Program Coordinator: Vy Tran (nttran@rchsd.org)

Training future pediatric emergency medicine specialists is one of core priorities of our division. The fellowship program is sponsored by the Department of Emergency Medicine of UC San Diego School of Medicine and works closely with the UC San Diego Department of Pediatrics as well.

The Division of Pediatric Emergency Medicine supports an ACGME-accredited fellowship program under the direction of Paul Ishimine, M.D., the fellowship program director, Kathy Smith, M.D., the associate program director, and Matt Murray, M.D., the assistant program director; and the program coordinator, Vy Tran. The PEM fellowship started in 1995 and accepts graduates from both pediatric and emergency medicine residency programs. The bulk of PEM fellows’ clinical care time is spent in Rady Children’s Hospital-San Diego Emergency Department. The annual ED census is approximately 86,000 visits per year with all levels of acuity. The main ED is staffed entirely by board-certified, fellowship-trained pediatric emergency physicians. As Rady Children’s is the only dedicated pediatric hospital for a wide catchment area, the ED sees a wide variety of pathology and sees patients across the entire socioeconomic spectrum. There is a full complement of pediatric subspecialists at Rady Children’s. Additionally, lower-acuity ED patients are seen in an adjacent care area staffed by PEM faculty, general pediatricians and general emergency physicians (The pediatric EM fellows do not rotate in this section of the ED.) The ED is paperless, utilizing an integrated computerized charting, tracking and ordering system.

Our Level I pediatric Trauma Center sees more than 1,000 patients each year. All trauma activation patients are seen in the ED by a team consisting of emergency physicians, trauma surgeons and intensivists. There are two dedicated ultrasound machines for emergency department use, and we have a fellowship-trained pediatric ultrasound director.

Rady Children’s is the primary pediatric teaching institution for the UC San Diego School of Medicine. Medical students and pediatric, emergency medicine, and family medicine residents from several different training programs rotate through the Rady Children’s ED. Pediatric emergency medicine fellows supervise these trainees in a graduated fashion.

Additionally, the fellowship takes advantage of the other major training programs in San Diego, including rotations in trauma surgery and general emergency medicine at Scripps Mercy Hospital, a high-acuity, urban, Level I trauma center; general emergency medicine; neonatal intensive care unit and pediatric intensive care unit rotations at the Naval Medical Center, San Diego, one of the largest military medical facilities in the United States; and general emergency medicine, emergency medical services (EMS), toxicology, and burn rotations with the Department of Emergency Medicine at UC San Diego Medical Center, one of the nation’s premier emergency medicine training programs.  The fellows also take graduate-level classes in epidemiology and biostatistics on the UC San Diego campus.

We have a two-year training program for emergency medicine residency graduates and a three-year program for pediatric residency graduates. We have been fortunate to attract fellows from both types of residency training, and our faculty includes pediatric emergency physicians with backgrounds in both pediatrics and emergency medicine. We take  two fellows a year. The PEM fellowship training program has been continuously accredited by Accreditation Council for Graduate Medical Education since its inception

We are happy that you are interested in the PEM fellowship at Rady Children’s and UC San Diego. We participate in ERAS and only accept applications through this route. We wish you the best of luck in this process.