Pediatric Emergency Medicine 2016-11-16T12:17:29+00:00

Leadership

Kelly Young, M.D., Ph.D., FAAP
Kelly Young, M.D., Ph.D., FAAPDirector, Pediatric Emergency Medicine Fellowship
 

Overview

Program Goal: To provide the best clinical and scholarly training in the field of Pediatric Emergency Medicine.

Program Objectives: Fellows 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 Services 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, interactive teaching techniques, poster design
  • Oral presentation skills for poster and plenary sessions
  • Teaching skills for lectures and bedside 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

Program Components

  • Curriculum designed specifically for the pediatric residency-trained or emergency medicine residency-trained physician
  • Flexibility of curriculum and electives within confines of ACGME-required rotations to accommodate individual learning needs
  • Graduated autonomy with rapid attainment of independence in supervising residents and running the pediatric emergency department
  • Proctored attending shifts with full time faculty throughout fellowship
  • Core conference and guest speakers – protected conference time twice a month
  • Exposure to both a low socioeconomic population at an academic teaching hospital / trauma center and a tertiary care population at a specialized children’s hospital
  • For emergency medicine residency-trained physicians, ongoing monthly attending shifts in the adult emergency department to retain skills
  • Opportunities for training in ultrasound use, PALS instructor, ATLS, NRP (neonatal resuscitation), cadaver labs, research methodology
  • Procedural skills through an anesthesia rotation, annual rotation in a high-acuity PICU, training in a busy level I trauma center, a well equipped and staffed simulation center, exposure to a well equipped and mature EM residency ultrasound training program, skills sessions as part of core curriculum
  • Networking with fellows in ultrasound, research, global health, EMS, medical education

Curriculum

Curriculum is designed depending on whether or not the fellow’s residency training was in pediatrics or in emergency medicine.

YEAR ONE

  • Pediatric Subspecialty Clinics* (one month)
  • Pediatric Anesthesia (two weeks)
  • Pediatric Cardiology (two weeks)
  • Pediatric Intensive Care Unit (one month)
  • Neonatal Intensive Care Unit (one month)
  • Pediatric Emergency Medicine & Research (four months)
  • CHOC Pediatric Emergency Medicine (three months)
  • Vacation (one month)

YEAR TWO

  • Pediatric Intensive Care Unit (one month)
  • Toxicology / EMS / Administrative (one month)
  • Child Maltreatment / Pediatric Radiology (one month)
  • Pediatric Emergency Medicine & Research (4-5 months)
  • CHOC Pediatric Emergency Medicine (2-3 months)
  • Elective** (one month)
  • Vacation (one month)
*Neurology, Cardiology, Nephrology, Gastroenterology, Allergy Immunology, Adolescent, Infant of Substance Abusing Mothers, Failure to Thrive, Nursery

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

Emergency Medicine-trained physicians do 10 (HUCLA) -14 (CHOC) shifts per month in the Pediatric Emergency Department when they are not on the PICU, and also do two shifts per month as an attending physician in the Adult Emergency Department when at Harbor-UCLA. Shifts are halved during elective and clinic rotations. Fellows are expected to participate in an educational, QI, research, or other academic scholarly project.

YEAR ONE

  • Emergency Medicine Orientation (two weeks)
  • Pediatric Anesthesia (two weeks)
  • Pediatric Intensive Care Unit (one month)
  • Adult Emergency Department / Ultrasound (one month)
  • Adult/Pediatric Trauma Care / Ultrasound (one month)
  • Surgical Subspecialty Clinics* (one month)
  • Pediatric Emergency Medicine & Research (three months)
  • CHOC Pediatric Emergency Medicine (two months)
  • Research (one month)
  • Vacation (one month)

YEAR TWO

  • Pediatric Intensive Care Unit (one month)
  • Child Maltreatment / Pediatric Radiology (one month)
  • Toxicology / EMS / Administrative (one month)
  • Adult Emergency Department / Ultrasound (one month)
  • Pediatric Emergency Medicine & Research (four months)
  • CHOC Pediatric Emergency Medicine (three months)
  • Vacation (one month)
YEAR THREE

  • Pediatric Intensive Care Unit (one month)
  • Administrative & Research (one month)
  • Elective** (one month)
  • Research (one month)
  • Pediatric Emergency Medicine & Research (4-5 months)
  • CHOC Pediatric Emergency Medicine (2-3 months)
  • Vacation (one month)

* Ophthalmology, Head and Neck Surgery, Oral Maxillofacial Surgery, Pediatric Surgery, Orthopedics / Cast Room, etc.
**Elective may be in pediatric surgery, pediatric surgical subspecialty clinics, dermatology, ultrasound, sports medicine, etc.

Pediatrics trained physicians do 12 (Harbor) -14 (CHOC) shifts per month in the Pediatric ED except when they are on PICU. Shifts are halved during elective or clinic months. Research projects are begun in the first year and intensified in the second and third years.

Eligibility and Selection

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, clinical, leadership, teaching, and supervisory skills, ability, aptitude and academic credentials, and his/her potential for an academic career. Personal qualities and communication skills will also be considered.

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