Department of Emergency Medicine | Fellowship Program Overview

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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.

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.

We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944