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Program Goals & Objectives

Pediatric Emergency Medicine Fellowship Program

The goal of the program is to train academic pediatric emergency physicians who will serve as leaders by providing expert pediatric emergency care, teaching of other emergency care providers, and by conducting research to improve the care of acutely ill and injured children. This process occurs over three years and increasing responsibility is provided as time passes. These goals and objectives are achieved primarily through direct patient care, supervision of resident and student care, and referring/consultant physician calls. Direct patient care experiences are supplemented with practical workshops and courses (PALS, ATLS, suture and splinting workshops) and conferences.

Goals for First Year

  • Gain skill in the diagnosis and management of all types of acute pediatric illness and injury.
  • Gain skill in simultaneous rapid assessment and treatment of critical illness or injury, under faculty supervision.
  • Gain experience in performing procedures, both routine and life-saving.
  • Gain experience in the management of common adult emergencies, under faculty supervision.
  • Gain skill in bedside teaching and supervision of residents and students in the emergency department setting.
  • Develop good communication skills with members of the health care team, patients, and parents.
  • Learn appropriate use of consultants and resources.
  • Manage EMS information and medical control calls, with faculty supervision as needed.
  • Learn proper emergency medicine documentation skills and practice good charting.
  • Learn triage and home management of common poisonings by interacting with regional Poison Control.
  • Be able to determine appropriate disposition and follow-up.
  • Gain experience in daily ED CQI functions and handling of phone calls.
  • Gain skill in dealing with referring physicians, giving advice on stabilization and appropriate method of transport.
  • Learn how to manage multiple patients simultaneously, and prioritize their care.
  • Learn how to handle problems and oversee the flow and function of the ED, with faculty assistance/supervision.
  • Gain experience in preparing and delivering formal lectures and case conferences to peers and other members of the health care team.
  • Gain experience in designing a research project, with the assistance of a mentor.

Goals for the Second Year: All of the above, plus:

  • Be highly skilled at managing most acute pediatric problems.
  • Be a skilled bedside clinical teacher.
  • Be skilled at managing multiple patients and prioritizing their care.
  • Be adept at most common emergency procedures, and continue to gain new skills.
  • Manage most EMS medical control calls independently.
  • Continue to gain experience with adult emergencies.
  • Continue to develop skills in formal lecture and teaching.
  • Continue to develop administrative skills in regards to problem solving in the ED and with QI/committees.
  • Gain additional experience with surgical problems and trauma.
  • Work occasional shifts alone (8 a.m. to 10 a.m., 2 a.m. to 8 a.m.) in order to develop the ability to work independently and manage ED flow and function.
  • Use elective rotation to further self-educational goals.
  • Continue to work toward research goals.

Goals for Third Year: All of the above, plus:

  • Function in the role of faculty in the pediatric ED, with backup available but seldom needed.
  • Gain further knowledge of EMS and EMS-C.
  • Be able to provide initial stabilization for most adult emergencies and arrange appropriate transfer for definitive care.
  • Use elective rotation to further self-educational goals.
  • Complete research goals.

What follows are the objectives for the months spent in the Pediatric Emergency Department. As this is the main focus of your fellowship the list is extensive. These objectives are relevant for each year of training but it is expected that you take each objective to the “next level” as your training progresses.

Objectives for First Year

Patient Care

All subspecialty residents will:

  1. Acquire the skills to elicit a concise problem-focused history and exam in critical and non-critical emergency department patients of all ages.
  2. Learn to communicate effectively with patients and families.
  3. Learn to supervise residents/students closely while encouraging independent thinking.
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