Pediatric Emergency Medicine Fellowship Curriculum

*~32 clinical hours a week (65% clinical/35% research) based on 50 hour work week

**Extra hours experience (EHE) available to maintain clinical skills (approx. 60 clinical hours/month)

*~32 clinical hours a week (65% clinical/35% research) based on 50 hour work week

**Extra hours experience (EHE) available to maintain clinical skills (approximately 8 shifts per month)

First-Year Curriculum

• 8 months Pediatric Emergency Medicine* *Total ED Time at Texas Children’s Hospital Main and West Campus = 1,000-1,048 hours (approximately 30 clinical hours/week on PEM rotations)
• 2 weeks pediatric anesthesia
• 2 weeks pediatric sedation
• 1 month PICU (no ED) Main or West Campus
• 1 month adult EM (Memorial Hermann General EM)
• 1 month POCUS

Second-Year Curriculum

• 9.5 months Pediatric Emergency Medicine* •*Total ED Time at Texas Children’s Hospital Main and West Campus = 1,068-1,088 hours •(approximately 26 clinical hours/week on PEM rotations)
• 2 weeks orthopedics
• 1 month toxicology
• 2 weeks child protection
• 1 month adult EM (Memorial Hermann Trauma)

Third-Year Curriculum

• 7.5 months Pediatric Emergency Medicine (EHE) - Extra hours experience (EHE) available to maintain clinical skills - •Complete required PEM clinical hours not completed in years 1 and 2; otherwise no required fellow ED shifts
• 2 weeks anesthesia
• 1 month elective
• 1 month Emergency Medical Services (no Texas Children’s ED)
• 1 month Adult Emergency Medicine (no Texas Children’s ED)
• 1 month Radiology
• 1 week clinical elective
• 2 weeks toxicology

First-Year Curriculum

• 7.5 months PEM*
• 2 weeks pediatric anesthesia
• 2 weeks pediatric sedation
• 2 weeks child development (child life)
• 1 month PICU
• 1 month NICU
• 1 month pediatric cardiology

Second-Year Curriculum

• 9.5 months PEM*
• 1 month pediatric infectious disease
• 1 month elective
• 2 weeks child protection

Active conference series include: board review (2 hours monthly), career development workshops (as part of Texas Children’s Hospital Fellows College), education series (twice yearly as part of Texas Children’s Hospital Fellows College), ethics (1-2 hours yearly), fellow’s case conference (1 hour monthly), Journal club (1 hour monthly), literature review (2 hours quarterly), fellows’ lectures (given by fellows, 1 hour monthly), global health, joint conferences with EM residencies, pediatric critical care, case review and quality improvement (monthly), research topics (1 hour monthly, 2 hours quarterly), ultrasound (2-day course offered beginning of first year; 8-10 hours in conference annually) .

Specific series: cardiology, GI, neurology, orthopedics, trauma, surgical, psychiatry, radiology, renal, GI, endocrine, heme-onc, sports medicine, toxicology (each typically occurs 2-4 hours/year).

In addition, PEM fellows participate in quarterly PEM fellowship simulation days which occur in lieu of regular Thursday conferences. PEM fellows also are active participants in in-situ simulations in the emergency room, procedural workshops and also teach using simulation.

These small group discussions are designed to enhance fellows’ critical appraisal skills. Fellows, with faculty guidance, lead journal club by selecting article(s) for review, provide critical appraisal of the articles using the CASP model, and lead discussion of the articles during the monthly Journal Clubs.

PediSTEPPS. Several members of the PEM faculty as well as PEM fellows are actively involved in this monthly simulation course, teaching pediatric resuscitation to prehospital providers. All third-year fellows teach at this course during their EMS rotation.

Child Car Seat Safety. One of our recent fellowship graduates initiated a project looking at proper car seat installation in emergency center patients.

PEM faculty and fellows are actively involved in multiple local and global community-based educational projects and research.

Texas Children's Hospital and Baylor College of Medicine's research reputation attracts patients with unusual and challenging problems and enhances the variety of clinical material available for teaching. Moreover, faculty members' investigative skills add depth to the teaching program and enhance the residents' and fellows' understanding of pathophysiology.

The scientific attitude and problem-solving approach demanded of investigative work are regularly carried over into the clinical setting. The practice of evidence-based medicine is not only taught in our pediatric emergency medicine curriculum but also encouraged in our section members' clinical practice.

Training sites for the Pediatric Emergency Medicine Fellowship include:

• Texas Children's Hospital
• Ben Taub Hospital
• UT Hermann
• City of Houston EMS