morning rounds to late-night breakthroughs, every moment defines the next generation of clinical excellence.

 

Clinical Curriculum

Full-time Clinical Schedule: APP Fellows will work a full clinical schedule aligned with designated preceptors within each rotation, in addition to attending a dedicated didactic day every Friday.

Weekly Hours: Fellows average 40–60 hours per week, including preparation, reading, and Professional Development Curriculum requirements.

Critical Care Fellows: May occasionally work nights, weekends, and holidays as part of their clinical requirements.

Fellowship Expectations

Fellowship hands-on training 1

What schedule and hours can the APP fellow expect?

  • APP Fellows will work a full clinical schedule aligned with designated preceptors within the rotation, in addition to attendance of a dedicated didactic day every Friday.
  • Weekly schedule averages 40–60 hours per week, including extra time at home for preparation, reading, and Professional Development Curriculum requirements.
  • Critical Care fellows may work occasional nights, weekends, and holidays as part of their clinical requirement.

What is the role of the fellow during the rotation?

  • Functions as a new/novice APP, fully credentialed to operate within their scope of practice, performing H&P's, Physical Exams, evaluation and management of patients, and formulating care plans in collaboration with preceptors or attending physicians.
  • Writes orders and performs procedures under direct supervision.
  • This is not a shadowing experience; fellows start with a small patient load, increasing based on acuity and competency.
Fellowship hands-on training 2
Fellowship professional conduct

What is expected of the APP fellow?

  • Arrive on time for each shift.
  • Dress, behave, and communicate professionally.
  • Adhere to A.S.P.I.R.E values and Fellowship G.R.E.A.T.L.Y Values.
  • Assume a patient assignment with preceptor oversight, increasing load as the fellowship progresses.
  • Perform all standard provider responsibilities with preceptor guidance.

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Didactic Curriculum - Critical Care

9:00–1:00: One or more of the following activities

  • Skills Labs (School of Medicine Simulation Center)
  • Simulation (School of Medicine Simulation Center)
  • Workshops (School of Medicine Simulation Center or unit-based)
  • Free block / administrative time to work on professional development curriculum
  • Lunch

2:00–5:00: Three or more of the following activities

  • APP Critical Care Lecture Series
  • Case Study discussions
  • Weekly check-in with coordinator/director
  • Imaging review
  • Fellow's Teach Back Lectures
  • Periodic review of goals and clinical evaluations
  • Point-of-Care Ultrasound: 1 on 1 session with senior sonographer
  • Prepare for upcoming rotation
  • Free block / administrative time to work on professional development curriculum
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Didactic Curriculum - Outpatient Neurosciences

9:00–1:00: One or more of the following activities

  • Skills Sessions
  • Workshops
  • Free block / administrative time to work on professional development curriculum and follow up on clinic responsibilities
  • Lunch

2:00–5:00: Three or more of the following activities

  • Neurology Grand Rounds
  • Neurology Resident Educational Block
  • APP Neurology Lectures
  • Case Study discussions
  • Weekly check-in with coordinator/director
  • Imaging review
  • Fellow's Teach Back Lectures
  • Periodic review of goals and clinical evaluations
  • Workshops and Skills Sessions
  • Free block / administrative time to work on professional development curriculum

Didactic Curriculum - Primary Care

9:00–1:00: One or more of the following activities

  • Skills Lab
  • Simulation
  • Workshops
  • Free block / administrative time to work on professional development curriculum and follow up on clinic responsibilities
  • Lunch

2:00–5:00: Three or more of the following activities

  • APP Primary Care Lectures
  • Case Study discussions
  • Weekly check-in with coordinator/director
  • Fellow's Teach Back Lectures
  • Periodic review of goals and clinical evaluations
  • Workshops and Skills Sessions
  • Free block / administrative time to work on professional development curriculum
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