Fellow Competencies/Goals and Objectives by Year
Pediatric Emergency Medicine Fellow Year 1
Overview:
First year pediatric emergency medicine fellows are expected to progress in knowledge, patient assessment and management and multitasking skills including efficiency and prioritization. As the year progresses the fellow is expected to manage more complex patients and treat larger volumes of patients. The fellow should focus on the recognition and management of the acutely ill and injured pediatric patient. To include
• History and physical examination skills
• Management of patients presenting by EMS, or triaged as Level I or II or to critical care area
• Understanding of disease pathophysiology
• Development of a broad differential diagnosis expanding past the stated complaint
• Clinical judgment
• Decision-making
• Multi-tasking
• Procedural skills and ability to supervise and teach others
• Performance of EMS medical command under the supervision of PEM Faculty attending
• Documentation
• Interpersonal skills including effective communication
• Understanding of practice environment and limitations
• Completion of required rotations
• Attend all Pediatric Emergency Medicine Fellows conference – except during rotation in Pediatric Intensive Care Conferences or on vacation or attending out of town conferences. Fulfill presentations, journal clubs, etc. as assigned
• Attend Department of Pediatrics Fellows Conference
• Complete In service training exam
• Successfully complete courses including PALS, base station command, ATLS
• Complete appropriate evaluations
• Begin to develop research question with literature review
• Active participation in the research of others including enrollment of study subjects
Administrative responsibilities to include:
• Patient flow and management of large volumes of patients
• Development of transport triage
Teaching responsibilities to include:
• Teaching and supervision of residents especially with initial assessment and procedures
• To include rotating residents and medical students
Supervision:
• The fellow is supervised closely by the PEM Faculty attending especially during the evaluation and management of the acutely ill and injured child
• As the year progresses, more independence is merited
Remediation
• Individualized remediation plans will be developed depending on the needs of the fellow.
Pediatric Emergency Medicine Fellow Year 2
Overview:
Second year pediatric emergency medicine fellows are expected to further develop their knowledge, patient assessment and management. They are expected to take more responsibility for the actual management of the emergency center with special attention to patient flow, personnel issues, transport triage and bed availability. To include:
• History and physical examination skills
• Management of patients presenting by EMS, or triaged as Level I or II or to critical care area, taking more of a leadership role
• Understanding of disease pathophysiology
• Development of a broad differential with subsequent care plan
• Clinical Judgment
• Decision-making with more autonomy
• Multi-tasking with special attention to management and prioritization of multiple critically ill child and non-critical simultaneously
• Performance of EMS medical command
• Procedural skills and ability to supervise and teach others
• Leadership of medical team
• Enhance resuscitation skills, taking a leadership role
• Management of inter-hospital transfers
• Documentation
• Interpersonal skills including effective communication, conflict resolution
• Understanding of practice environment and limitations- expanding beyond the Emergency Center
• Completion of required rotations
• Attend and participate in all Pediatric Emergency Medicine Fellowship conferences- fulfill presentations, journal clubs, etc as assigned
• Attend Department of Pediatrics Fellows Conference
• Complete in-service training exam
• Successfully complete PALS instructor course
• Complete appropriate evaluations
• Mentor junior fellows
• Further development of research project including project design, statistician consult and IRB preparation
• Active participation in the research of others including enrollment of study subjects
Administrative responsibilities to include:
• Patient flow and management of large volumes of patients
• Development of transport triage skills
• Continued understanding of patient flow issues expanding to considerations of transport, ICU capabilities, bed availability
• Familiarity of diversion process and protocol
Teaching responsibilities to include:
• Teaching and supervision of residents especially with initial assessment and procedures
• Actively participate in the supervision of residents in critical area as well as resuscitations
• To include rotating residents and medical students
Supervision:
• The fellows continues to be supervised by the PEM Faculty attending especially during the management of the acutely ill and injured patient.
• As the year progresses, more independence is given
Remediation:
Individualized remediation plans will be developed depending on the needs of the fellow.
Pediatric Emergency Medicine Fellow Year 3
Overview:
Third year pediatric emergency medicine fellows are expected to progress in knowledge and patient assessment and management. The fellow is expected to master the skills to independently manage complex patients, resuscitations and treat large volume of patients. To include
• History and physical examination skills
• Management of patients presenting by EMS, triaged Level I or II or to the critical area as well as monitoring the care of the non-critical patients
• Understanding of disease pathophysiology
• Continued development of broad differential diagnosis with care plan
• Clinical judgment
• Leadership of medical team
• Leadership of resuscitation team
• Management of inter-hospital transfers
• Performance of EMS medical command
• Decision- making with increasing autonomy and awareness of limitations
• Multi-tasking
• Procedural skills and ability to supervise and teach others
• Documentation
• Interpersonal skills with effective communication and conflict resolution
• Understanding of practice environment and limitations expanding beyond the Emergency Center
• Completion required rotations
• Attend all Pediatric Emergency Medicine Fellows Conferences- fulfill all presentations, journal clubs, etc. as assigned
• Attend Department of Pediatrics Fellow’s Conference
• Complete in-service training exam
• Complete appropriate evaluations
• Further completion of research project including subject enrollment, statistical analysis and, if appropriate, abstract preparation
• Active participation in the research of others including subject enrollment
Administrative responsibilities to include:
• Strong leadership of medical team
• Patient flow and management of large volumes of patients
• Manage inter-hospital transports
• Continues understanding of patient flow issues including impact of transport, ICU capabilities, bed availability
• Familiarity of diversion process and protocol with escalation
Teaching responsibilities to include:
• Teaching and supervision of residents especially with initial assessment and procedures
• Actively participate in the supervision of residents in critical areas including resusucitations
• To include rotating residents and medical students
Supervision:
• The fellows continue to be supervised by the PEM Faculty attending with encouragement of autonomy and decision-making in preparation of completion of fellowship
Remediation:
• Individualized remediation plans will be developed depending on the needs of the fellow.
