Mother Child W Physician

Pediatrics Adolescent Medicine Fellowship Program

The MCW Adolescent Medicine Fellowship is an ACGME accredited three-year program, which enables physicians to meet the eligibility criteria for Adolescent Medicine certification by the American Boards of Pediatrics, Internal Medicine or Family Medicine. Our program has been honored over the years to have fellows from all the above disciplines complete our fellowship and pursue academic careers in institutions throughout the country. We have also had one international fellow, from Taiwan, who has now set up Adolescent Medicine programs in his home country.   

A Message from our Program Director

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. 

M. Susan Jay, MD 

Meet our Fellowship Program Director

Susan Jay, MD, is a professor and the director of our fellowship program at MCW in Milwaukee.

Meet our Adolescent Medicine Medical Director

Margaret Thew, APNP, is the Medical Director for Adolescent Medicine at MCW in Milwaukee.

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

The Division of Adolescent Medicine offers a 3 year, ACGME-accredited fellowship program for subspecialty residents.
First Year
The first year of training for subspecialty residents will focus primarily on the development of clinical skills. Subspecialty residents spend six ½ day sessions each week providing ambulatory care in the continuity primary care Children's Wisconsin Subspecialty Adolescent Medicine Clinic, the Midtown Clinic, Teen-Tot Clinic and Juvenile Detention Center. The Adolescent Medicine subspecialty residents will see their own patients under faculty supervision. They will participate in providing night call for the adolescent medicine services patients and will provide inpatient care to patients admitted to the adolescent medicine inpatient service. The subspecialty residents will also have one ½ day Sports Medicine clinic per month, four ½ day Pediatric and Adolescent Gynecology clinical sessions per month. The adolescent trainees will also rotate through the Child Protection Center and Sleep Medicine center for one month each during their first year.

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.
Second Year
The second year of training will be devoted to acquiring research skills and advancing teaching and clinical skills. The subspecialty residents will spend two ½ day sessions per week in their continuity clinic at the Midtown Clinic Primary Care Clinic and Subspecialty Adolescent Medicine Clinic. They will also provide care at the School-Based Clinic and/or Juvenile Detention Center ½ day per week. The Adolescent Medicine subspecialty residents will provide night call for ambulatory patients. They will also rotate through the Child Protection Center and Toxicology / Poison Control Center for one month each during their second year.

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.
Third Year
The third year of training will be devoted to advancing research, scholarship, teaching, and clinical skills. The Adolescent Medicine subspecialty residents will have an average of two ½ day sessions per week in the continuity Subspecialty Adolescent Medicine Clinic and the Midtown Clinic Primary Care Clinic. They will spend one ½ day session per week each in the Adolescent Medicine Multidisciplinary Evaluation Clinic and the Juvenile Detention Center. During at least one clinic, the Adolescent Medicine subspecialty residents will precept residents and students, functioning as a co-Attending. The third year Adolescent Medicine subspecialty resident is expected to take a leadership role in administrative work and in program development. In the third year trainees will continue to attend the Adolescent Lunch and Learn conference, Pediatric and Adolescent Gynecology Conference; Joint Fellowship Curriculum, Eating Disorder and Sports Medicine Journal Clubs, Grand Rounds and Professor Rounds. Adolescent Medicine subspecialty residents will take leadership roles at the conferences, making research presentations and a Grand Rounds presentation. They will teach at least one to two medical conferences each month to the residents and students. They will submit an abstract to a professional organization for consideration for a platform or poster presentation at an annual meeting. They will submit at least one paper reporting their original research to an established medical journal prior to the completion of training. They will also complete their MPH coursework during their third year of training.
Pediatric Joint Fellowship Curriculum
The Joint Fellowship Curriculum (JFC) at the Medical College of Wisconsin is a series of longitudinal educational experiences designed to cover topics required for all pediatric fellows. While specialty-specific education is covered within each section, the JFC endeavors to cover the remainder of topics that are common to all fellowship trainees. Fellows not only gain insight on these topics from campus-wide experts, but also do so in a collaborative learning environment with their same level fellow peers from across the pediatric enterprise. 

Learn More

A Day in the Life of a Fellow

Each week an Adolescent Medicine fellow’s time is divided between scholarly activities, clinical duties, and performing consultations on the inpatient service.

Scholarly Activities

 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.

Clinical Duties

 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.

Taking Call

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.

Receiving Feedback

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

Meet Our Fellows

Current 3rd Year Fellow

Sindu Lakkunarajah

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. 

Thoughts from Our Fellows

"I’m extremely grateful for my training at MCW! I graduated well-prepared to take care of teens."

-Kelly Curran

Our Faculty
Our talented, experienced and supportive faculty are excited to train you and work alongside you during your fellowship.

Meet Our Team

Living & Training in Milwaukee

Milwaukee skyline photo by © 2019 VISIT Milwaukee

Milwaukee is one of the Midwest’s best-kept secrets and a prime location for the Medical College of Wisconsin’s main campus. A one-of-a-kind city with a vibrant and diverse culture, this charming, yet metropolitan must-see is just 90 minutes north of Chicago and nestled on the coast of Lake Michigan. Whether you’re catching a show at Summerfest, the world’s largest music festival, immersing yourself in the old world charm of the Historic Third Ward or taking in the sights and sounds of one of the many cafés, beer gardens or restaurants that line the city’s riverbank and shoreline, Milwaukee never disappoints. Find out why MCW students, faculty and employees take pride in calling Milwaukee home.

More about Milwaukee

Benefits, Conditions & Terms of Employment
Vacations, leaves, retirement plans, and insurance benefits

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.
Application process
Please use ERAS to apply for the Adolescent Medicine Fellowship program at the Medical College of Wisconsin / Children's Wisconsin.

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

Our Team

M. Susan Jay, MD


Fellowship Director, Adolescent Medicine
Professor of Pediatrics

Orlando Diaz

Orlando Diaz 2020 v2

Fellowship Coordinator


Fellowship Program Contact

Program Director

M. Susan Jay, MD
Professor of Pediatrics
Director, Adolescent Health and Medicine at Children’s Wisconsin
(414) 266-2754

Orlando Diaz
Fellowship Coordinator