Below are commonly asked questions we receive about our fellowship and life in our
Does your program accept residents from both emergency medicine and pediatric backgrounds?
Do fellows get trained by faculty from both a pediatric background and an emergency
Yes: At this time we have 9 faculty members who are pediatric and pediatric emergency
medicine fellowship trained. We additionally have one faculty who is emergency medicine
and pediatric residency trained. One faculty who is pediatric and pediatric critical
How long is your training program?
Our training program lasts two years for emergency medicine trained fellows. Pediatric
trained residents will be required to complete a three year fellowship.
Do you have a lot of clinical practice guidelines?
We have nursing order sets for designated patient complaints that expedite care for
certain subsets of patients such as neonates with fever, hyperglycemia, sickle cell
patients with pain crises and fever. We have guidelines for asthma, bronchiolitis,
DKA, and appendicitis. THere are a number of trauma guidelines for head injury, cervical
spine injury, difficult airway, trauma imagining, massive transfusion, and resuscitation.
Other guidelines are being developed.
Are you based in the Department of Pediatrics or the Department of Emergency Medicine?
We are based in the Department of Emergency Medicine.
What is your population of patients like?
We have been a separate but contiguous emergency department with the general emergency
department since 1999. We see about 30,000 patients a year. Our age cutoff is 21
years. However, we only manage acute trauma patients up to the age of 13 years. We
serve a population of 560,000 in the immediate metropolitan area and are considered
an urban teaching hospital with the associated demographics that are typical for that
setting. About 60% of our patients are Medicaid, and about 10% are self pay. We have
about 70% of the market share in our region.
Are there any limitations regarding the provision of procedural sedation in the emergency
No. We are fortunate to have our section chief and chair of the department as part
of the sedation committee for the hospital. ED physicians perform all the procedural
sedation in the emergency department. We are able to use propofol, ketamine and nitrous
as well as other sedatives for appropriate levels of sedation.
Do you use bedside ultrasound in the Pediatric Emergency Department?
We have our own ultrasound machine in the Pediatric ED. We additionally are in our
second year of having a pediatric emergency ultrasound medicine fellowship.
What kind of attending coverage do you have in the Pediatric Emergency Department?
At present there are three overlapping shifts 7a-4p, 3p-12a, and 11p-7a.
Fellows work the same hours as the pediatric emergency attending faculty.
What kind of labs do you have to practice low volume, high risk procedures.
We have a cadaver lab in conjunction with the emergency medicine residency, a pig
lab, and a simulation lab. The institution has a high fidelity simulation lab.
Do you have any pediatric services that are not represented at your institution.
All but pediatric dermatology, genetics and pediatric behavioralist are represented
as subspecialties in pediatrics at our institution.
How do you chart your medical records in the pediatric emergency department.
We use electronic charting exclusively. Our institution uses a Cerner product called
First Net. Our department works closely on refining and making changes appropriate
for the emergency setting.
When are your interviews for the entry year 2021?
We do participate in the NRMP match. Applications are processed through ERAS. The
deadline for fellow's entering in July 2021 is September 23, 2020. Interviews will
be conducted August until the first week of November.