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Our Emergency Department is a Level 1 Trauma Center and sees over 60,000 patients a year. We have more than 50 staff as well as acute care pediatricians. Graduates of the fellowship program are eligible for the Pediatric Emergency Medicine subspecialty certifying examination.
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/orthopedics, and general/adult emergency medicine.
The second fellowship year includes outside rotations in: general emergency medicine at a second adult facility and a trauma month. In addition, second year fellows have experiences with the Child Protection Program and the Critical Care Transport Team. 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.
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 includes more than 50 PEM physician staff and acute care pediatricians as well as more than 70 staff nurses. The Division of Emergency Medicine accommodates four residency programs in pediatrics and emergency medicine as well as medical students from Harvard Medical School and those visiting from outside schools.
There are 60,000+ visits per year, approximately one third of which are surgical visits. Approximately 20% of patients seen in the Emergency Department are admitted. Satellite locations in total receive an additional 40,000 visits per year. Therefore the total number of ED visits to which fellows are exposed is approximately 100,000 per year.
Boston Children's Hospital is one of the top rated hospitals in the nation and is a 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 fellows an optimal first-hand experience in Pediatric Emergency Medicine.
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.”