Clinical Training Experience

The clinical training component of our fellowship is based primarily in the pediatric emergency department at UH Rainbow Babies and Children’s Hospital, which serves acutely ill and injured children from Cleveland’s neighborhoods as well as throughout Northeast Ohio and beyond. Our dedicated team of board-certified PEM physicians, PEM fellows, pediatric and emergency medicine residents, specialized pediatric emergency nurses, respiratory therapists, socials workers, pharmacists, and child life specialists are committed to providing our patients with the best pediatric emergency care.

The Pediatric Emergency Department is an integral part of the clinical services offered at UH Rainbow Babies and Children’s Hospital, with an annual patient volume exceeding 32,000 visits at our main campus facility. The emergency care provided in our department is supported by our 244 bed state-of-the-art tertiary children’s hospital that includes a 20-bed PICU staffed by pediatric critical care specialists. We have the privilege of working closely with a diverse and talented group of medical and surgical specialists representing every pediatric subspecialty. UH Rainbow Babies and Children’s Hospital is an American College of Surgeons accredited Level 1 Pediatric Trauma Center.

Our fellowship is designed to meet all requirements of the American Board of Pediatrics and Accreditation Council for Graduate Medical Education, yet remain flexible in order to foster the unique elective experiences and scholarly projects that will enhance each individual fellow’s training experiences. Fellows partner with the program director and all faculty within the division to create a PEM fellowship experience that is tailored to meet their unique goals for careers within the dynamic subspecialty of pediatric emergency medicine. Fellows spend clinical time in the Pediatric Emergency Department developing and refining the diagnostic, therapeutic, procedural, and administrative skills required to provide exceptional care to acutely ill and injured children in the emergency department setting.

A “typical” fellowship schedule is outlined as follows (each academic year consists of 13 4-week blocks):

Fellowship Year 1 Fellowship Year 2 Fellowship Year 3
7 blocks Pediatric ED
1.5 blocks Anesthesia/Sedation
1 block Trauma
1 block Adult ED
2.5 blocks Elective
(4 weeks vacation)
6 blocks Pediatric ED
1 block Adult ED
1 block Adult ED/Ultrasound
1 block Evidence-Based Medicine
1 block PICU
1 block EMS/Transport
2 blocks Elective
(4 weeks vacation)
12 blocks scholarly activity/
additional elective experiences
1 block Toxicology
(4 weeks vacation)

Elective experiences may include the following (and many other elective experiences are available and may be arranged based on fellows’ interests, including away rotations that are approved by the program director and Office of Graduate Medical Education):

  • Sports Medicine
  • Orthopedics
  • Pediatric Otolaryngology
  • Pediatric Ophthalmology
  • Pediatric Dental
  • Dermatology
  • Child Abuse Pediatrics
  • Burn Management
  • Adolescent Gynecology
  • Pediatric Surgery

Metrohealth Medical Center: The Trauma block and 2 Adult ED blocks are completed at Metrohealth Medical Center in Cleveland. Metrohealth is the site for a nationally-recognized, high-volume general Emergency Department, as well as a Level 1 Adult Trauma Center. It has a well-regarded EM residency program with a reputation for excellence and commitment to education.

University Hospitals Emergency Department: An Adult ED block is completed in the Adult Emergency Department at University Hospitals Cleveland Medical Center, which is also a busy ED housing an excellent EM residency program and clinical faculty committed to providing excellent patient care and clinical teaching.

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