APP Fellowship Program

Rochester Regional Health’s Advanced Practice Provider (APP) fellowship programs take place in a protected learning environment that provides exposure to an array of complex disease processes found in acute and office settings. With a focus on developing competence and confidence, the transition-to-practice programs prepare the advanced practice provider to deliver superior patient care. The one-year, post-graduate fellowship programs are appropriate for new nurse practitioners (NP) and physician assistant (PA) graduates.

Goals of the Fellowships:

  • Allow both NPs and PAs to demonstrate improved clinical outcomes while obtaining the clinical knowledge and expertise needed to practice at the top of license
  • Serve as an immersion in specific specialty competencies to prepare these APPs for critical thinking above the level received in their formal education
  • Serve to expand the APP's knowledge of evidenced-based practice, basic research techniques, guideline development and quality improvement initiatives

Overall, the fellowship prepares the APP to be a well-rounded provider, leader and resource within the healthcare team. In addition to scheduled case presentations and team learning discussions, fellows experience real-time patient care as licensed APPs in various patient care units, with a gradual ease into independence.

Each fellow graduate is equipped with crucial experience in many specialty-specific rotations and procedures, as well as an established network of providers within other specialties.

Areas of Focus

Rochester Regional Health offers four, one-year, post-graduate fellowship programs for Advanced Practice Providers.

All fellowships share the following didactic requirements:

  • Leadership development series, six classes
  • Evidenced-based research, three workshops
  • Simulation lab, three workshops
  • M&M conferences related to specialty
  • Grand Rounds

view an individual program below to see specific rotations and competencies. (Please contact us to confirm openings within particular specialties.)

ICU Fellowship

  • SICU (2 months)
  • MICU/CCU (3 months)
  • Infectious disease and anesthesia (1 month 2 - week rotations each)
  • Unity ICU (2 months)
  • CTICU (1 month)
  • 2 electives (1 month 2 - week rotations each)
  • Rural ICU / Inpatient medicine (UMMC or Newark) 1 month
  • Insert and remove PICC lines
  • Perform lumbar puncture, thoracentesis, paracentesis, endotracheal intubation
  • Feeding tube placement and management
  • Wound debridement and abscess drainage
  • Peritoneal lavage
  • Insertion and removal of chest tubes
  • Intra-aortic balloon pump management
  • Placement, monitoring and manipulation of arterial lines, central lines and PA catheters
  • Tracheostomy tube replacement

Cardiology Fellowship

  • General cardiology – inpatient (3 months)
  • General cardiology – outpatient (2 months)
  • CT Surgery – (2 months)
  • Cardiology subspecialty EP, HF, structural heart – each 4-week rotations (3 months) 
  • Inpatient medicine, e-health, nephrology or other non-cardiology elective 2-week rotations (1 month)
  • Echocardiogram interpretation
  • Insertion, monitoring and removal of arterial line
  • Transcutaneous pacing
  • Advanced heart failure management, including device therapies, such as LVADs, PA implants, and ECMO

Surgical Fellowship

  • 4 months general surgery
  • 2 months SICU
  • 2 months vascular surgery
  • 3 months electives (each 1 month long) 
  • Suturing and management of  wounds and abscesses
  • Foreign body removal
  • Feeding tube, urinary catheter, and chest tube placement
  • Peritoneal lavage
  • Placement, monitoring and manipulation of central line
  • Compartment pressure monitoring
  • Cast/splint application and removal, including operation of cast saw
  • Arthrocentesis
  • Moderate sedation - test and airway skills certification required
  • Nerve blocks: local/topical, digital block, peripheral nerve block, hematoma block

Eligibility Requirements

To be eligible for the program, candidates must:

  • Have graduated from an accredited nurse practitioner or physician assistant program.
  • Hold credentials/licensure required by the State of New York.
  • Nurse practitioners: Active, unencumbered registered nurse and advanced registered nurse practitioner licensure in the State of New York, plus active Drug Enforcement Authority registration.
  • Physician assistants: Active, unencumbered physician assistant licensure in the State of New York and NCCPA board certification, plus active Drug Enforcement Authority registration.  

Preferred Qualifications

We prioritize candidates who are:

  • Newly graduated nurse practitioners or physician assistants
  • Experienced NPs or PAs who are open to learning a new specialty


  • Generous stipend
  • Vacation: 4 weeks of paid vacation per year
  • Medical Insurance: Comprehensive health insurance option to purchase one of two plans
  • Dental Plan: Option to purchase one of two plans available
  • Continuing Medical Education: 5 days of continuing medical education, $500 CME allotment
  • Wellness Center: Free membership to state-of-the-art Rochester Regional Health fitness center, including classes offered at the center.

About Rochester, NY


Deadlines and How to Apply

Deadline to Apply: April 30th

Apply for Current Openings




Contact Information

We are dedicated to answering any questions you may have in a timely manner. For further inquiry regarding the Advanced Practice Provider (APP) Fellowship Programs, please contact: