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
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, the P2 Ultrasound Network 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.