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Clinical Training

Clinical training occurs during the three fellowship years. 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. Beginning in the second half of the first year, fellows begin practice as senior physician for overnight shifts, approximately two per month. 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.

Skills Development

  • Administrative Skills

    Administrative Skills

    Medical Director will involve fellow in various administrative problems, e.g. patient complaints, staffing, development of policies/procedures, supervision of staff, budget, etc.

    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

    Education

    Fellows receive formal training in research design and statistics, and become competent in the use of a personal computer for writing and research. The research study design and introduction to statistical analysis seminars are scheduled early in the second year. Statistical guidance is available in the section. Fellows are assigned to a scholarship oversight committee which has responsibility for supervising the fellow's research efforts. This committee meets biannually and reports to the fellowship director who monitors research activity and productivity. Manuscript and abstract preparation skills are emphasized in didactic and individual sessions.

    Statistical Analysis

    Available within the Department of Pediatrics.

    Areas of Research

    Research may be done in any area of pediatric emergency medicine. Some current research interests in our group include new methods of disaster medicine, asthma, injury prevention, international medicine, head trauma and violence prevention.

    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.

    Focused Time

    In addition to seven months of focused time for research, the fellowship has been designed to allow on-going time for research during most months of training.

    Mentoring

    Each fellow will choose a faculty member to assist him/her in developing and conducting a research project. The faculty mentor will provide advice on study design, data collection, abstract preparation and manuscript writing. The fellowship director will be available to provide advice and is responsible for monitoring the fellow's progress in research. The section enjoys a warm relationship with the parent department of Pediatrics, and fellows are encouraged to seek mentoring and scholarship oversight committee members within the section and the department.

  • Teaching Skills

    Clinical

    Fellow provides supervision and teaching of medical students and residents (pediatric, and emergency medicine) in PED.

    Didactic
    • Presentations for Pediatric and Emergency Medicine Residents.
    • PALS instructor, providing the course with the PEM team for residents, nurses, and practicing physicians.
    • Fellows provide formal presentations at PEM Morning Conference, Pediatric Morning Conference, and Morbidity and Mortality Conference.
    Evaluation

    Teaching skills are evaluated by PED attendings/fellowship director, with biannual feedback.