The core of the PEM fellowship at Rady Children’s Hospital is clinical training in pediatric emergency medicine. The fellow will spend most of his/her clinical time in the Emergency Department at RCHSD . The fellow will precept resident and medical student trainees and will see patients primarily as well.
The fellow will also assume increasing levels of responsibility in managing the ED appropriate to his/her experience. Specifically, the fellow will be expected to manage patient flow, participate in the care of all complicated and seriously ill patients in the ED, perform procedures, manage referrals from outside facilities, and become involved in treatment of trauma patients. The fellow will be expected to function as independently as possible, but an attending PEM physician will be present in the ED at all times.
The fellow is expected to become an expert in the field of pediatric emergency medicine. To this end, he/she must not only have strong clinical experiences but should also have extensive knowledge of the medical literature, as well as critical appraisal skills to properly interpret this literature. The fellow is expected to be self-motivated and dedicate time and energy into his/her own education, which will be supplemented by regular interactive teaching conferences. Additionally, the fellow will be expected to develop the skills to present and teach materials to other health care providers, patients and families.
All fellows will be required to participate in research. The fellow will be assigned a research mentor and will meet regularly with his/her mentor and the Scholarship Oversight Committee. The fellow is expected to present his/her research to the division and report on progress towards project completion.
Topics in research design, statistics, epidemiology, and manuscript preparation will be covered in the division research methodology curriculum. Additionally pediatric emergency medicine fellows are required to take biostatistics and epidemiology courses through UC San Diego’s Clinical Research Enhancement through Supplemental Training (CREST) program. The research mission of the division and the fellowship is supported by the research director, John Kanegaye, MD; a division biostatistician, Kathryn Hollenbach, PhD, MPH; and research associates.
Fellows will gain experience in pediatric emergency medicine administration through exposure to administrative issues at various levels: the emergency department, the hospital, county emergency medical services, and graduate medical education. Fellows are expected to attend monthly divisional administrative meetings and the ED continuous quality improvement committee, and they will also be expected to implement a quality improvement project.