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Clinical Experience

Approximately 900 hours per year are spent supervising the Emergency Department at Le Bonheur Children's Hospital. A board-certified pediatric emergency medicine attending physician is available on site at all times. In July of 2004, fellows began gaining experience in sedation by rotating through our radiology sedation service. This service is staffed exclusively by PEM physicians and provides them an opportunity to gain proficiency in all aspects of procedural sedation and analgesia. This includes successful completion of our sedation training module. All fellows spend one month in their first year gaining additional experience in the Pediatric Intensive Care Unit. Fellows entering the Pediatric Emergency Medicine training program after a pediatric residency spend a cumulative of four months during their 3 yrs, treating adult emergency patients at the the Department of Emergency Medicine at Vanderbilt University in Nashville, our affiliated training site. Those entering via emergency medicine would complete pediatric inpatient service, pediatric subspecialty clinics, and neonatal/nursery rotations. Additional clinical experience is gained through the required electives of orthopedics, radiology, obstetrics, pediatric anesthesia & sedation and EMS Other optional elective rotations round out the fellow's clinical exposure.

Teaching Experience

Fellows have ample opportunity to develop and improve their ability to be effective teachers in a variety of settings. These range from one-on-one and small group sessions with families and residents in the Emergency Department, to large group conferences. Fellows actively participate in the Emergency Department lecture series given to all residents at Le Bonheur Children's Hospital and rotating family practice residents. Fellows receive guidance in creation of visual and printed material for educational purposes.

Research Experience

Fellows become proficient with investigative techniques and skills, and apply these to both retrospective and prospective clinical or epidemiological research projects. Formalized study in statistics and research design is included in the fellowship, from both within and without the Division of Pediatric Emergency Medicine. Attending physicians in the division provide mentoring and serve as a rich source of research ideas. These ideas and other research-related topics are discussed by division members and fellows at our monthly conferences. Fellows are financially supported when submitting and presenting their data at regional or national meetings. A major goal of the fellowship is the completion of a well-designed study that is published in a peer reviewed journal. A Scholarship Oversight Committee is set up for each fellow to mentor progress in research. Dedicated months for pursuit of their research during the three-years of their Pediatric Emergency Medicine training program facilitate scholarly activities.

Administrative Experience

Junior fellows select cases and present them at the monthly Emergency Department Interesting Case Conference. Senior fellows gain administrative exposure through their coordination of monthly Emergency Department Morbidity and Mortality conferences, Evidence Based Medicine conferences, Journal Clubs, Bioethics Conference, joint ED-ICU conference and resident teaching forums such as mock codes. Instruction regarding other administrative and financial issues of importance to an Emergency Department physician is given at dedicated didactic sessions & at staff meetings. By the completion of the fellowship, the fellow will be expected to be familiar with the management and administration of the Emergency Department. Senior fellows will have administrative responsibilities (e.g. committee memberships, QA/QI projects) within the hospital or dept. Fellows can also gain administrative experience through self scheduling.

Last Published: Mar 15, 2018