Our fellowship offers 2 tracks: Pediatric (3-years) and Emergency Medicine (2-years) Each year contains 13 four-week blocks.
All fellows participate in weekly conference. Conference covers core PEM content, simulation, POCUS, Procedural skills, Board Review, EBM, Article review, Case review, M&M, Specialist rounds, research meetings, journal watch, QI as well as joint conferences with PEM programs in the region.
The fifth week of the month is dedicated to fellow wellness.
First year fellows participate in the National PEM Fellow Conference.
Opportunities to attend major national scientific conferences are available to fellows as well.
We match each fellow with a faculty mentor and a scholarly oversight committee to help ensure that they achieve their full clinical and scholarly potential during their time in our program.
Fellows are given the opportunity to select the faculty members they would like to mentor them.
Each fellowship year is divided into 13 four-week blocks. There are four weeks of vacation time per year that can be taken during PED blocks.
Those coming to our program from a pediatrics residency will complete three years of fellowship training.
The focus of the first year of fellowship is to expand your knowledge and clinical skills in the care of ill and injured children in the ED. You will supervise residents and medical students in managing patients under the direct supervision of the attending physician. Other opportunities include developing procedure and sedation skills, learning bedside ultrasound, simulation, teaching at conferences, and joining a quality improvement project.
During the first year, you will use your research time to start working on a project that will serve as your scholarly activity required by the American Board of Pediatrics.
The first year includes experiences in:
- Pediatric ED
- FACT (Child abuse)
- Adult ED
During the second year of fellowship, you will continue to refine clinical, teaching and administrative skills and further develop your research project.
You will be given progressive responsibility for patient care as you advance through the program. During the second year, you will serve mainly as a supervisor in the ED, with attending physician supervision. By the very end of the second year, you will be ready to function as an attending physician in the ED with indirect supervision.
During this year you will have adult ED shifts interspersed with your peds ED shifts when on the peds ED block, to maintain the adult management skills and abiding with the ACGME requirement for reciprocal rotations. You will also have longitudinal POCUS scanning shifts.
- Adult ED
During the third year you will be expected to function as an attending and lead the department with indirect supervision from the attending.
You will be responsible for coordinating the PEM fellow conference.
This year, you will complete data collection for your research project and present your work at a national meeting.
- Adult ED
Emergency Medicine Track
The EM trained fellow is introduced to pediatric practices through a rigorous “mini-residency.” This includes experiences in the pediatric inpatient wards, intensive care unit, and outpatient pediatric clinic. Hospital management of common pediatric illnesses, workup of rare illnesses, the critically ill child, family centered care and management of psychosocial issues are foci of these rotations. Fellows interface with pediatric subspecialists during these rotations.
While on the wards and in the PICU, the fellow is supervised primarily by faculty and senior residents from the Department of Pediatrics. The fellow, in turn, supervises junior residents and medical students. Bedside teaching is encouraged, with participation in Morning Report and weekly conferences.
Anesthesia, NICU-well baby and outpatient clinic are specialized rotations to provide the EM physician with familiarity of the pediatric airway, neonatal resuscitation, and general care of the well newborn and premature infant and children.
ED rotations provide exposure to all facets of emergency and non-emergency care, child advocacy, coping with tragic situations and dealing with the unexpected.
- Pediatric ED
- Neonatal intensive care unit (NICU)
- General pediatric ambulatory clinic
- Pediatric Wards
During the second year, the fellow advances their skills in the Pediatric ED, and has additional time to complete scholarly requirements. There is a second ward month that includes two weeks on the Hhematology-Oncology unit (clinic is optional), and two weeks of senior resident duty. The second PICU month includes time spent in the sedation suite. While in the PICU and at the discretion of the PICU staff, the fellow may have graduated responsibilities associated with management of the department. EMS and forensics rotations are two-week experiences to expose the fellow seasoned in emergency management issues specific to pediatric care. Cardiology allows focused study of pediatric cardiac conditions that may prompt emergency visits.
- Pediatric ED
- Pediatric ambulatory clinic