The goal of the fellowship program in Pediatric Emergency Medicine is to develop the clinical, administrative, teaching and research skills necessary to manage medical, surgical and psychosocial emergencies. With the unique resources of Bellevue Hospital Center, the New York University Medical Center, and the New York City Poison Control Center, we are able to offer a fellowship of the highest caliber.
Training Program
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.
Conferences
Pediatric Emergency Medicine Conference: Consists of a one hour didactic component, presented by either a fellow, Pediatric Emergency Medicine faculty or a guest lecturer. The fellow is responsible for preparing and presenting at least five conferences per year, including at least one of each of the following: core lecture, literature/evidence based review, journal review, procedural workshops and case conference. The principles of evidence based medicine are emphasized. The second half of the conference is dedicated to a discussion of administrative issues regarding management and policy in the Pediatric Emergency Service, quality improvement and patient care.
Pediatric Emergency Medicine Fellow Case Conference: This conference is designed to allow the trainee to develop appropriate presentation skills and an efficient, structured approach to patient care. Trainees are encouraged to develop a symptoms based approach to differential diagnosis and to develop initial priorities in the use of laboratory and radiologic testing, use of medical and surgical consultation, initial therapeutic intervention and an appropriate disposition. Ethical queries and administrative issues are also addressed.
Pediatric Emergency Medicine Fellow Biostatistics / Research Design Course: This conference consists of a series of lectures that encompass biostatistics, epidemiology and clinical research design. Computer workshops involving the development of databases and statistical analysis methods are included.
Pediatric Emergency Medicine Fellows Research Review: This conference is held on the first Tuesday of every month and provides an opportunity for the fellow to discuss the development of ongoing research projects and to ensure adherence to the suggested guidelines for project completion.
Conferences in Pediatrics
Pediatric Resident Morning Case Conference: Each fellow is responsible for conducting this conference for four months during their training. Interesting cases are presented by the fellow, pediatric resident or medical student and a symptoms-based approach to differential diagnosis, approach to initial management and an in-depth review of the disease entity is led by the fellow. This conference is a major opportunity for the fellow to attain formal teaching skills and to develop proficiency in orchestrating informal group discussions.
Pediatric Resident Morning Report: This conference consists of a discussion of all admitted pediatric patients to the Pediatric Intensive Care Unit, Neonatal Intensive Care Unit and the General Pediatric Ward. Discussion of differential diagnosis and management are conducted by the Chairman and Vice-chairman of the Department of Pediatrics, the Pediatric Residency Director and subspecialty faculty within the Department of Pediatrics.
Pediatric Grand Rounds: This weekly conference consists of a formal didactic lecture, often by a visiting professor, on topics relating to the field of Pediatrics.
Pediatric Morbidity and Mortality Conference: This conference consists of a patient case presentation and several brief didactic discussions by faculty which specifically address questions regarding pathology, epidemiology, diagnostic approach and management guidelines pertinent to the case.
Pediatric Resident Noon Conference: This conference is conducted by the Pediatric Emergency Medicine residents and faculty at least bi-monthly. Topics presented relate to Pediatric Emergency Medicine or Advanced Pediatric Life Support. Pediatric Mock Codes are conducted by the faculty and fellows monthly.
Conferences in Emergency Medicine
Emergency Medicine Resident Morning Case Conference: Discussion of differential diagnosis, diagnostic evaluation and initial approach to management is led by a senior Emergency Medicine resident. Didactic discussion is supervised by a faculty member in Emergency Medicine, Pediatric Emergency Medicine or by a Pediatric Emergency Medicine fellow. Three times per month this conference is dedicated solely to a discussion of Pediatric Emergency Medicine cases.
Emergency Medicine Grand Rounds: This conference consists of 4-5 consecutive hour-long didactic sessions which may include any of the following topics: Core lecture, formal case conference, journal review, ethics conference, procedure skills lecture, invited visiting professor lecture, or airway/trauma conference. Sessions are conducted by the Pediatric Emergency Medicine residents and faculty approximately once per month.
New York City Poison Control Center Toxicology Consultant's Grand Rounds: This conference consists of a two hour discussion of several interesting toxicology poisonings which have presented to the New York City Poison Control Center. Cases are presented by Toxicology fellows and discussion is conducted by Dr. Lewis Goldfrank. This conference is attended by many esteemed faculty in Toxicology and Emergency Medicine throughout the North East region.
Annual Emergency Medicine Seminar: This conference is conducted by the Department of Emergency Medicine and consists of three full days of lecture and case discussion with an evidence based medicine approach. Pediatric Emergency Medicine Fellows and faculty participate actively in this conference by presenting lectures or patient cases.
An Intensive Review Course in Clinical Toxicology: This two day conference is conducted by the faculty and residents of the New York Poison Control Center, as well as visiting toxicologists.
Block Curriculum
Year 1
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Year 2
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Year 3
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Research
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Application Process
Application to the program takes place through the Electronic Residency Application Service (ERAS) of the Association of American Medical Colleges.
Applicants should register and complete the application process at www.aamc.org/eras
Three letters of recommendation including one from your residency program director should be submitted through ERAS.
Applicants must apply directly to the National Resident Matching Program at www.nrmp.org. Acceptance through the Match is considered as a definite contract.