Curriculum
Throughout fellowship training, our fellows are provided with a variety of rich clinical experiences within and beyond NewYork- Presbyterian Hospital. Our rotations are designed to maximize clinical exposure and procedural training in the first two years. The third year Pediatric Emergency Medicine (PEM) rotations are modeled similar to an academic faculty member allowing time for longitudinal research alongside clinic shifts.
Below is a sample of the number and types of rotations included in a three-year curriculum.
1 The prehospital EMS rotation is done with the Fire Department of New York City and includes riding with BLS and ALS 911 receiving ambulance units as well as visits to the city’s command center.
2 Fellows rotate through the New York City Poison Control Center, one of the largest poison control centers in the country.
3 Fellows complete their adult emergency medicine rotations at the Allen Pavillion, New York Presbytarian's local community site.
4 Trauma is done at Rutgers Health in Newark, NJ.
Medical Education
Fellows are provided with multiple mentored teaching opportunities to develop their skills as educators. They teach a wide range of learners, including Columbia medical students, pediatric and emergency medicine residents, physician assistants, and visiting rotators. Fellows also receive formal instruction in teaching through the NYC Teaching Workshop and a dedicated teaching elective. In addition, fellows present at divisional conferences on topics such as trauma, ultrasound, evidence-based medicine, and case-based discussions. Beyond bedside teaching and precepting, fellows facilitate didactic sessions for pediatric residents, emergency medicine residents, and medical students.
Ultrasound
The Pediatric Emergency Medicine fellowship features a robust ultrasound curriculum developed and overseen by credentialed pediatric emergency medicine and emergency medicine faculty with advanced ultrasound training. Fellows are trained in a broad range of pediatric point-of-care ultrasound applications, including image acquisition and interpretation. The curriculum includes dedicated didactic sessions, hands-on skills training, and structured feedback on acquired images. Over the course of fellowship, trainees complete at least 300 scans and obtain credentialing in core applications, including FAST examinations, cardiac function, first-trimester pregnancy, skin and soft tissue, and hemodynamic assessment via IVC evaluation. Fellows graduate with the skills necessary to independently perform and interpret these studies.
With multiple ultrasound-trained faculty and a dedicated ultrasound fellowship, fellows also have numerous opportunities to participate in POCUS-related scholarly activity. In addition, those interested in further developing expertise in point-of-care ultrasound may pursue an ultrasound concentration within the Pediatric Emergency Medicine fellowship.
Simulation
Our Pediatric Emergency Medicine Fellowship offers a robust simulation curriculum. Fellows participate in weekly multidisciplinary mock codes alongside pediatric and emergency medicine residents, Pediatric Emergency Medicine faculty, nurses, pharmacists, technicians, child life specialists, respiratory therapists, and colleagues from collaborating departments. These simulations utilize high-fidelity mannequins to recreate acute resuscitation scenarios and provide opportunities for fellows to practice leadership and communication skills, perform critical procedures, and strengthen their diagnostic and therapeutic decision-making. Fellows also gain experience in multidisciplinary clinical debriefing.
Fellows further develop their skills as educators by participating in the design and implementation of simulation curricula under the mentorship of faculty and the simulation team. They serve as facilitators and debriefers, as well as team leaders and participants in mock codes, gaining experience in both curriculum development and clinical simulation.
In situ mock codes in the Pediatric Emergency Department are supported by the Mary and Michael Jaharis Simulation Center. Fellows also receive additional procedural training at the simulation center using high-fidelity task trainers, mannequins, and cadavers. These experiences provide state-of-the-art instruction in procedures such as difficult airway management, central line placement, pericardiocentesis, and thoracentesis.
First-year fellows also attend BASE Camp, an annual regional interdisciplinary conference that uses simulation to recreate pediatric emergencies and provides hands-on training in critical trauma and airway procedures.
http://pembasecamp.org(link is external and opens in a new window)