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The University of Miami Leonard Miller School of Medicine

The University of Miami Leonard Miller School of Medicine (MSOM) is the oldest medical school in Florida. Headquartered in downtown Miami, the medical campus provides a full range of inpatient, outpatient, and surgical services, with 1,200 physicians and scientists. Additional facilities extent into Palm Beach, Broward, and Collier Counties, and include the University of Miami Hospital, Bascom Palmer Eye Institute, Sylvester Comprehensive Cancer Center, and Lennar Foundation Medical Center. The MSOM is affiliated with Jackson Health System (JHS), several hospitals, one of the largest public-health systems in the US, and Miami VA System. MSOM offers leading programs in transplantation, cancer care, ophthalmology, neurosciences, and genomics, including outstanding pediatric programs in all areas.

With more than 2,000 active research projects and $260 million in private and public funding, MSOM ranks among the top 40 NIH-funded medical schools. Core services and research support structures are provided, as well as mentoring, education and consultation through the Miami Clinical Translational Science Institute.

Department of Pediatrics

The MSOM Department of Pediatrics consists of 150 faculty and 440 staff, caring for patients from South Florida, across the entire state, and throughout the US, as well as from Latin America and the Caribbean, through the University of Miami Medical Group and JHS. The Department’s mission is accomplishing extraordinary things every day for children of all ages. The Department staffs three hospitals – the 225-bed Holtz Children’s Hospital and two community hospitals; it also provides care at nine ambulatory sites. Community outreach is accomplished through the Pediatric Mobile Clinic, 36 school clinic sites, and the Injury Free Mobile Unit. The Department operates the Debbie School, a 150-student early child-care facility focused on children with special needs and special-education training. In addition, the South Florida Poison Control Center and the Child Protection Team are part of the Department. The Batchelor Children’s Research Institute and Mailman Center for Child Development house research and clinical activities. Department faculty are responsible for the education of 200 medical students (both MD and combined MD/MPH); 72 categorical pediatric residents; 20 med/peds residents; 41 fellows in 10 subspecialties; masters, doctoral and post-doctoral students in child psychology; and several other ancillary areas. Research advancement is augmented by the annual Micah Batchelor Awards, which distributes $500,000 in intramural grants annually.

Summary

The Chief of the Division of Pediatric Nephrology is responsible for coordinating the Division's clinical, research, and educational activities by providing administrative direction, in collaboration with the Department's Chair and SAO, and hospital's administration. This position is also responsible for the strategic clinical relationships with physicians across MSOM and Holtz Children's Hospital, as well as those with the nursing staff, pharmacy, laboratories, and technical staff. The Chief will ensure adherence of pediatric nephrologist with all service-line rules and regulations regarding clinical patient care, billing documentation, and HIPAA, and will participate in the development and leadership of quality and safety initiatives and clinical practice improvements. The Chief is responsible for the implementation of the service's component of the hospital's strategic plan and development of the Centers for Excellence across the inpatient and outpatient programs of Holtz Children's Hospital at JHS. Key business objectives include establishing the service as a leader on local, national, and international levels, and assisting in the acquisition of clinical, financial, educational, and research resources to achieve this objective. We have active programs in dialysis providing all modalities of renal replacement therapy. The Division of Pediatric Nephrology is fully integrated with the Miami Transplant Institute, and the Division has an active transplant program, including kidney, liver, and multi-visceral transplants. Our Comprehensive Children's Kidney Failure Center follows a large number of children with all stages of chronic kidney disease (CKD). The Division has an ACGME-approved fellowship training program with three fellows. Our Comprehensive Children’s Kidney Failure Center follows a large number of children with all stages of CKD.

Reporting Relationship

In this role, the Chief reports to the Chair of the Department of Pediatrics.

Duties and Responsibilities (Clinical and Administrative)

Operational Oversight

• Responsible for the direction and operation of the Service's functions and associated professional activities at Holtz Children's Hospital and the Division’s outpatient clinics, including being available for assistance and advice when called on, and assisting in the resolution of identified problems through existing lines of communication. The Chief also is responsible for the direction of operation of services provided to patients that may be evaluated for specialized needs and their transfer.

• Responsible for care of children with nephrological illnesses, such as nephrotic syndrome, FSGS, proteinuria, SLE nephropathy, hypertension, oligonephropathy of prematurity, obstructive uropathy, and HIV nephropathy, among others.

Administrative, Operational, and Regulatory Assistance and Review

• Assist in developing, implementing, and maintaining administrative and clinical policies related to the activities of this service, subject to review and approval of Holtz Children's Hospital and MSOM outpatient practices.

• Assist with all relevant federal and state statutes, regulations and administrative instructions, standards of care, and accrediting standards of the Joint Commission and all regulatory agencies.

• Ensure HIPAA policies are implemented and followed by all clinical, administrative and research staff of this unit.

• Make recommendations to hospital administration regarding deployment of hospital personnel, necessary equipment and general quality standards of patient care in connection with the service, and all other pediatric nephrology functions.

• Perform and provide specialized care to patients while teaching fellows, residents, and students.

• Oversee day-to-day operations of pediatric nephrology services at Holtz Children's Hospital and ensure that patients receive the highest quality care, community needs are met, and the institutions are supported.

• Provide physician leadership of unit practice teams at Holtz Children's Hospital, in collaboration with nursing and hospital administration, to review practices and implement clinical practice improvements that result in fiscal, patient satisfaction, quality, and/or safety improvements.

• Ensure that the service fulfills service responsibilities in the most cost-effective manner and cooperates in and complies with infection control and quality assurance.

Research

• Establish and maintain a nationally recognized research portfolio, including NIH R01 or equivalent grants with division faculty as PIs; career development awards such as NIH K awards; and extensive foundation support

• Establish and maintain a vigorous program of clinical trials and identify potential patents

• Be a Department leader in research by trainees, including undergraduates, medical students, residents, and fellow

• Be a leader in national conference presentations and publication of peer-reviewed original-research articles in high-impact journals in the field

Teaching Activities

• Assure that Division physicians maintain licenses, training, techniques, and procedures that are up-to-date. Monitor systems for licenses, credentials, and recertification.

• Develop and monitor educational activities, which include instruction of medical students, residents and fellows.

• Develop medical-education programs for the hospital’s and clinics’ medical and nursing staff in pediatric nephrology.

• Assure that Division members maintain their education and expertise in their areas of specialization, keeping abreast of new developments in the field, so that patients are afforded the highest quality of care.

• Participate in multidisciplinary meetings organized to discuss patient-management issues.

• Oversee and direct the Pediatric Nephrology Fellowship Program and ensure that it maintains its accredited training program status, as required by the ACGME.

• Chair weekly service meetings to discuss upcoming cases with the multidisciplinary pediatric nephrology team.

• Oversee the successful execution of the annual Miami Pediatric Nephrology Seminar, which draws clinicians and trainees from across the US and the globe

Philanthropy

• Work closely with the MSOM Development Team and Department to identify potential donors, including grateful patients

• Increase philanthropic support of clinical, educational, and research programs

Public Relations

• Represent the Division and Holtz Children's Hospital in its contact with private and public organizations and institutions.

• Oversee the content of clinical marketing and materials for the Division in coordination with the MSOM and JHS Departments of Communications and Marketing. Assist with community awareness, and  educational, health prevention and promotion efforts.

• Visit major local pediatric practices to develop relationships and a vigorous referral base

Assurance of Patient Coverage

• Define and implement the on-call schedule for the Division to ensure inpatient and outpatient clinical coverage, including day, night, weekend, and holiday call coverage.

• Ensure appropriate coverage so that the Division provides timely inpatient consultations and properly staffs outpatient clinics, based on patient demand and contracting.

Interested Candidates

The Department of Pediatrics has a strong commitment to outstanding clinical care, innovative research, and excellent teaching in the field of pediatric nephrology. We seek a leader with vision and demonstrated operational and leadership skills who is also an established researcher, recognized clinician, and reputable educator, with a collaborative approach, and who is able to navigate complex systems. The Chief will have the opportunity and resources to foster and build an innovative, nationally and internationally pre-eminent Division. 

Successful applicants will have:

• A medical degree (MD/DO)

• Minimum of 3-5 years administrative experience

• Demonstrated contribution to clinical growth

• Reputation for mentorship and educational leadership

• An established research portfolio (a track record of NIH funding is highly desirable but not required)

• Strong interpersonal skills, with a commitment to faculty development and provider wellness

• Board certification in pediatric nephrology

• Ability to obtain and maintain a valid medical license in the State of Florida and a valid DEA license

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

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