Clinical Leadership Fellowship

This fellowship offers an unparalleled opportunity to work closely with clinical and administrative leaders at the largest municipal health care system in the country. Fellows gain hands-on experience in quality improvement and population health while leading impactful projects that directly shape hospital operations. With a competitive salary and the chance to build a strong network, this program is ideal for physicians looking to advance their careers in healthcare leadership.

The fellowship offers participants many opportunities to work with system leaders and a variety of learning modalities to exposure them to healthcare administration and quality improvement, including tools and approaches to effectively implement quality improvement, as well as population health-oriented initiatives.

Mentorship
Participants will receive mentorship both at their clinical site and within their administrative role. Fellows meet regularly with their assigned mentor and fellowship leadership as they progress through the program to ensure they are involved in work that is meaningful to them and reaching their individual goals. Fellows also frequently find mentors outside of their assigned mentor as they become more involved in specific projects throughout their fellowship year.

Leadership Meetings
Participants will participate in local and system level meetings focusing on quality improvement, population health, and leadership priorities. Meetings can include Root Cause Analysis, Quality Assurance/Performance Important Committee, Office Cabinet, Clinical Council, and initiative specific workgroup meetings. Through these meetings, fellows build relationships with senior level NYC Health + Hospitals leaders who have expertise in operations, population health, quality, patient safety, and finance, among other areas. Participants will become involved in quality initiatives and lead system level projects.

In-person Didactic Sessions and Webinars
Fellows will participate in a variety of didactic sessions including, but not limited to, a leadership speaker series with executives; structured educational sessions on quality improvement methodology, leadership fundamentals, data utilization tools, and overviews of system initiatives; Works in Progress session to workshop capstone project; discussion-based book and journal clubs; and physician wellness meetings.

Clinical Experience
Fellows are expected to practice in their respective specialty as an attending physician at one of our many clinical sites across New York City for 30% of their fellowship time. Many times, fellows are supervising residents or advanced practitioners in their clinical setting. Fellows also receive mentorship from their clinical site leadership. Clinical sites include NYC Health + Hospitals’ 11 acute care facilities and Gotham sites. Clinical schedules are structured to ensure participants are able to participate in all fellowship didactics.

Fundamentals of Leadership and Administration
Learn fundamentals of healthcare leadership and administration, including financial analysis, management skills, resource management, and strategic thinking.

Population Health Approach to Improve Outcomes
Learn essential components of a population health-oriented approach, including a focus on proactive delivery of care, social determinants of health, innovative uses of technology and data, and effective interventions for high-risk, high-need patients.

Team Facilitation and Change Management
Garner didactic and practical experience using change management techniques and engagement tools, working with interdisciplinary teams, and facilitating teams.

Fundamentals of Quality Improvement and Science of Quality Measurement
Review quality improvement essentials, with a focus on how this science has been translated and used in health care. During these teachings, policy and regulatory developments that may impact health care quality and patient safety in the future will be discussed.

Methods and Tools for Quality Improvement
Discuss approaches to selecting measures for quality improvement initiatives across inpatient and outpatient settings. Learn how to effectively use data in planning quality improvement and population health-oriented projects and how to use several quality improvement tools. During these teachings, participants will learn the basics of run and control charts, planned experimentation, using small tests of change, and engaging in other tools for measuring and improving. Use of health information technology in measuring and improving quality will also be discussed.

Developing and Implementing Quality Improvement Initiatives
Learn strategies for launching comprehensive quality improvement initiatives and engaging key leadership and stakeholders throughout the hospital while implementing, sustaining, and spreading improvements across the organization.

Designing Safe Systems and Building a “Just” Culture
Review the evidence of how patient safety has emerged as a critical focus issue in health care and explain concepts and tools used to achieve optimal outcomes. Explore how to create a “Just” culture that values patient safety and transparency.

Fellows will participate in many projects over the course of their fellowship in different roles. It is expected that each fellow take a leadership role in at least one project that will be their capstone project. This project requires the participant to design and lead a quality improvement or population health-oriented project at the sponsoring facility or office. The goal is that these projects are sustained after graduation and have a lasting impact on our healthcare system.

The fellow capstone project is sponsored by executive leadership and will be presented at the fellowship graduation at the end of the year. Many fellows have published their capstone project work in a variety of journals or presented at respected conferences.

Previous fellows have played critical roles in NYC Health + Hospitals’ programming, such as:

• Expanding virtual ExpressCare (telehealth services) for vulnerable populations and launching the telehealth abortion access program.
• Optimizing MyChart messaging to improve communication between patients and their care teams.
• Implementing a new referrals system to improve the quality of e-consult and referrals for increased primary care patient access to specialty care.
• Helping lead major systemwide initiatives related to improving mammography operations, expanding community health work programming, expanding midwifery services, and improving care for patients with sickle cell disease.
• Supporting an initiative to build discharge navigators for congestive heart failure patients to ensure that more patients are discharged with the appropriate guideline-directed medication therapy.
• Helping lead and support surge planning for pediatric Respiratory Syncytial Virus (RSV).

Senior leadership at both the system and local level play an integral role in the CLF program, actively involved in all parts of the program. They serve as mentors for the fellows participate in speaker series where they share their own leadership journey and insights, sponsor fellowship capstone projects, lead discussion on systemwide initiatives and priorities, involve fellows in their departmental work, and much more. Throughout the program, senior leaders also mentor fellows, guiding them on how to become the most effective and impactful leaders in healthcare.

The faculty includes well-recognized and respected clinical and administrative leaders from NYC Health + Hospitals’ Central Office and Facilities. The program leaders include:

Theodore Long, MD, MHS
Senior Vice President for Ambulatory Care and Population Health
Fellowship Director

Matthew Siegler, JD, MA
Senior Vice President for Managed Care and Patient Growth and CEO of HHC Accountable Care Office and OneCity Health

Eric Wei, MD, MBA
Chief Executive Officer, NYC Health + Hospitals/Bellevue

Hillary Jalon, MS
Vice President, Quality Management, Chief Quality Officer

Nichola Davis, MD, MS
Vice President and Chief Population Health Officer

Kenra Ford, FABC, MBA, MT(ASCP)
Vice President, Clinical Services Operations and Medical & Professional Affairs

David Silvestri, MD, MBA, MHS
Senior Assistant Vice President, Emergency Management, Medical Director, Utilization Management and Transitional Care

PJ Rosenstock, MD
Assistant Vice President of Clinical Operations

Donnie Bell, MD
Deputy Chief Medical Officer

Andrew Wallach, MD, FACP
Ambulatory Care Chief Medical Officer and Ambulatory Care Chief for NYC Health + Hospitals/Bellevue

Justin List, MD, MAR, MSc, FACP
Physician Director, Health Care Outcomes, Office of Health Equity, U.S. Department of Veterans Affairs

Hannah Jackson, MD, MPH
Senior Assistant Vice President & Chief of Staff, Office of Ambulatory Care and Population Health

Katherine Piwnica-Worms, MD, MHS
Assistant Vice President, Pediatric Health Care Delivery and Medical Director, Adolescent Health Program

Anitha Srinivasan, MD
Deputy Chief Medical Officer, NYC Health + Hospitals/Metropolitan

Amanda Johnson, MD, MBA
Senior Assistant Vice President, Care Models

David Stevens, MD, MMM
Chief Medical Officer, NYC Health + Hospitals Accountable Care Organization and Chief of Ambulatory Care, NYC H+H/Kings County

Tamara Kliot, MD
Associate Fellowship Director and Director of Provider Recruitment, Human Experience, and Capacity Building

Other administrative and clinical leaders throughout NYC Health + Hospitals will be part of the program design and delivery.

• Deputy Quality Officer at Facility
• Medical Director of Clinic
• Associate Chief of Clinical Service
• Patient Safety Officer
• Quality Improvement Leader in Department
• Clinical Leadership

Fellows in the NYC Health + Hospitals Clinical Leadership Fellowship program work an equivalent of 1 FTE (70% administrative and 30% clinical). Fellow schedules depend on their clinical specialty. There are opportunities to moonlight depending on specialty and clinical need. Please refer to PAGNYs benefits page and job posting on their direct website.

To be eligible for the NYC Health and Hospitals Clinical Leadership Fellowship (CLF), candidates must meet the following requirements:

• Be a graduate of an ACGME-accredited residency program or a current resident on track to graduate from an ACGME-accredited residency program by end of June of the fellowship start year.
• Hold current New York State medical license and DEA license by May 2026
• Submit three letters of recommendation, as outlined in Part D of the application.
• Provide an up-to-date Curriculum Vitae (CV).

The ideal candidate is a physician who is interested in splitting time between administrative work and clinical practice. They will demonstrate a strong commitment to healthcare quality improvement, healthcare administration, or population health, with a particular interest in the operational aspects of healthcare administration. Additionally, candidates must be committed to fully participating in all activities throughout the 12-month program, including leading a significant quality improvement or population health-oriented project relevant to the sponsoring facility.

Visa sponsorship is handled by the fellow’s employer, which is PAGNY. PAGNY has a visa specialist and lawyer who can answer any specific questions. Please refer to PAGNYs direct website for further information

The Clinical Leadership Fellowship application will open on June 2, 2025 and close on December 5, 2025. Applications will be reviewed on a rolling basis. Every applicant for the program will be interviewed for the central office fellowship and the facility fellowship. Once accepted to the fellowship you be asked to rank your administrative site and clinical preferences. All clinical sites can be found here. The Leadership Council will then review all preferences and make placements based on the best fit for both the fellows and the needs of the sites, taking your preferences into consideration. While you may indicate your preferred location, final placements will be determined by the Leadership Council. Final placements will be made in January and February of 2026.

There are typically 5 to 10 fellows in each cohort. All clinical specialties are encouraged to apply.

All fellows participate in the didactic and education sessions regardless of administrative office placement. Central Office fellows are placed in system offices, tend to work on systemwide initiatives, and their mentor is a central office leader. Central Office fellows will work clinically at one of our clinical sites. The facility fellows are placed in facility offices, tend to work on facility wide projects, and their mentor is a facility leader. Facility fellow will work clinically at the same facility they are placed at administratively.