URMC . Emerg Med . Residency

Pediatric EM Fellowship Curriculum

PEM Experience

PEM Fellows will be expected to work significant clinical time in the Pediatric ED. Majority of the shifts will be in the evenings, concentrated mainly during Pediatric ED rotation blocks, although some shifts are likely to occur during other rotations. Fellows will also work some additional shifts during the Pediatric ED blocks in a supervisory role, with an attending backup. During the Fellow’s last year, there are opportunities to be the sole supervising attending.

Other Clinical Experience

The University of Rochester’s fellowship in PEM is based at the Golisano Children’s Hospital at Strong at Strong Memorial Hospital (SMH). Extensive clinical time is spent
in the Pediatric Emergency Department. Other required rotations consist of Adult Emergency Medicine, Pediatric ICU, Trauma, Toxicology, Pediatric Anesthesia, Orthopedics/Sports Medicine, Child Abuse, and EMS. A wide variety of electives in all related specialties is available; outside rotations may also be arranged.

A sample block schedule for graduates of Pediatric residencies (3 years) or Emergency Medicine residencies (2 years) is appended.

Month	1st Year Fellow	Classes	2nd Year Fellow	Classes	3rd Year Fellow
1	PED		Ortho		Administration Teaching
2	Anesthesia		PED		PED
3	PED	EPI/Stats	Research	Ethics	Elective
4	PED	EPI/Stats	PED	Ethics	Research
5	Toxicology	EPI/Stats	PED	Ethics	PED
6	PED	EPI/Stats	EMS Child Abuse	Ethics	Adult ED
7	Research		PED		PED
8	PICU	Design/ Other	OBGYN Radiology		Research
9	PED	Design/ Other	Adult ED		PED
10	PED	Design/ Other	Research		Elective
11	PED	Design/ Other	Elective		PED
12	Adult Ed		PED		Research
13	Trauma		PED		Research

Teaching

Fellows participate in special experiences to learn how to teach. They are expected to teach medical students and residents in formal settings and at the bedside.

Research

This program is extensive and is described below. It encompasses both the research project (experiential) and the formal course work components. There is an opportunity to pursue a Master’s degree in Public Health through the University of Rochester. For those Fellows who choose to complete their MPH, their clinical load will be adjusted accordingly.

1. Research Project:
All Fellows are required to plan, design, and conduct a research project. This includes:

Project Selection: Fellows may choose a research project in an area currently being studied by faculty members of the Department of Emergency Medicine or Pediatrics,
or in an area of interest to them. Research is primarily conducted in other University departments, with appropriate PEM faculty oversight. Department faculty regularly provide an annual summary of their research activities, and fellows are encouraged
to collaborate on a research project with a particular faculty member. IRB approval is required. The Program Director must approve all PEM Fellows’ research project.

Mentorship: Mentorship is an important part of research training. Each fellow will have a mentor for his or her research.

Presentation: Presentation of research results is strongly encouraged. This is usually done at a national meeting of a Pediatric or Emergency Medicine research society. Fellows typically present their ongoing research at the annual national meeting of
PEM fellows (attendance is funded by the Department).

Publication: In general, fellows must have a peer-reviewed research publication accepted to sit for the PEM Board Certification exam. We require fellows to submit at least one manuscript to a peer-reviewed journal.

2. Formal Course Work
Fellows are required to complete five courses:

• one semester of biostatistics
• one semester of epidemiology
• one semester of research ethics
• one semester of design of clinical tracks
• one other elective in research methodology (e.g., questionnaire design, decision analysis)

3. MPH Curriculum
The Department of Community and Preventive Medicine offers these courses as part
of the Master’s in Public Health (MPH) Program. Enrollment in the MPH Program/clinical investigator track is optional for Fellows; many have enrolled in this program. PEM Fellows may complete this program without tuition fees. Attached is the current curriculum. Additional information can be found on the department’s website at: www.urmc.rochester.edu/cpm/education

 

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