Carilion Clinic Advanced ACP Fellowship in Urgent Care and Rural Health

Program Description
The Carilion Clinic Department of Family and Community Medicine would like to offer a postgraduate Advanced Practice Fellowship Program for Physician Assistants (PAs) and Nurse Practitioners (NPs) in Urgent Care and Rural Health. This unique, intensive program will build upon the strength of our highly successful PA and NP practice already in place, combined with the largest and most effective family practice and urgent care practice in southwest Virginia. The fellowship will be a complement to the Urgent Care and Rural Health program, as NP and PA fellows will benefit from didactic and clinical experiences that mirror family medicine physician residency training. Graduates of this one-year fellowship program will possess substantial skills, knowledge, and competencies required in the fields of urgent care, family medicine and rural health as the PA and NP professions continue to be ranked among the fastest growing career opportunities. There is also an optional business track that enables the fellow to pursue a Graduate Certificate in Healthcare Administration during the fellowship year.
Salary and Benefits
ACP fellows are considered full-time employees of Carilion Clinic and, as such, will be eligible for full medical, dental and disability benefits. Fellows earn an annual salary of $52,000 as well as a retain GME benefits of other fellows such as ACLS/ATLS/PALS/AWLS certifications, subsidized healthcare, scrubs, lab coats, moving expenses, phones, CME budget.   ACP fellows earn 120 hours of annual personal time off (PTO) and 40 hours of CME time. Carilion also provides fellows with a communication device and medical apparel.

  • Prepare PAs and NPs for careers in family practice, urgent care, and rural health settings as competent, highly functional members in health care
  • Provide PAs and NPs with further education, specialized clinical and professional experience that distinguishes them from non-specialty trained PAs and NPs
  • Retain focused and well-trained PAs and NPs who are interested in academics and higher learning as clinicians and employees of Carilion Clinic

This dynamic program includes didactic instruction and clinical training components that two fellows will complete over 12 months. Orientation will be approximately six weeks long (EPIC, credentialing, etc).

Clinical Rotations

  • Rural health
  • Urgent care
  • Family medicine
  • Behavioral health
  • Pediatrics
  • Home health and wound care
  • OB/GYN
  • Emergency medicine
  • Occupational medicine
  • General orthopaedics
  • Elective rotation

Clinical time will be spent in various departments of Carilion Clinic, under the supervision and direction of Carilion faculty. Fellows will provide direct patient care managing non-emergent patients, and will be directly supervised during the care of higher acuity and emergent patients. They will be working alongside other residents, NPs and PAs during all rotations. Didactics include, but are not limited to:

  • Weekly family medicine education conference
  • Lectures
  • Journal club
  • Case based simulation
  • Procedure simulation
  • Certification courses: Fellows will become certified in ACLS, PALS and ATLS.
  • Assigned readings

The didactic portion begins with a month of orientation and skills workshops designed to provide a strong foundation for advanced education. Fellows will attend lectures that cover the core curriculum for urgent care, family medicine and rural health, and also conduct a research project or publishable case study. There are periodic formative assessments and evaluations as part of the clinical and didactic portions of this fellowship.
How to Apply:
The Carilion Clinic Advanced ACP Fellowship in Urgent Care and Rural Health accepts applications with a due date of September 1, with interviews occurring in October and November. The fellowship starts at the beginning of February.   Applications must include the following items:

  • Fellowship specific application (found on the website)
  • Transcripts from undergraduate institution and PA/NP program
  • RNFA certificate (NP’s)
  • Three letters of recommendation (at least one should be from a supervising physician/PA/NP)
  • CV that includes recreational and community service activities
  • Personal statement discussing anticipated strengths the candidate would bring to the fellowship, as well as professional knowledge, skills and/or behavior that the candidate wishes to enhance

Download the Fellowship-specific application from
Send applications to: Christina Gardner via email at or via mail at Christina Gardner, Carilion Clinic ACP Fellowship in Urgent Care and Rural Health, VelocityCare, 46 Wesley Road, Daleville, VA 24083

For additional information, please contact Christina Gardner, DHSc, PA-C, Director, Advanced ACP Fellowship in Urgent Care and Rural Health Assistant Professor, Jefferson College of Health Sciences

(540) 761-4787

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