Overview

OVERVIEW


HappyMeetingThe faculty of the Department of Pediatrics provides a diverse and extensive spectrum of medical expertise and health care services, from primary care to subspecialty services. Over the past five years the department has experienced significant growth in the number of full-time medical pediatric faculty. Currently there are over 170 full-time faculty in general pediatrics and subspecialty divisions.

The faculty of the Department of Pediatrics records more than 160,000 outpatient visits, including approximately 65,000 patients seen through pediatric emergency medicine. More than 9,800 subspecialty patients and general pediatric inpatient admissions were managed by the pediatric faculty. In addition, the Neonatology division provides coverage for the UAB Medical Center as well as four private, not-for-profit community hospitals. Total inpatient days are in excess of 74,000.

The Department of Pediatrics has a major commitment to research and consistently ranks in the top 20 among all departments of pediatrics in the country in NIH funding. Through research, we are contributing to a better understanding of the causes of many life-threatening diseases as well as advancing many new forms of treatment.

The Pediatric Residency program consistently has a pass rate near 100% for both pediatrics and med peds. Only 16 of 200 (8%) US Pediatric Residency Training Programs have pass rates of 95% or higher.

Ten of Children’s of Alabama's pediatric specialty services were placed among the top programs in the United States by U.S. News and World Report in their 2012 ranking of The Best Children's Hospitals. The services included this year were Cancer, Cardiology, Endocrinology, Gastroenterology, Neonatology, Nephrology, Neurosurgery and Neurology, Pulmonology, Orthopedics and Urology. The complete listing and corresponding rankings may be found at www.usnews.com/childrenshospitals and in the magazine’s August print issue.

The goals of our fellowship program emphasize the six core competencies, patient care, medical knowledge, practice based learning, interpersonal skills, professionalism, and systems based practice. They will be accomplished through a variety of activities as described in each section - Clinical, Teaching, Research and Administrative.

CLINICAL

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Goals

A. Develop skills in initial assessment, resuscitation, stabilization and early management of pediatric emergencies.
B. Gain broad knowledge and skills in common and uncommon pediatric emergencies; gain exposure to adult emergencies.

The mainstay of clinical experience is time physically spent in the Emergency Department supervising care of patients. Our fellows gain much experience in both direct patient care and supervision of the care of severely ill and injured children during their three years of training. Our goal for each fellow is to obtain significant clinical experience in the Pediatric Emergency Medicine (PEM) and the Adult Emergency Medicine settings. 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. Pediatric critical care transport experience may be obtained as well. With the acceptance of the PEM accreditation requirements (approved by the ACGME June 1998), a total of four months of adult experience are required with three of these months in Adult Emergency Medicine. Our fourth month is in adult and trauma. All four months must be associated with an Adult Emergency Medicine Residency program. UAB began its accredited Adult Emergency Medicine residency in July 2002 and we are privileged to be able to participate in our “home” program. Other electives are also available during all three years.  

Click here for an example of our fellows’ rotations and responsibilities (subject to change).

An introduction to our program which includes examples of the PEM schedules and available rotations can be found by clicking on the following link: PEM Schedule (pdf).

TEACHING


Goals
A. Develop effective bedside and didactic teaching skills.
B. Become teacher/leader in community. 

SimITeaching skills are developed through multiple avenues. Some of these include: precepting Pediatric Residents in the Pediatric Emergency Department, giving Pediatric Emergency Medicine lectures throughout the year and participation in simulation experiences. Lectures are presented to an array of individuals-from laypersons, paramedics, nurses, medical students, residents and to faculty. The Southeast Child Safety Institute provides an opportunity for our fellows to become involved in community education as well as education of health care workers. Special emphasis is placed in the area of injury prevention. One of North America's 52 certified regional poison control centers is located within our hospital, which also gives our fellows an excellent learning and teaching opportunity.

Our fellows are expected to successfully complete Basic Life Support, Advanced Trauma Life Support, and Pediatric Advanced Life Support.  Our faculty and fellows are also responsible for teaching several Pediatric Advanced Life Support courses throughout the year.
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RESEARCH


Goals
A. Develop research foundation through formal training.
B. Gain experience in grant writing, project development, paper presentation. 


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Our fellows are required to take courses in epidemiology and biostatistics at the University of Alabama School of Public Health.  A course in ethics is highly encouraged also.  A Masters in Public Health can be obtained during fellowship if desired.  Fellows are expected to initiate, develop, implement and complete a research project during their fellowship and to submit the completed project to a national meeting for presentation.  Fellows are also expected to submit an article to a peer reviewed journal during their training period.

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 Research Oversight Committee (SOC) of three individuals is assigned to each fellow and is a critical part of there review process of Research Experience.

The goal of the first month 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 at least twice a year their ideas and progress and final project. Time for scholarly work and research is provided throughout the fellowship with special emphasis in the third year. Computer skills will be acquired as well.


ADMINISTRATIVE


Goals
A. Understand the relationship of Emergency Medicine to hospital administration and committees.
B. Become familiar with medical/legal issues, quality improvement, finances and scheduling.
C. 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.