Being closely affiliated with Yale University School of Medicine, the fellowship offers many options for elective time. The fellows have taken advantage of the elective months to pursue a variety of different interests. In the past these have included: pediatric radiology, pediatric critical care, wilderness advanced life support, pediatric cardiology, and emergency ultrasound. Research months may be used to complete an area of concentration such as toxicology, international medicine, etc. with approval of the fellowship director.
Process of EvaluationThe fellows are evaluated by the attending and nursing staff on a semi-annual basis.
Administrative DutiesThe fellows participate in the weekly business meetings of the Section of Pediatric Emergency Medicine.
Clinical DutiesDuring the first six months of the fellowship the majority of the clinical duties will be in the pediatric emergency department. The shifts are between 8 and 10 hours. After the first six months the fellows will have overnight duties. During the PEM months the fellows will be assigned to between 11 to 13 shifts. The number of shifts is reduced during elective, administrative, and research months. There are no assigned shifts in the PED for months on trauma, adult EM, and pediatric critical care. Special arrangement can be made for "away" electives including international opportunities.
Educational PursuitsThe fellows actively organize and participate in weekly educational sessions. The formats of the meetings have included didactic teaching, hands-on workshops, interactive discussion of interesting cases, and morbidity and mortality conferences. Bi-weekly radiology round is conducted with dedicated pediatric radiologists.
The Section participates in daily morning resident teaching conferences, weekly mock resuscitations, monthly journal club, and monthly general emergency medicine didactic sessions. Section members also perform community outreach by providing education to parent groups, pre-hospital care providers, guardian ad litem, and day care and school staff.
The attendings and fellows actively pursue a wide range of research projects. Some of these include:
- Serious bacterial infections in febrile infants
- Faculty and staff effectiveness evaluations
- Forensic medicine
- Reduction of unnecessary outpatient antibiotic use
- Use of point-of-care testing
- Abusive versus accidental head trauma
- Inflammatory markers in appendicitis
- Pre-hospital care of asthma patients
- International health care