OVERVIEW

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The Pediatric Emergency Medicine (PEM) fellowship program at the University of Alabama at Birmingham (UAB) began its thirty-first year in 2015. Our PEM program was accredited through the American Board of Pediatrics in the fall of 1999. We were last accredited in 2011 and our next visit is set for 2019.  Since 1995, we have been dedicated to educating our fellows based on a three year model. 

Fellowship Program Aims:

1.       To provide a three year curriculum that trains individuals in all aspects of pediatric emergency medicine, including key procedures.
2.       Gain broad knowledge and skills in common and uncommon pediatric emergencies as well as gain exposure to adult emergencies.
3.       To produce physicians with skills in research and quality improvement strategies to allow them to support ongoing efforts in the field.

To achieve these aims, we emphasize the six core competencies (patient care, medical knowledge, practice based learning, interpersonal skills, professionalism, and systems based practice) and their accompanying 23 PEM specific sub-competencies and milestones. These will be addressed through a variety of activities as described in each of the above sections.

CURRICULUM


Below is a skeleton outline of the monthly rotations required for our Pediatric Emergency Medicine fellowship (arranged in no particular order). We strive to be flexible with our scheduling so that we can meet the interests and needs of our fellows. 
Year One Year Two
(+ Biostatistics)
Year Three
(+Epidemiology)
Orientation/ED/Research *Research *Research
*Adult ED Research *Research
Anesthesia Research Research
Selective Selective Research
Toxicology *Adult ED Research
*Pediatric Critical Care ED! *Adult ED
*Trauma ED! ED!
ED ED ED!
ED ED ED
ED ED ED
ED ED ED
ED ED ED

“ED” months are comprised of 12 eight-hour shifts/month in the pediatric ED. The mindset is that this structures the month to be 70% clinical and 30% available for research.
“ED!” months are concentrated ED time = 16 eight-hour shifts/month (100% Clinical)
A * indicates no Pediatric ED Shifts. On the “other” months (research, selective, toxicology, and anesthesia), fellows work 8 eight-hour shifts/month.
Note: Once Research is complete (per SOC) then electives may be substituted for research months

Selectives: Must complete one orthopedics month and two weeks each of Abuse and EMS

Available Electives: 
(Electives may be arranged for two to four weeks during elective months.)
Adolescent Administrative
Burns     Cardiology
Child Abuse (physical and sexual)  Dentistry
Dermatology Gynecology
Obstetrics     Ophthalmology
Otolaryngology  Pediatric Critical Care
Plastic Surgery  Pre-hospital Care (EMS)
Procedure month Radiology 
Research Sedation
Simulation  Sports Medicine
Surgery      Transport




CLINICAL

Kant-Sorrentino
Goals


  1. Develop skills in initial assessment, resuscitation, stabilization and early management of pediatric emergencies.
  2. Gain broad knowledge and skills in common and uncommon pediatric emergencies; gain exposure to adult emergencies.
To become excellent clinicians, our fellows gain a wealth of experience from their time spent in the pediatric emergency department. This time is a balance of direct patient care and of supervision of other providers in their care of ill and injured children.

Our first year fellows are expected to successfully complete certification in Basic Life Support, Advanced Trauma Life Support, and Pediatric Advanced Life Support.  Experience in orthopedics, toxicology, intensive care medicine, anesthesiology, trauma, and adult emergency medicine provides our first year fellows with essential skills and knowledge to supplement their pediatric emergency medicine training.

With the acceptance of the PEM accreditation requirements (approved by the ACGME June 1998), a total of four months of adult experience are required during fellowship with three of these months in adult emergency medicine. These months are spent down the street with the UAB Adult Emergency Medicine Program. Our fourth month is spent with the UAB adult trauma surgery team.

TEACHING


Goals
  1. Develop effective bedside and didactic teaching skills.
  2. Become a teacher/leader in community. 
SimI
Teaching skills are developed through multiple avenues. The most commonly encountered areas of teaching for our fellows are:
  • Precepting residents and mid-level providers in the pediatric emergency department
  • Giving lectures to residents, fellows, faculty, etc.
  • Participating in and leading simulation experiences
  • Educating the community and other health care professionals through numerous opportunities with the Southeast Child Safety Institute and the Regional Poison Control Center
  • Teaching Pediatric Advanced Life Support courses throughout the year
SimII

RESEARCH


Goals

1. Develop a strong research foundation through formal training.

2. Gain experience in grant writing, project development, and paper presentation. 

Fellows are expected to initiate, develop, implement and complete a research project during their fellowship. From their research, fellows are expected to submit the completed project to a national meeting for presentation and to submit an article to a peer reviewed journal.

Currently, evidence of research participation is required by the Sub-Board of Pediatric Emergency Medicine to be board certified.  Sufficient evidence could include:  first author of an accepted research project in a peer-reviewed journal, a research grant proposal approved through a critical review process, a post-graduate degree in a related field (PhD), or a research progress report.  A Scholarly Oversight Committee (SOC) of three individuals is assigned to each fellow and is a critical part of their research experience.

The goal of the first few months of fellowship is to begin to target an area of research interest. During the following months, fellows will develop a project, and provide a proposal. Fellows Research Conference is held quarterly where the fellows present their ideas, progress, and final project. Time for scholarly work and research is provided throughout the fellowship with special emphasis in the third year. 

Our fellows are required to take courses in epidemiology and biostatistics at the UAB School of Public Health.  If desired, a course in ethics and a Masters in Public Health are available during fellowship.

ADMINISTRATIVE/QI


Goals
  1. Understand the relationship of Emergency Medicine to hospital administration and committees.
  2. Become familiar with medical/legal issues, quality improvement, finances and scheduling.
  3. Understand state and regional administrative control of Emergency Medicine Systems.
AdministrationFellows will attend staff and administrative meetings to become familiar with the proceedings. They will be involved in hospital committees according to their interests.  In addition, each fellow will develop a quality improvement project during their fellowship.  Accordingly, a list of administrative requirements must be completed prior to completion of their fellowship.