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Administrative Fellowship

Program Overview

The VUMC Hospital & Clinics Administrative Fellowship Program is a two-year, rotation and core-competency based program that provides comprehensive training and development for individuals seeking a leadership career in health system administration. Fellows are provided with an in-depth understanding of Academic Medical Center operations through exposure to various clinical and administrative areas. In addition to gaining robust contextual and functional knowledge, fellows take part in multiple hands-on learning experiences through immersions in various Patient Care Centers or Core Service Departments to gain competency in the skill-sets, processes, and tools required of modern health system administration. In the last months of the program, fellows are able to demonstrate their training and development through placement on the administrative team of a Patient Care Center or Core Service Department. Within this team, fellows work with increasing autonomy and responsibility to produce various deliverables, or lead various teams, before completing the program. The primary goal of the program is to develop participants through measurable demonstration of healthcare operations, knowledge, and skill-set competency, in order to successfully assume leadership roles in health system administration.


Borrowing from medical residency training and management development programs, the Administrative Fellowship Program relies on a cumulative learning experience to fortify the transition from graduate studies to independent practice in health system administration. The program is arranged in three phases: See One, Do One, and Lead One.

Months 1-6

Months 7-12

Months 13-24

Phase 1: See One

Phase 2: Do One

Phase 3: Lead One

Contextual and Functional Knowledge of Operating Units

Competency in Critical Skill-Sets, Processes, and Tools of
Health System Administration

Autonomy and Responsibility on Administrative Team

25 Rotations

Up to 16 Core Competencies

Independent Practice within Specific Area

Fellows are able to adapt their experience to meet their unique interests and career aspirations by completing the core competencies in the area(s) of their choosing. Time is also reserved for fellows to participate in various strategic projects, professional development opportunities, formal trainings, and senior leadership meetings throughout the program.


The Administrative Fellowship Program is overseen by the Hospital and Clinics Executive Leadership Team. An Administrative Fellowship Board, comprised of various institutional leaders and program alumni, acts as an advisory group to the Executive Leadership Team. The Training and Organizational Development Office manages the daily operations of the program and ensures that all fellows receive the proper orientation and onboarding, a structured learning plan that provides opportunities for hands-on experience, and support and guidance throughout the year.


In addition to the formal mentorship of the Executive Leadership Team, fellows are able to build strong relationships with other institutional leaders during their immersions in various areas. Informal mentorship opportunities are available as fellows frequently interact with program alumni and other emerging leaders at VUMC and in the larger Nashville health care community.

Should you have any questions about the fellowship, please email: