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Pediatric Emergency Medicine Fellowship

Description of the Pediatric Emergency Medicine Fellowship Training Program

Sponsoring Departments:

Department of Emergency Medicine
Department of Pediatrics

Marianne Gausche-Hill, M.D.
Director, Pediatric Emergency Medicine Fellowship
Phone: (310)222-3501
Fax: (310) 782-1763
Email: mgausche@emedharbor.edu

Renée Sanchez Durbin, BA, Human Services
Pediatric Emergency Medicine Fellowship Coordinator
Phone: (310) 222-3503
Direct: (310) 222-4073
Fax: (310) 212-6101
Email: renee@emedharbor.edu or rsanchez@labiomed.org

Goal:

To train specialists in pediatric emergency medicine who will enter a career in academic emergency medicine or pediatrics.

Objectives:

Residents will leave the program with the following skills:

— Knowledge and experience of the acute care of critically ill and injured children
— Procedural skills necessary for the care of acutely ill and injured children.
— Knowledge and experience in Emergency Medical Service including Emergency Medical Services for Children
— Interpretation of medical literature
— Research techniques including: study design, sampling, data acquisition, statistical analysis, basic epidemiology, outcomes research
— Grant writing skills
— Audio-visual presentation skills including slide making, use of an LCD projector, poster design.
— Oral presentation skills for poster and plenary sessions.
— Teaching skills for lectures and bed-side teaching.
— Administrative skills in the areas of quality improvement, writing of policies and procedures, situation reports and problem solving, and program evaluation.
— Interviewing and job negotiating skills.
— Knowledge of medical ethics
— Knowledge and observation of emergency department design to meet the specific needs of the pediatric patient.
— A compassionate approach to children and their families through the principles of family centered care.

Eligibility:

Applicants will be considered if they have:

— Graduated from a U.S or Canadian medical school accredited by the LCME.
— Successfully completed a residency in pediatrics or emergency medicine
— Demonstrate the interest and ability to pursue a career in academic emergency medicine or pediatrics.

Selection:

Applicants will be selected by:

— Review of a resume
— Interview with the director and other department members
— Letters of recommendation
— The PEM fellow match, if the program participates in a given year
— Applicants may be selected outside of the match.

Selection will be based on the dossier of the applicant, ability, aptitude and academic credentials and his/her potential to complete an independent hypothesis driven research project. Personal qualities and communication skills will also be considered.

The program does not discriminate with regard to sex, race, age, religion, ethnic origin, disability, or sexual orientation.

Administrative Oversight:

Oversight is done at the Department of Emergency Medicine through the PEM Fellowship Committee. In addition the program reports to the institutional Committee on Graduate Medical Education.

Curriculum for PEM Fellows from Pediatric Training Programs:

YEAR ONE*

— Pediatric Anesthesia (1 month)
— Pediatric Intensive Care (one month)
— Pediatric Radiology 2 weeks to one month
— Adult Acute Care- 2 months
— Adult/Pediatric Trauma Care 1 month
— Suturing/Burn Care- one month (adult and pediatric)
— Vacation -one month
— Pediatric Emergency Medicine 3 months
— Emergency Medical Services 1 month

YEAR TWO*

— Pediatric Intensive Care-one month
— Adolescent Medicine -one month
— Child Mal-treatment- one month
— Toxicology one month
— Vacation -one month
— Pediatric Subspeciality Clinics/surgery- one month (elective)
— Research/ Pediatric Emergency Medicine-6 months

YEAR THREE*

— Pediatric Intensive Care- one month
— Pediatric Orthopedics/Sports Medicine- one month
— Pediatric Emergency Medicine/Research 9 months
— Vacation -one month

*Residents do shifts in the Pediatric ED on all services when they do not have night call, such as clinics, orthopedics, etc. Research projects are begun in the first year and intensified in the second and third years.

Curriculum for PEM Fellows from Emergency Medicine Training Programs:

YEAR ONE

— Pediatric Subspecialty Clinics* - one month
— Pediatric Anesthesia -one month
— Pediatric Intensive Care- one month
— Behavioral/Developmental Pediatrics- one month
— Pediatric Radiology 2 weeks
— Suturing- 2 weeks
— Child mal-treatment one month
— Vacation - one month
— Pediatric Emergency Medicine/Research 4 months
— Pediatric Orthopedics/Sport Medicine - one month

YEAR TWO

— Pediatric Intensive Care- one month
— Toxicology - one month
— Adolescent Medicine one month
— Pediatric Emergency Medicine/Research 7 months
— Vacation -one month
— Elective- one month**

*Neurology, Cardiology, Nephrology, Gastroenterology, Allergy Immunology, Family Support, Infant of Substance Abusing Mothers, Failure to Thrive

**Elective may be in pediatric surgery, pediatric surgical subspecialty clinics, dermatology, etc.

Emergency Medicine trained physicians take two nights of call per month in the Pediatric Emergency Department and work two shifts per month as an attending physician in the Adult Emergency Department when they are not on a service that has primary call.