Rebecca T. Wiester, MD
The mission of the Child Abuse Pediatrics Fellowship Program at the University of Washington/Seattle Children's Hospital is to train pediatricians to become clinical, academic, educational and administrative leaders in the field of Child Abuse Pediatrics (CAP). The CAP fellowship educates physicians to evaluate, diagnose, manage and treat child abuse, neglect and all aspects of child maltreatment, collaborate with community partners, provide expertise in courts of law, and participate in multidisciplinary teams investigating and managing child abuse cases.
Seattle Children’s Hospital and University of Washington School of Medicine offer an ACGME-accredited 3-year fellowship in child abuse pediatrics. The fellowship is part of the Department of Pediatrics at the University of Washington and Seattle Children’s Hospital, one of the top 10 children’s hospitals in the United States and the major pediatric referral center in our five-state region – Washington, Wyoming, Alaska, Montana and Idaho (WWAMI). Fellows will evaluate patients when there is a concern for physical abuse, sexual abuse, medical abuse, psychological abuse or neglect. All aspects of child maltreatment are part of the program. Our fellows work with other professionals in related fields including child protective services, law enforcement, forensic interviewers, and mental health treatment providers. The program is actively involved in weekly multidisciplinary team meetings, regional child abuse networks, child death review, and activities of the King County Medical Examiners office. The extensive academic faculty at University of Washington and Seattle Children's Hospital in both general pediatrics and pediatric sub-specialties provides comprehensive clinical educational and research opportunities. In addition, the program provides a strong didactic curriculum and weekly teaching and case conferences. In addition to education in research methods and mentoring in research, fellows have the option of obtaining a Master of Science or Master of Pulbic Health degree from University of Washington. This degree is funded by the program. Seattle provides a vibrant, urban environment. The surrounding area offers plenty of opportunities for outdoor sports and recreation including hiking, skiing, sailing, biking and camping.
Equity, Diversity & Inclusion
The CAP Fellowship Program is committed to promoting an inclusive environment and to increasing the recruitment and support of trainees from groups under-represented in medicine. Our faculty and fellows are committed to developing a more diverse and culturally competent workforce and reducing health disparities. For more information visit the websites below.
- University of Washington Center for Health Equity, Diversity and Inclusion
- Read our policy for creating a diverse, equitable and inclusive school of medicine
Training at the University of Washington
Each year, approximately 1,500 residents and fellows conduct their 118 ACGME and 70+ non-ACGME accredited training programs across UW’s training sites throughout the 5 state Washington, Wyoming, Alaska, Montana and Idaho (WAMI) region.
For more information, visit the Prospective Residents and Fellows page and view the following videos and links: •
A unique feature of our curriculum is that unlike residency, where there are specified blocks of time working in certain areas (e.g., on-call months, research months, elective months), the CAP fellow experience at Seattle Children’s resembles the daily life of a CAP throughout all three years. Fellows are integrated into the call schedule, spending 1-1.5 days per week and 1 weekend per month on call with an attending as backup/supervision. One day per week is spent seeing patients at the sexual assault clinic, Harborview Abuse and Trauma Center (HATC). The remainder of days, fellows participate in longitudinal case management and meetings with the team as well as research and educational endeavors. Approximately one-third (12 months) of fellowship is intended for use in scholarly work. That time can be spread throughout the three years at the discretion of the fellow. Excellent mentorship is available within the CAP team for pursuing research endeavors. In addition, fellows have a great deal of autonomy in regards to elective time; they are able to choose how much, when, and where to spend elective time. Examples include, but are not limited to, dermatology, ophthalmology, neurosurgery, burns, metabolic bone clinic, genetics, and foster care clinic.
Fellow Teaching Opportunities (O) and Responsibilities (R)
Each fellow is expected to lead approximately two journal clubs per year and deliver at least one presentation on a topic of their choice to residents completing monthly CAP electives. In addition, teaching opportunities include but are not limited to: delivering presentations to groups of nurses, medical students, residents, and multi-subspecialty fellows, presenting cases at Northwest Maltreatment Peer Review, delivering lectures at regional and national conferences, and delivering lectures to community partners such as CPS and law enforcement.
Fellow Learning Opportunities
Learning opportunities include weekly Seattle Children’s CAP fellow didactics and journal clubs, weekly Radiology Rounds, weekly multi-disciplinary case conferences with CPS and law enforcement, weekly CAP ECHO didactic webinar series, twice-monthly Safe and Healthy Families educational webinar series, additional webinar learning opportunities from across the nation (e.g., Otto Bremer Trust, Vincent J Fontana Center, WI CAN Network, APSAC), and weekly literature alerts. Fellows are given online access to a SharePoint site with high-yield topical readings and presentations. Fellows will be provided with copies of the following 3 texts: “Child Abuse and Neglect: Diagnosis, Treatment, and Evidence” (Jenny), “Diagnostic Imaging of Child Abuse” (Kleinman), and “Child Abuse: Medical Diagnosis and Management” (Laskey and Sirotnak). Fellows will have the opportunity to enroll in a one-week SANE training and shadow SANE nurses. Fellows will have the opportunity to complete a master’s degree through the University of Washington during fellowship.
Core Training Sites
Seattle Children's Hospital
Seattle Children's Hospital is both a community hospital for greater Seattle and the pediatric referral center for the Northwest of the United States, providing specialty care to patients in the WWAMI region (Washington, Wyoming, Alaska, Montana, Idaho). Serving as the main clinical training site for pediatric residents, this 420-bed hospital is conveniently located one and one-half miles from the University of Washington campus in an attractive, residential neighborhood of Seattle. The staff consists of University faculty and Seattle Children's full-time physicians, as well as private practicing physicians from the Seattle area.
Harborview Medical Center
Harborview Medical Center (HMC)is one of the nations leading academic medical centers and the only Level I adult and pediatric trauma center serving Washington, Alaska, Montana and Idaho. Harborview Medical Center cares for potential neurosurgical cases of abusive head trauma, all serious burns and trauma and adult and child victims of sexual assault. The medical center is owned by King County and managed by the University of Washington. Harborview has a specific mission to care for the community's most vulnerable patients. Fellows will see consults at HMC in the PICU, burn unit, ED and pediatric unit.
Fellows and Alumni
Katie Johnson, MD
Katie is originally from Renton, Washington. She attended Cornell University for undergraduate, completed medical school and residency at the Mayo Clinic, and has now returned to Washington to complete her Child Abuse Pediatrics fellowship. She spent time during college teaching English in Tanzania, and after college teaching psychology in Qatar. Her research interests include rating scales for assessing the likelihood of abusive etiology in Child Abuse consults, and the overlap between medical child abuse and adolescent chronic pain disorders.
Ajay Koti, MD
Ajay is from eastern Pennsylvania. He attended the University of Pennsylvania for undergraduate, where he studied Neuroscience and Political Science, before attending the University of South Florida for medical school. He then completed his pediatric residency at Nationwide Children's Hospital. He stayed on for one year as a primary care and urgent care attending before moving to Seattle for fellowship. Ajay's academic and research interests include sentinel injuries and the early detection of physical abuse, supporting the development of children and adolescents in foster care, and identifying public policies that can not only prevent maltreatment, but also promote the general welfare of children and families. In his free time, he enjoys reading, cooking, playing musical instruments, and, begrudgingly, running.
Adrienne Schlatter, DO
Adrienne is originally from the San Francisco Bay Area. She completed her Bachelors in Molecular Biology at UC Berkeley and attended medical school at Rowan University School of Osteopathic Medicine. She then completed her pediatric residency at the University of Southern California before moving to Seattle for Child Abuse Fellowship. Adrienne’s interests include traveling the world, hike and camping, skiing and trying new foods. During medical school she spent a year in Kenya on a research fellowship, where she spear headed her own project addressing sexual abuse education with children and caregivers. Her research interests include prevention of the commercial sexual exploitation of children and detection and prevention of child abuse and neglect of immigrant children in US detention centers.
How to Apply
Fellows graduating from our program are well prepared to become leaders in Child Abuse Pediatrics in children’s hospitals, academic institutions, government and community programs.
Length of fellowship: 3 years
Number of fellowships available: 1
Application deadline: September 24, 2021
Program start date: July 2022
Board certification eligibility upon fellowship completion: Upon successful completion of the program, the fellow will have met the training requirements for Child Abuse certification by the American Board of Pediatrics.
Application: Applications are accepted through the Electronic Residency Application Service (ERAS). Register at https://www.aamc.org/services/eras.
- All interviews will be conducted online for the 2020 interview season.
- The Child Abuse Pediatrics Fellowship accepts individuals who have completed residencies and are board eligible in Pediatrics.
- Due to funding constraints, we are only able to accept individuals who have US citizenship or permanent resident status. We are not able to have candidates with J-1 or other visas.
- Applicants should submit:
- a completed application
- a personal statement describing their interest in child abuse pediatrics including potential areas of research focus
- a copy of their CV
- a medical school transcript, and
- 3 letters of recommendation.
- Applications are accepted through the Electronic Residency Application Service (ERAS). Register at https://www.aamc.org/services/eras.
- Please submit at minimum your personal statement, 3 letters of recommendation, and your board scores through ERAS.
- We are happy to talk with interested applicants to provide more information about our program at any time and encourage applicants to email or set up a phone interview with the fellowship director early in the process.
For information on how to apply to the Child Abuse Pediatrics fellowship program, please call the Fellowship Program Administrator at 206-987-9158 or email email@example.com.