Pediatrics Adolescent Medicine Fellowship Program
A Message from our Program Directors
Welcome to MCW Adolescent Medicine. We are delighted that you are reviewing our program and considering it for your training. Our program is a jewel in the Midwest, and we look forward to having you visit in the future.
A major goal of our program is to develop leaders in Adolescent Medicine with strong clinical and educational skills. We are fortunate to have an integrated program that offers strong gynecologic skills supervised by two Pediatric and Adolescent gynecologists. MCW Adolescent Medicine is nationally recognized clinically with Best Doctor awards yearly and indeed we are proud to have trained academicians presently leading programs throughout the country and internationally.
Our senior faculty has been in leadership positions in adolescent medicine and we are committed to mentoring our fellows in their educational and research pursuits.
Our curriculum offers flexibility to pursue clinical experience in areas of special interest. This affords fellows an optimal learning experience as they transition into their practice in the field of Adolescent Health and Medicine.
Please look at our most precious resource - our fellows - listed below.
K. Adams, MD
M. Susan Jay, MD
As a fellow, you will...
- Work with skilled Adolescent Medicine faculty and other subspecialists so you can care for teens with various concerns (Eating disorders, Gynecological disorders, Mental Health concerns, Sport Medicine Injuries, Sex trafficking, Gender Health and more!)
- Become proficient in LARC placement and removal
- Work with different faculty to develop a well-rounded and unique scholarly project for publication and presentation at a national conference.
- Build a continuity panel as the primary provider for patients in this subspecialty clinic with the guidance of an expert provider.
- Educate residents and medical students that rotate through the specialty clinics, as well as, lead and participate in didactic education.
- Work with a diverse patient population of various socioeconomic statuses and gain cultural competency skills
About Our Program
Clinical conferences, including the monthly Adolescent Lunch and Learn, and the Pediatric and Adolescent Gynecology Conference cover the topics of: pubertal maturation and its disorders, organ-specific conditions, the effects of adolescence on pre-existing conditions, reproductive endocrinology, gynecology, and psychiatry. These topics are also covered in the Pediatric Grand Rounds and Professor Rounds. Subspecialty residents will present at the Eating Disorder Journal Club, and participate in ongoing QI activities at the General Adolescent Practice. They will also develop presentations to teach monthly didactic sessions to the Pediatrics and/or Medicine/Pediatrics residents and medical students on the Adolescent Medicine Rotation.
Through Joint Fellowship Curriculum and other conferences (Eating Disorder and Sports Medicine Journal Clubs, Child and Adolescent Psychiatry Didactic Sessions, Grand Rounds and Professor Rounds) with the other divisions' Pediatric fellows they will cover the six core competencies of: Medical Knowledge, Professionalism, Systems based practice, Interpersonal and Communication Skills, Patient Care, and Practice-based Learning and Improvement.
During their first year, subspecialty residents will begin to develop their research projects. Fellows will have the opportunity to apply for the MPH program and start this training during the Spring semester of their first year. This will help solidify subspecialty residents' research skills. The goal is that subspecialty residents will have developed a well-defined research question by the end of their first year. They will have the option of presenting a poster on their research design at the annual Pediatric Fellowship Poster Session in April.
They will continue to attend Adolescent Lunch and Learn conference, Pediatric and Adolescent Gynecology Conference; Joint Fellowship Curriculum, Eating Disorder and Sports Medicine Journal Clubs, Child and Adolescent Psychiatry Didactic Sessions, Grand Rounds and Professor Rounds. The second year subspecialty residents will also present at the conferences, discussing journal articles and research projects. They will continue to teach the residents and students monthly. The Adolescent Medicine subspecialty resident will be expected to design a research or scholarship project, and, with mentorship, complete it over the second and third years. The subspecialty resident will be required to report preliminary findings at the Pediatric Fellowship Poster Session. The subspecialty residents will also continue their MPH training throughout their second year of training.
Each week an Adolescent Medicine fellow’s time is divided between scholarly activities, clinical duties, and performing consultations on the inpatient service.
Scholarly time should be used to develop and complete a clinical research activity and quality improvement initiative. Other optional but highly encouraged scholarly activities include participation in the Medical College of Wisconsin’s Masters in Public Health program, the International Association of Eating Disorder Professionals Core Curriculum Courses, and producing articles to add to the growing body of Adolescent Health literature. As fellows progress through the program, additional scholarly time will be allotted in increasing increments to facilitate completion of the fellow’s scholarly project and QI endeavors. All third year fellows will be required to attend a one month course on Quality Improvement provided through the Medical College of Wisconsin at which time they will present their work to a multidisciplinary audience.
Fellows are also encouraged to attend and/or present at local and national conferences regarding Adolescent care such as NASPAG, SAHM, PAS, and ICED. In the past our fellows have also had the opportunity to attend seminars provided by Roger’s Memorial Behavioral Health.
In their first year of training, fellows will rotate with our affiliated Sports Medicine team at least once weekly for a duration of 6 months and with our Children’s Wisconsin Psychiatry team for 1 month. Second year fellows will be expected to complete rotations in Toxicology at the Poison Control Center on main campus, Gender Health, and Child Advocacy, while third year fellows will have another selective option including Teen Clinic or self-developed electives in areas of interest. Our program is open to exploring and creating additional elective opportunities that our fellows identify as necessary for their professional growth. Fellows in all three year groups will be assigned to Eating Disorder (EDO) clinic to gain experience in diagnosing and the outpatient management of teens grappling with Anorexia, Bulimia, ARFID, OSFED and UFED. Any fellow who admitted an eating disorder patient to the inpatient service will have the opportunity to present the case to the Adolescent Medicine team, including faculty, co-fellows, social work, the Adolescent dietician, and nurse practitioners each Wednesday at our weekly EDO rundowns. Each fellow will also be responsible for providing care to their own panel of patients as part of their weekly continuity clinic one half day per week. Additionally, first, second and third year fellows will provide care to patients in our Adolescent Gynecology and LARC clinics alongside our Gynecology faculty. All fellows also periodically rotate through our affiliated college health (Marquette University), primary care and Juvenile Detention Center clinics.
Typically, fellows take call every third week for the Adolescent specialty clinics and as part of our in-patient consult service at Children’s Wisconsin. All fellows are expected to provide in-house consultative service at the hospital between 8AM and 4PM on weekdays and can take call from home on weekends and holidays. Common consultation requests include the management of Eating Disorders, Pelvic Inflammatory Disease, Sexually Transmitted Infections and Abnormal Uterine Bleeding, prevention of Re-feeding Syndrome, Contraceptive counseling and initiation, and Fertility Preservation among others.
All fellows are expected to work at least one major (Christmas, Thanksgiving, and New Year’s) and one minor (4th of July, Labor Day, Memorial Day) holiday each academic year.
Fellows are provided constructive feedback semi-annually with respect to their achievement of the ACGME milestones. Fellows are encouraged to provide feedback about the program at these sessions as well. Our department is committed to creating learning opportunities that optimize our fellows’ professional growth.
Opportunities to Teach and Learn
In addition to their clinical responsibilities, all fellows will have the opportunity to refine their teaching skills as they work with learners at all levels of medical training. Furthermore, fellows are responsible for organizing and/or providing educational lectures at departmental didactics on Friday mornings. Fellows also assist with providing noon conferences and assistance in board preparation to the Medical College of Wisconsin Affiliated Hospitals residents. Throughout the year, fellows are also expected to attend Pediatric Grand Rounds on Friday mornings and Professor Rounds on Thursday afternoons in order to get a well-rounded educational experience.
-Dr. R. Kiran Chawla
Current 1st Year Fellow
Sinduja (Sindu) Lakkunarajah
Fellowship Year: 2019-2022
Hometown: Scarborough, Ontario
Research/scholarly project: Action can change the future: Understanding the barriers to lifestyle modifications in Adolescents with PCOS
Interests: I love watching movies with my husband (AMC A-List pass), playing board games (collection of over 100) and exploring our backyard (trying to cross off every state). When I’m not watching movies or traveling, I love shopping, hanging out with my old and new friends and eating (#itsnevertooearlyforlunch). I have added Animal Crossing to my list recently (#highlyaddictive).
Why did I choose to do my fellowship with the Medical College of Wisconsin? I chose to do fellowship at MCW because it was close to home, has 4 seasons (for the most part) and the culture. I get to not only work with a diverse team but a very diverse patient population which is what I have always wanted since medical school. MCW is a big advocate for education and research development and it gives me the support I need to get them off the ground.
Current 2nd Year Fellow
Alexandria Holliday, MD
Fellowship Year: 2018-2021
Hometown: Chicago, IL
Research/scholarly project title: ”To Quick Start or not to Quick Start: Does this method influence Etonogestrel (ENG) implant discontinuation rates in adolescents?”
Interests: Being a mommy to my toddler son, shopping, eating international foods, traveling, taking selfies and watching NBA games: Go Lakers! #MambaMentality
Why did I choose to do my fellowship with the Medical College of Wisconsin? I chose MCW because it was so close to my hometown Chicago and because of the diverse patient population. One of my career interests is Health Equity for Black and Brown youth, so it was important for me to be a physician at an institution where I could advocate for and medically treat patients that look like me.
Current 3rd Year Fellow
R. Kiran Chawla
Fellowship Year: 2017-2020
Hometown: San Angelo, TX
Research/scholarly project title: Development and Evaluation of a Brief Patient-Provider Questionnaire to Screen for Youth at High Risk for Sex-Trafficking: A Pilot Study
Interests: I love watching movies with my husband, taking long walks with my dogs, and sharing laughter and smiles with my family on game nights. After days that seem particularly long, I like to unwind by chatting with friends over a shared slice of warm pie. I also love to paint with my mother. She's a Bob Ross fan and a far better painter than me, but I keep trying! My other interests include traveling and curling up in my bay window with a good book, a hot cup of tea, and my fur babies.
Why did I choose to do my fellowship with the Medical College of Wisconsin? I chose to do fellowship at MCW because I had a wonderful experience on my interview day. As a young physician, it was important to me to find a supportive environment in which I could learn and grow professionally. The faculty and staff here at MCW and those in the Adolescent Medicine department, certainly offered that! Additionally, I wanted to join a program that would train me in providing care to teens at risk for sex-trafficking, LGBTQ youth and patients battling eating disorders. I also wanted to become proficient in placing and managing long-acting reversible contraceptives. For these reasons, MCW has been a great fit! Outside of work, Milwaukee has been a nice place to live over the last couple of years. Its proximity to Chicago has allowed me to stay connected with my family and friends both back home and around the world.
"I’m extremely grateful for my training at MCW! I graduated well-prepared to take care of teens."
Professional liability insurance
The MCW Professional Risk Management Department coordinates the professional liability self-insurance program and assures liability coverage with the Wisconsin Injured Patients and Families Compensation Fund in excess of the primary annual limits of $1,000,000 per incident and $3,000,000 in the aggregate. Full-time faculty, full professional effort faculty, staff physicians, full-time allied staff and part-time allied staff if MCW is their sole employer are covered under the professional liability program for activities within the scope of duties for the Medical College of Wisconsin. All part-time physicians and part-time allied staff with additional outside employment are not covered by the self-insurance plan.
View more information regarding MCW institutional policies and resources for fellows.
The field of Adolescent Medicine is important because I feel that teenagers are often the forgotten population of Pediatrics. Adolescence is a critical time of life and as their physician, we possess the ability to address the unique physical, psychological and social needs of teens and can prepare them for a healthy adulthood."
Dr. Alexandria Holliday
Fellowship Program Contact
Professor of Pediatrics
Director, Adolescent Health and Medicine at Children’s Wisconsin