Our fellowship in Pediatric Emergency Medicine is an ACGME accredited, three year program focusing on education and experience in patient care, research, teaching, and administrative responsibilities.
The PES is the primary clinical component of the fellowship. While in the PES, the fellow is paired with a faculty member. This setting provides ample opportunity for one-to-one teaching and learning with frequent discussions of case management.
Other responsibilities include managing patient flow in a busy pediatric emergency department, ensuring follow-up of ill and injured patients, and participating in chart review and quality improvement issues.
Clinical rotations in related acute care specialties comprise another major component of the program. These include: General Emergency Medicine, Pediatric Critical Care, Anesthesiology, Toxicology, Trauma Surgery and Emergency Medical Services.
Each fellow gains proficiency in clinical toxicology at the NYC Poison Control Center, a regional poison center responsible for 90,000 consultations per year. The fellow participates in toxicologic consultations for patients at Bellevue, prepares short talks on toxicologic emergencies, and attends the monthly regional toxicology meeting. Daily discussions review basic toxicology topics and interesting cases.
In addition to rotations at Bellevue, each fellow gains exposure to trauma management as a member of the Trauma Team at Shock Trauma in Baltimore, MD, and the prehospital care and operations of the division of Emergency Medical Services of the Fire department of New York.
Elective months are available in all pediatric and surgical subspecialties including: plastic and hand surgery, child protection, orthopedics and many others. The remainder of the fellowship program is devoted to research, teaching and administrative responsibilities.
Throughout the year the fellow is actively involved in the daily Pediatric and Emergency Medicine morning conferences and Grand Rounds. The fellows are responsible in the organization and preparation of the division of Pediatric Emergency Medicine's weekly educational conferences, which include case presentations, lectures, and journal clubs.
All fellows become providers in Pediatric Advanced Life Support, Advanced Cardiac Life Support, Advanced Trauma Life Support and instructors in PALS. Faculty in our division are actively involved in the administrative aspects of PALS training through the PALS subcommittee of the New York City division of the American Heart Association.
Research experience and education occurs throughout the 3 years of training under the direct supervision of the faculty. The basic principles of statistics, study design, evidence based medicine and microcomputer applications in clinical research are taught. Our division is currently involved in research in pediatric prehospital care, injury prevention, sedation and serious bacterial infections. Administrative responsibilities include participation in continuous quality improvement issues, risk management, policymaking, and especially, the day to day operations of the PES.
