Administrative Fellowship Structure

The initial phase of the Fellowship consists of rotations throughout the Medical Center designed to educate and orient the Fellows to the functions and structure of the organization. Each rotation provides a link between a department’s role/function and relationship to other departments. These rotations give the Fellows the opportunity to meet key individuals and to ask questions in order to develop a better understanding of the issues and challenges facing the Medical Center and individual departments. Rotations are conducted through all operational and clinical areas; some of which include: finance, infection prevention and control, strategic planning, care management, regulatory, cancer institute, patient centered care, rehabilitation, day surgery, emergency department, critical care nursing, and bed management. Through the variety of rotations, Fellows observe different managerial styles, strengthen their leadership and management skills, and identify potential projects.

Upon completion of the rotations (2-3 months), the Fellows become fully immersed in projects. Fellows work on hospital-wide initiatives as well as projects on the unit/department level. In addition, they have the flexibility to seek out projects in personal areas of interest. Some of the projects worked on by current and former fellows include:

• Coordinate effort to open new outpatient surgery facility
• Reduce boarding time in emergency department
• Manage and implement initiatives within the Emergency Preparedness Program
• Participation in Lean Six Sigma Rapid Improvement Events
• Reduce sepsis rates in critical care unit
• Coordinate relocation of pediatric unit during large scale renovation
• Interim administrative manager of the Emergency Department
• Change management within ancillary services
• Develop business case and P&L for a new orthopedic center
• Lead staffing-related gap analysis for perioperative and acute care services

Additionally, the Fellows are expected to play a participatory and supportive role in meetings and committee work that relate to specific projects as well as senior leadership initiatives; some of the meetings and committees regularly attended by Fellows include:

• Administrative Leadership Meeting
• Operations Management Meeting
• Board of Trustee Patient Care Committee
• Various departmental and service level meetings, such as Emergency Department, Critical Care and Orthopedics

The Fellows report directly to the Chief of Hospital Operations and their preceptors are the Vice President of Medical Services for Tisch Hospital and the Senior Vice President of Hospital Operations at the Hospital for Joint Diseases. Additionally, Fellows work with other senior hospital administrators on projects and initiatives, make presentations as required, and rotate administrative on-call responsibilities. The Fellows also have the opportunity to interact with clinicians and researchers—many of whom are at the forefront of biomedical progress and achievement.

Fellows are expected to play an active, participatory role, as the program gives the Fellows hands-on experience working on operational projects and initiatives at the senior leadership level. The feature that most distinguishes this fellowship is the flexibility of the program as Fellows are able to tailor and define their experiences through the variety of projects they work on during the program. The Fellows are able to play a role of genuine importance both in NYU Langone Medical Center’s day-to-day administrative operations and in the overall planning of its future. The opportunities for involvement and development are unlimited. The individuals who complete an Administrative Fellowship at NYU Langone Medical Center are in a unique position to gain entry into the field of health care administration.