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Inova Fairfax Medical Campus

The Altieri Pediatric Emergency Medicine Fellowship


Our Clinical Setting

The Altieri Pediatric Emergency Medicine Fellowship is a comprehensive, ACGME-accredited program for applicants from both emergency medicine and pediatric residencies, located in Northern Virginia at the Inova Fairfax Medical Campus/Inova Children's Hospital (15 miles from Washington, DC).

Inova Fairfax Medical Campus is the premier tertiary care and Level 1 trauma center in Northern Virginia. Inova Children's Hospital was relocated to a brand-new building, the women’s and children’s tower, in January 2016 and features state-of-the-art family centered care units.

The pediatric ED cares for 45,000 patients annually. There are currently 21 pediatric ED beds. Plans are in place to build a new ED.

Our fellows experience a full range of pediatric emergency medicine challenges and opportunities in a thriving, multi-cultural and socioeconomically diverse population.

Fellows work in a unique clinical environment with expert practitioners committed to educational excellence.

Our History

Dr. Michael F. Altieri (1951-2004) —with the support of fellow PEM physician Thom Mayer—founded this two-year fellowship for graduates of emergency medicine training programs in 1993. His vision was a rigorous, comprehensive training program in pediatric emergency care with a strong focus on clinical medicine and child advocacy.

Mike, a pioneer fellowship-trained PEM physician, recognized that general emergency physicians needed a solid grasp of standard pediatric emergencies presenting to general community hospitals, experiences that he was sure they were not getting exposure to in residency.  

In 1997, a separate three-year track was added for physicians primarily trained in pediatrics. The program was accredited by the ACGME in 1999.

Mike died unexpectedly in 2004 at the age of 53.

His vision also led to many of the pediatric services currently available at Inova Children's Hospital, including the  Pediatric Residency Program that began in 1995, the subsection of Pediatric Emergency Medicine and the SANE (now FACT) program.

In January 2008, the Michael F. Altieri, MD, Pediatric Emergency Care Unit was unveiled as a separate department within the hospital's emergency medicine wing.

“From a curriculum standpoint, the advanced digital electronic and traditional modalities gave me the extra edge with respect to my knowledge base and ability to learn and teach effectively."
“Coming from an emergency medicine background, I had different educational needs than the majority of fellows that come from a pediatrics background. The EM specific curriculum, and the adjustments we made to the curriculum based on my personal experience and knowledge gaps coming out of residency meant that rotations outside the ED were as relevant and useful as possible."
“I received support for any endeavour in setting up electives that were not traditional to the curriculum, and as a result, felt that my personal goals were valued and fostered. Most importantly, I still miss my INOVA family and am grateful for the lifetime relationships that I developed there."
"Since graduating from fellowship I have been in a hybrid academic/community Pediatric Emergency Room. At Inova, coming from a Peds residency, I was ecstatic about the varied backgrounds of our PEM attendings from both Gen Peds and Gen EM backgrounds. This allowed me to tap into each of their fortes, whether as simple as navigating difficult parents to doing more invasive procedures. This made for bedside learning that I have not seen replicated at any institution that I've come thru since."
"In the ED, I worked with attendings who had taken every different route to PEM, and were very flexible in helping me meet my educational needs."
"Team based learning, and the significant level of involvement fellows had in our educational conferences have made me a more efficient and flexible educator. Tonight, I am putting together a "one pager" for the fellows I work with in my new position, something I never thought I would have done if you asked me 2 years ago!"
"The high expectation for involvement in creating educational materials and presentations for our conferences was a significant time commitment. I was definitely forced out of my comfort zone at times."
"The fellowship training goes far beyond the standard core curriculum and truly aims to instill its fellows with the clinical expertise, analytical thinking capability, and leadership skills to practice in any environment. I personally found the greatest benefit with regards to maturing as a leader both in the clinical setting as well as academics."
"The fellow-driven and faculty supported conference curriculum centers around a flipped classroom model whereby each fellow contributes to the education of their peers as well as faculty, residents and medical students. This is perhaps most evident in the robust medical simulation sessions which occur in our newly designed, high-fidelity simulation center. It is by participating in and ultimately leading and designing these scenarios that I have gained confidence in leading my clinical team in critical resuscitation in the department as an attending."
"This program is ideally suited for well-rounded and self-motivated individuals seeking a rigorous but high-caliber academic experience."