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Rady Children's Specialists

Emergency Medicine

PEM Rotations

The fellowship length is two years for emergency medicine residency graduates and three years for pediatric residency graduates. Each block is four-weeks long, and there are 13 blocks per year. Vacation time is usually taken in two two-week blocks each year.

Emergency Medicine-Trained Fellows

Year 1

Year 2

PEM/Research (6.75 blocks)

PEM/Research (9 blocks)

Ultrasound (0.25 blocks)

Elective (1.5 blocks)

PICU/CVICU/CHET (1 block)

PICU/CVICU/CHET (1 block)

NICU (NMCSD) (1 block)

Pediatric Anesthesia (0.5 blocks)

Child Protection (1 block)

Vacation (1 block)

Primary Care (1 block)

Pediatric Anesthesia (1 block)

Vacation (1 block)

Total # of PEM shifts: 96

Total # of PEM shifts: 100

Pediatrics-Trained Fellows

Year 1

Year 2

Year 3

PEM/Research (7.5 blocks)

PEM/Research (8.5 blocks)

PEM/Research (8.5 blocks)

General EM (NMCSD) (1 block)

General EM (UCSD) (1 block)

General EM (Mercy) (1 block)

Ultrasound (0.25 blocks)

Toxicology (1 block)

Burn (0.5 blocks)

Adult Trauma (Mercy) (1 block)

Pediatric Anesthesia (0.5 blocks)

EMS (0.5 blocks)

PICU/CVICU/CHET (1 block)

Elective (1 block)

Elective (1.5 blocks)

Pediatric Anesthesia (1 block)

Vacation (1 block)

Vacation (1 block)

Vacation (1 block)

Total # of PEM shifts: 98

Total # of PEM shifts: 90

Total # of PEM Shifts: 82

Most of the fellows’ clinical time is spent in the emergency department at Rady Children’s Hospital. Other clinical training occurs at the UC San Diego Medical Center/Hillcrest, the only state-designated Comprehensive Emergency Department in San Diego County which serves an urban, underserved population. This facility is a Level 1 Trauma Center and the county’s only burn center. The fellows have general emergency medicine, emergency medical services (EMS), toxicology, and burn rotations at UC San Diego.

Additional training occurs at our partner hospitals: fellows rotate on trauma surgery and general emergency medicine at Scripps Mercy Hospital, a high-acuity, urban, Level I trauma center; and on 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. The fellows also take graduate-level classes in epidemiology and biostatistics at UC San Diego.