Our fellowship offers 2 tracks: Pediatric (3 years) and Emergency Medicine (2 years) Each year contains 12 monthly blocks.


All fellows participate in the 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/patient safety, Adult EM topics, Wellness, 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.

Clinical Rotations

Each fellowship year is divided into 12 monthly blocks. There are four weeks of vacation time per year.

Track Details

Those coming to our program from a pediatrics residency will complete three years of fellowship training.

Year 1:

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.

Year 2:

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 longitudinal POCUS scanning shifts.

Year 3:

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.

During this year, you will complete data collection for your research project and present your work at a national meeting.


pediatric rotations


Year 1:

During the first year, the EM trained fellow will hone the pediatric specific procedural and acute management skills. Experiences in the NICU, well baby nurser, PICU, child abuse, cardiology and pediataric outpatient clinics will give the EM physician the knowledge and skills in pediatrics.

While in the PICU, the fellow is supervised primarily by faculty 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.

Year 2:

During the second year, the fellow advances their skills in the Pediatric ED, and has additional time to complete scholarly requirements.


emergency medicine rotations

Point of Care Ultrasound (POCUS)

Our fellowship program offers formal point of care ultrasound (POCUS) education and training for all our fellows so they can develop competency in the core pediatric applications.  We offer formal lectures, monthly one on one scanning sessions and elective time to provide comprehensive and well-rounded training.  

By graduation, it is expected that fellows perform a minimum of 30 scans of each exam type that is formally assessed for quality and accuracy.  

Our goal is to ensure every fellow can appropriately, consistently, and responsibly use this vital skill in patient care.  Upon meeting these requirements, our fellows graduate with a POCUS certification through our hospital.  

If you are interested to further enhance your POCUS training, you will be paired with a POCUS mentor and work on developing your research project in POCUS.

Program Videos

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Inova Children's
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Graduate Medical Education at Inova
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Altieri PEM Fellowship - Welcome and Highlights