Pediatric Emergency Medicine Fellowship

Clinical training occurs during the duration of fellowship. Assignments in the PED during the first 3-6 months of fellowship focus on developing the knowledge and skills necessary to practice independently and to supervise. These fellow shifts are supervised by the attending PED physician. Fellows then are given progressive autonomy on their clinical shifts, allowing for independent decision-making in a safe environment. During the second and third years, the fellow refines the skills of running the emergency department and promoting flow with further autonomy.

Throughout the fellowship, there is an emphasis on concise, accurate documentation of patient encounters and procedures performed. Additionally, fellows will keep a log of procedures performed, from the prosaic to the extraordinary.

Fellows take the annual specialty in-training exam (SITE), and are reimbursed for the exam after its completion.

Fellows should complete a brief chart note on all patients seen, and document procedures completed. Additionally, a procedure log is kept across the 3 years.

Vacation: 4 weeks/year, to be taken during PED months.

Three-year curriculum for Pediatric Trained Fellows:

Two-year curriculum for Emergency Medicine trained Fellows:

Yale-New Haven Children's Hospital (YNHCH) is the a full-spectrum pediatrics facility for the state of Connecticut. YNHCH provides primary care to children in the New Haven area, Level One trauma care, and tertiary care to patients from a wide referral base including Southern Connecticut and Eastern New York. There is a full range of pediatric subspecialists available 24 hours per day. There is a very busy 19-bed PICU and Pediatric Critical Care Fellowship Program, as well as an active pediatric transport team. The hospital is directly linked to the Yale University School of Medicine by a skywalk. The hospital's location within the larger 900-bed Yale-New Haven Hospital allows for the provision of a full complement of state-of-the art services while prioritizing the unique needs of children.

Twenty-four Pediatric Emergency Medicine (PEM) faculty members, 7 PEM fellows, 4 advanced practice practitioners and 1 general pediatrician from the Section of Pediatric Emergency Medicine staff the Pediatric Emergency Department of Yale-New Haven Children's Hospital. We have 24-7 attending coverage and 24-7 attending back up. Our annual census is approximately 40,000 and we see patients up to the age of 25. The Pediatric Emergency Department has 20 single patient rooms and a 2-bed resuscitation bay. Additional patient care spaces are available during times of high census and for patients with specific complaints. We are involved in teaching medical, nursing and physician associate students, pre-hospital providers, and residents in pediatrics, emergency medicine and family medicine. The Pediatric Emergency Department of Yale-New Haven Children's Hospital is adjacent to the Adult Emergency Department of Yale-New Haven Hospital, with side-by-side trauma resuscitation suites. Although each department functions independently, the close proximity provides a unique setting for sharing of knowledge and teaching opportunities.

Our fellows also spend time learning about community-based Pediatric Emergency Medicine at a nearby non-tertiary care hospital. This level II trauma center serves 17,000 children each year. PEM fellows will develop an understanding of the management of patients in a non-tertiary care setting where consultants may not be readily available to assist in care. Similarly, the Poison Control Center in the UConn Health System serves as the home base for our Toxicology rotation. An extensive network of board-certified toxicologists is available for consultation, including Yale’s Pediatric Toxicologist, Dr. Carl Baum.

Fellows are encouraged to participate in a wide variety of experiences at Yale.

• Writing of case reports
• Co-authoring of chapters or review articles with faculty members
• Submission of interesting patient cases to national forums (EmergiQuiz, PemPix, ESPR patient cases)
• Committee involvement (Quality and Safety, Nurse Peer Review)
• A quality improvement project MUST be performed during the course of fellowship
• Teaching via didactics and simulation to a variety of audiences (residents, medical students, paramedics, nurses)
• Attendance at regional and national conferences

• Writing of case reports
• Co-authoring of chapters or review articles with faculty members
• Submission of interesting patient cases to national forums (EmergiQuiz, PemPix, Eastern Society for Pediatric Research patient cases)
• Committee involvement (Quality and Safety, Graduate Medical Education)
• Teaching via didactics and simulation to a variety of audiences (residents, medical students, paramedics, nurses)
• Attendance at regional and national conferences
• Involvement in a quality improvement projects

• Quality Improvement
• Simulation
• Ultrasound
• Administration
• Medical Education

• Salary at level of PGY-4/5/6
• Standard benefits including malpractice, life, and disability insurance
  
• Financial support for required courses (PALS, ATLS) and research and computer courses
  
• Access to statistical support
  
• Office space with computer
• Incentive/book fund
  
• Optional moonlighting at the discretion of the fellowship director
  

• At least of 3 letters of recommendation (a letter from your program director is highly recommended)
  
• A personal statement
• Your medical school transcript
• Your curriculum vitae
• Medical School Performance Evaluation
• Parts 1, 2 and 3 of the USMLE, taken within the seven-year time frame, or equivalent scores
  
• ECFMG Status Report (if foreign medical graduate)
• Current photograph
  

• Completion of an ACGME approved pediatric or emergency medicine residency
  
• Acceptability for CT licensure
  
• J1 Visa (if a non-resident). We currently do not accept other visa types
  
• Applicants must register for the Match through the National Resident Matching Program (NRMP)