• Overview
  • Curriculum
  • Clinical
  • Teaching
  • Research
  • Administrative/QI

The Pediatric Emergency Medicine (PEM) fellowship program at the University of Alabama at Birmingham (UAB) began its 33rd year in 2017. 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.

pem info bookPEM Information Brochure

 

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.

ED Chart

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Goals 

  1. Develop skills in initial assessment, resuscitation, stabilization and 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.

Goals

  1. Develop effective bedside and didactic teaching skills.
  2. Become a teacher/leader in community. 
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

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. A Scholarly Oversight Committee (SOC) of three individuals is assigned to each fellow and is a critical part of their research experience. 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.

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. 

The American Board of Pediatrics’ Sub-Board of Pediatric Emergency Medicine requires fellows to exhibit sufficient evidence of scholarly activity in order to be eligible for board certification.  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)
  • A research progress report. 

Our fellows are also 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.

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.

Fellows 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.