The second and third year is focused on developing expertise in subspecialty adolescent medicine practice, developing proficiency in LARC placement and growing as a researcher and teacher. Second and third year fellows have 2-3 half day clinical sessions per week in the adolescent medicine clinic at CHAM and do 6-7 weeks of inpatient adolescent medicine service. Second and third year fellows rotate through electives in college health, LARC clinic, the OVAL center at Montefiore (focusing on STI diagnosis and management), substance use treatment programs, and sports medicine. Fellows have the opportunity to pursue 3-4 additional electives in their area of interest. More time is dedicated to scholarly work. Second and third year fellows gather and analyze data for their research project and publish and present their work. Second and third year fellows also design and implement a quality improvement project under the supervision of faculty.

Fellows frequently have opportunities to participate in scholarly activities such as contributing to textbook chapters and review articles, developing educational materials, teaching residents and medical students, and lead educational sessions for community organizations. Fellows also regularly attend two or more national conferences, such as the Society for Adolescent Health and Medicine Annual Meeting and the North American Society for Pediatric and Adolescent Gynecology Annual Clinical and Research Meeting, among others. In addition to our divisional educational curriculum (which includes a core lecture series, divisional seminars on specialty topics, a division-specific research seminar, and interdisciplinary and interdivisional case conferences), fellows participate in FAMLI (Fellows in Adolescent Medicine Learning Initiative), a consortium of several adolescent medicine fellowship programs that provides a weekly lecture series to augment existing fellow education in line with American Board of Pediatrics content specifications.