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INFORMATION FOR

Clinical Training

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.

Rotations

Rotation Schedule

We offer a 3-year curriculum for Pediatrics trained fellows as well as a 2-year curriculum for Emergency Medicine trained fellows. During Pediatric ED months, fellows have progressively fewer shifts from year to year to better continue research and educational activities throughout the year.

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

Three-year curriculum for Pediatric Trained Fellows:


First Year

Second Year

Third Year

Pediatric ED 7 Months Pediatric ED 5 Months Pediatric ED 6 Months
Research 1 Month Research 2 Months Research 4 Months
PICU 1 Month Toxicology 1 Month Administration 1 Month
Anesthesia 1 Month Anesthesia 2 Weeks EMS 2 Weeks
Ultrasound 2 Weeks Ultrasound 2 Weeks Elective 2 Weeks
Trauma 1 Month Adult ED 1 Month
Community ED 1 Month Community ED 1 Month
Elective 1 Month



Two-year curriculum for Emergency Medicine trained Fellows:


First Year Second Year
Pediatric ED 7 Months Pediatric ED 5 Months
Research 1 Month Research 2 Months (optional)
NICU 1 Month PICU 1 Month
General Pediatric Clinic 1 Month Pediatric Specialty Clinics 1 Month
Anesthesia 2 Weeks Administration 1 Month
Pediatric US 2 Weeks Elective 1 Month
Community ED 1 Month Community ED 1 Month



Skills Development

  • Administrative Skills

    Administrative Skills

    Our Medical Director and Section Chief will involve the fellows in various administrative problems, e.g. patient complaints, staffing, development of policies/procedures, supervision of staff, budget, etc.

    • Fellows will participate in our monthly section business meetings
    • Fellows are encouraged to take on an administrative project during training
    • Senior fellows assist in clinical scheduling of fellow shifts
    • Fellow will become familiar with concepts of risk management and essentials of emergency department documentation.

    Quality Improvement
    • Fellows will participate in weekly section business meetings.
    • Fellows will participate in the monthly section QI meeting.
    • Fellows are encouraged to take on an administrative project during training.
    Risk Management

    Fellow will become familiar with concepts of risk management and essentials of emergency department documentation.

  • Research Skills

    Areas of Research

    Research may be done in any area of pediatric emergency medicine including quality improvement and medical education initiatives. Our group is active in research in various areas of pediatric emergency medicine including ultrasonography, injury prevention, child abuse, medical education, quality improvement, pediatric disaster medicine, international health, and febrile infants, among others.

    We are actively involved in national research networks such as the Pediatric Emergency Medicine Collaborative Research Committee (PEM CRC), the Febrile Young Infant Research Collaborative and the International Network for Simulation Based Pediatric Innovation, Research and Education (INSPIRE).


    Research Expectations

    The fellow is expected to explore research interests and plan a research project in the first year. A significant work of publishable quality is completed during the second and third years and presented at local, regional, and national conferences. The fellow will be encouraged to collaborate on additional projects as appropriate.