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Thank you for your interest in our Pediatric Emergency Medicine Fellowship Program. The Emergency Department presently consists of forty-five PEM staff members who are jointly appointed by Children's Hospital Boston and Harvard Medical School. Currently, there are seventeen fellows in our program. We anticipate having positions for four to five new fellows beginning July 2009.
The duration of the fellowship is three years for graduates of pediatric residency programs in accordance with requirements set by the American Board of Pediatrics. The first year fellowship curriculum consists of five months of clinical rotations in areas related to pediatric emergency medicine: anesthesia, critical care/transport medicine, medical toxicology, sports medicine, and general emergency medicine. In the second fellowship year, the curriculum focuses on the continued development of clinical skills but begins to provide dedicated time for research. The second year includes a one month trauma rotation and another month of general emergency medicine. In the third fellowship year, the greatest emphasis is on the completion of a major research project and developing clinical independence. Throughout the three years there is a didactic curriculum, which includes research seminars, quality improvement/risk management, journal club, statistical methods/research design and clinical management conferences.
Graduates of emergency medicine (EM) residencies are required to complete only two years of fellowship training. To provide more in depth exposure to pediatric medicine, the curriculum includes first-year clinical rotations of neonatology, pediatric subspecialties, general pediatrics service, anesthesia, and critical care/transport medicine. In the second year, skills in research and administration are reinforced. A one-month clinical elective in medical toxicology is included in the second year curriculum.
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.
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