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Our Emergency Department is a Level 1 Trauma Center and sees over 60,000 patients a year.  We have 66+ staff, with about 20 of those being urgent care staff.  Four different residency programs rotate through our emergency department (pediatrics and emergency medicine).  Graduates of the program are eligible for the Pediatric Emergency Medicine subspecialty certifying examination.

Training for Graduates of Pediatric Residencies

In accordance with the American Board of Pediatrics requirements, the duration of fellowship training is three years for graduates of pediatric residency programs.

The first year is focused on broadening clinical exposure, particularly to high acuity and surgical patients.  The majority of experience is in the Emergency Department, with related clinical rotations including: ultrasound/radiology, anesthesia, critical care, medical toxicology, sports medicine, and general/adult emergency medicine.

The second fellowship year outside rotations include: a general emergency medicine rotation at a second adult facility and a trauma month.  In addition, second years fellows have experiences with the Children Protection Program, the Critical Care Transport Team, and a Quality Improvement rotation. Time is protected for research as well as elective opportunities.   The clinical experience in the Emergency Department during the second year highlights management and administrative responsibilities and welcomes the introduction of the formal precepting role. 

In the third fellowship year, emphasis is placed on developing clinical independence and comfort in the supervisory role, in the context of dedicated time for completion of scholarly activity projects.

Training for Graduates of Emergency Medicine Residencies

Graduates of emergency medicine (EM) residencies may complete either two or three years of fellowship training. The first year of training is focused on clinical exposure to a wide range of pediatric patients. While the majority of the experiences take place in the Emergency Department, these are complemented by outside rotations including: neonatology and newborn resuscitation, pediatric subspecialties in the ambulatory setting, inpatient general pediatrics, anesthesia, pediatric ultrasound/radiology, and critical care.

In the second year, clinical opportunities outside of the emergency room include: toxicology, child protection, and an elective rotation.  Protected time to further skills in research and administration are offered, and may be tailored to the interests of the fellow. 

Similarly, paths for further academic development in a third year are available, including additional clinical experiences, or advanced coursework toward a public health, education, or administration/business degree.

The Division of Emergency Medicine

The Division of Emergency Medicine includes 66 staff physicians and 75 staff nurses.  Emergency Medicine runs 4 residency programs for Pediatric and Emergency Medicine students.

There are 60,000 visits per year, approximately 32% of which are surgical visits.  There is an 18% admission rate.  Satellite locations in total receive 40,000 visitors.

This amount of exposure has motivated Boston Children's Hospital to become one of the top rated hospitals in the nation and is the primary teaching affiliate of Harvard Medical School.  With 3,300 full time employees, nearly 400 beds and 18,000 inpatient admissions, Boston Children's Hospital provides you with the best first-hand experience in Pediatric Emergency Medicine.

International Pediatric Emergency Medicine Fellowship
An integrated fellowship in Global Health and Pediatric Emergency Medicine

The International Pediatric Emergency Medicine Fellowship prepares leaders in global health and pediatric emergency care, as well as emergency care systems.  Fellows train jointly in an integrated program for American Board of Pediatrics certification in pediatric emergency medicine (PEM) and global health. PEM training is in a busy pediatric emergency department at a tertiary academic center with program faculty who have diverse research, quality improvement, medical education and project interests.

Global health training is integrated throughout the fellowship include opportunities to develop skills in; program design and implementation, academic partnerships, humanitarian aid and disaster response, emergency systems development, health program administration and funding, cross-cultural collaboration, international public health, and human rights. Global health training is completed through the Boston Children’s Hospital Division in Emergency Medicine in partnership with the Boston Children’s Global Health Program and the Brigham and Women’s Division of International Emergency Medicine and Humanitarian Programs.

The fellowship program is designed for those seeking a career in academic international pediatric emergency medicine and/or medical leadership and research in international health organizations.  During this integrated five-year program (four years for applicants with an MPH degree) fellows will:

  • Complete the requirements of pediatric emergency medicine fellowship, including scholarly project, to meet American Board of Pediatric sub-specialty requirements

  • Actively participate in international field projects

  • Fellows gain firsthand experience in disaster response, EM development, refugee medicine, public health, human rights, travel medicine, and emergency medical provider training in both developed and underdeveloped countries.  A broad range of international experience is a hallmark of the program.

  • Develop a strong knowledge base in international public health.  Fellows earn a Masters in Public Health from the Harvard School of Public Health.  In addition, fellows complete the Humanitarian Response Intensive Course and the International Committee of the Red Cross's two-week HELP Course.

  • Conduct research in international emergency medicine.  Fellows may join ongoing faculty research projects or spearhead individual projects in their areas of interest.  As affiliates of the Division of International Emergency Medicine and Humanitarian Programs and the Harvard Humanitarian Initiative, fellows have access to faculty, research, and training resources throughout the university.

  • Obtain a working knowledge of university, governmental, and non-governmental international health organizations.  Through field experience and the fellowship's network of partner organization (including the International Rescue Committee, Oxfam, Save the Children, CARE, Red Cross/Red Crescent, Doctors Without Borders, Physicians for Human Rights, and others) fellows learn to navigate the complex field of global health. 

  • Learn to develop, fund, and sustain international programs.  Experience writing grant proposals for individual projects is strongly encouraged and fully supported within the fellowship.

  • Maintain clinical skills in pediatric emergency medicine.  Fellows supervise Harvard and other affiliated residents in the pediatric emergency department of Boston Children’s Hospital, a Level I Trauma Center with over 65,000 emergency visits per year.

Application Requirements

Successful applicants must be board certified or board eligible in pediatrics when they begin the fellowship.  To apply, please submit the following materials by Monday, September 1st at 12 pm ET. (See application form & description for details):

1. Application Form
2. CV
3. Personal statement for International Pediatric Emergency Medicine
4. One letter of recommendation pertaining to global health work from a faculty member

Applications can be submitted via email to the program administrator Cynthia Garibaldi at cynthia.garibaldi@childrens.harvard.edu

Training Grant

Our division has also been awarded a National Research Services Award (NRSA) grant to establish a Pediatric Emergency Medicine physician-scientist training path. For those committed to a long-term research career, this pathway will provide funding, mentorship and protected time during the senior years of the fellowship. Three research tracks are available; clinical investigation, medical informatics, and basic science. Those enrolled as trainees in this program will receive additional research time in the third year as well as salary and educational support for 1-2 additional years, depending on the track.


For more information on benefits and eligibility, please visit our work and benefits page.


The division does offer moonlighting opportunities in the ED as well as inpatient units.  All CHB fellows who wish to moonlight must go through an approval process.

The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”
- Sandra L. Fenwick, President and CEO