Pediatric Emergency Medicine Fellowship

 

Overview

 

Program Goal: The PEM fellowship at Harbor-UCLA Medical Center is a 2-year (EM-trained) or 3-year (Pediatrics-trained) program designed to produce stellar clinicians able to care for acutely and critically ill children in the emergency setting.

 

Program Highlights

 

  • Well-rounded clinical experience in two PED’s which complement each other. Harbor-UCLA is an academic public hospital PED that sees 24,000 pediatric patients annually, is a level I trauma center and a pediatric critical medical patient receiving center, and serves the South Bay community providing “bread and butter” EM care. Children’s Hospital of Orange County is an ED in a tertiary care private children’s hospital that sees 85,000 pediatric patients annually, is a level II trauma center, and provides general and subspecialty pediatric EM care to a large geographic area around Orange County

  • Our program prides itself on providing fellows flexibility of curriculum and electives within the confines of ACGME-required rotations to accommodate individual learning needs, whether the fellow is primarily EM or pediatrics residency-trained, interested in a career in research, administration, education, or wishes to explore other areas such as ultrasound or EMS

  • Graduated autonomy with rapid attainment of independence in seeing patients and supervising residents, and running the pediatric emergency department at Harbor-UCLA

  • Numerous opportunities for education including: protected conference time twice a month, one-on-one instruction with ultrasound faculty, PALS, NRP, and ATLS, simulation center, cadaver labs, research methodology training and mentoring

  • Fellows have ample opportunity to gain procedure skills through procedure labs, an anesthesia rotation, an annual rotation in a high-acuity PICU, training in a busy level I trauma center, a well equipped and staffed simulation center, a fellowship housed within a Department of Emergency Medicine with a well-established EM residency program, and skills sessions as part of the core curriculum

  • Ability to develop skills in classroom and bedside teaching through supervision of residents, preparation and presentation of formal lectures to medical students and EM residents, and participation in presenting (with an emphasis on interactive lecture styles eg games, questions, panels, etc) as part of our fellowship core curriculum, which repeats every two years

  • EM residency-trained fellows do 2 shifts/month in the adult ED (with the same total shifts per month as pediatrics residency-trained fellows) to maintain their skills in treating adults, and have the ability to moonlight in the adult ED as well

  • Funds are available to support fellows presenting research at academic meetings

 

Curriculum

 

The curriculum is designed depending on whether the PEM fellow is primarily pediatrics or EM residency-trained, and is further customized according to the fellows’ needs and goals during individual meetings with the program director

 

Emergency Medicine residency-trained
(2-year track)

Pediatric residency-trained
(3-year track)

Emergency Medicine residency-trained (2-year track)

Year One

  • Harbor-UCLA PED and Research - 4 months (12 ED shifts + 2 research shifts)
  • CHOC PED - 3 months (14 ED shifts)
  • CHOC PICU - 1 month (no ED shifts)
  • Pediatric subspecialty clinics – 1 month (4 ED shifts)
  • Child abuse / Cardiology – 1 month (4 ED shifts)
  • NICU – 2 weeks (2 ED shifts)
  • Pediatric Anesthesia at CHOC – 2 weeks (2 ED shifts)
  • Vacation - 1 month (generally taken in two 2-week blocks)

 

Year Two

  • Harbor-UCLA PED and Research - 4 months (12 ED shifts + 2 research shifts)
  • CHOC PED - 3 months (14 ED shifts)
  • Harbor-UCLA or CHOC PED - 1 month
  • CHOC PICU - 1 month (no ED shifts)
  • Admin/Research - 1 month (4 ED shifts)
  • Elective - 2 months (4 ED shifts)
  • Vacation - 1 month (generally taken in two 2-week blocks)

 

Note:

  • 2 ED shifts per month are adult ED shifts, with the exception of CHOC PED months
  • ED shifts are generally 9-10 hours in duration
  • Elective opportunities include: research, toxicology, burn center, pediatric cardiovascular ICU, PICC line team, ultrasound, as well as individually arranged electives

Pediatrics residency-trained (3-year track)

 

Year One

  • EM Orientation - 2 weeks at beginning of July (includes procedure labs and introduction to ultrasound)
  • Harbor-UCLA PED and Research - 3 months (12 ED shifts + 2 research shifts)
  • CHOC PED - 2 months (14 ED shifts)
  • CHOC PICU – 1 month (no ED shifts)
  • Pediatric Anesthesia at CHOC – 2 weeks (2 ED shifts)
  • Child abuse / Surgical subspecialty clinics – 1 month (4 ED shifts)
  • Adult ED / Ultrasound – 1 month (12 ED shifts)
  • Trauma / Ultrasound – 1 month (12 ED shifts)
  • Admin/Research – 1 month (4 ED shifts + 2 research shifts)
  • Vacation - 1 month (generally taken in two 2-week blocks)

 

Year Two

  • Harbor-UCLA PED and Research - 3 months (12 ED shifts + 2 research shifts)
  • CHOC PED - 3 months (14 ED shifts)
  • CHOC PICU – 1 month (no ED shifts)
  • Research – 1 month (4 ED shifts + 2 research shifts)
  • Adult ED / Ultrasound – 1 month (includes 12 ED shifts)
  • Toxicology / EMS – 1 month (includes 4 ED shifts)
  • Elective - 1 month (includes 4 ED shifts)
  • Vacation - 1 month (generally taken in two 2-week blocks)

 

Year Three

  • Harbor-UCLA PED and Research - 4 months (12 ED shifts + 2 research shifts)
  • CHOC PED - 2 months (14 ED shifts)
  • Harbor-UCLA or CHOC PED - 1 month
  • CHOC PICU – 1 month (no ED shifts)
  • Research – 1 month (4 ED shifts + 2 research shifts)
  • Elective - 2 months (includes 4 ED shifts)
  • Vacation - 1 month (generally taken in two 2-week blocks)

 

Note:

  • ED shifts are generally 9-10 hours in duration
  • Elective opportunities include: research, toxicology, burn center, pediatric cardiovascular ICU, PICC line team, ultrasound, as well as individually arranged electives

Eligibility and Selection

 

Eligibility

Applicants will be considered if they have:

  • Graduated from a U.S or Canadian medical school accredited by the LCME
  • Successfully completed a residency in pediatrics or emergency medicine
  • Demonstrate the interest and ability to pursue a career in academic emergency medicine or pediatrics.

 

Selection

Applicants will be selected by:

  • Review of a resume
  • Interview with the director and other department members
  • Letters of recommendation
  • The PEM fellow match, if the program participates in a given year
  • Applicants may be selected outside of the match

 

Selection will be based on the dossier of the applicant, clinical, leadership, teaching, and supervisory skills, ability, aptitude and academic credentials, and his/her potential for an academic career. Personal qualities and communication skills will also be considered.

 

Contact Information

 

Kelly Young, M.D., MS, FAAP

Director, Pediatric Emergency Medicine Fellowship

Health Sciences Clinical Professor

kyoung@emedharbor.edu