 |
|
|
Pediatric Emergency Medicine Fellowship University of Arkansas for Medical Sciences Arkansas Children’s Hospital
General Fellowship Information:
The recent addition of our PULSE simulation center (http://www.archildrens.org/medical_services/pulse/default.asp) has allowed our fellows occasion to train through rare or complicated scenarios on high fidelity mannequins. The staff at the center also employs trained actors to simulate patients or parents to further augment the experience. Whether it is combined nursing/physician mock codes, multidiscipline advanced procedure modules or video monitored OSCE, our PULSE center provides our fellows with an exceptional education opportunities.
Almost all rotations are done at Arkansas Children’s Hospital, a level 1 trauma facility with an annual volume of 33, 000 per year and a total of 292 inpatient beds, and 123 ICU beds. The only exceptions are the three Adult ED months, Obstetrics and the trauma month which are done at our sister hospital, University Hospital on the UAMS campus 8 minutes away.
The University of Arkansas for Medical Sciences is an equal opportunity/affirmative action employer and has a Conrad 30 waiver program. Women and minorities are encouraged to apply.
Return to Fellowships Available
University of Arkansas for Medical Sciences Arkansas Children's Hospital 800 Marshall Street
Little Rock, AR 72202
|
The Pediatric
Emergency Medicine curriculum consists of roughly one year spent in the
department, one year spent in research activities and one year spent in off
service rotations which include: radiology, anesthesia/sedation service,
adult ED, toxicology, ortho, PICU, Peds surgery, EMS/transport, trauma,
child abuse, OB, psychiatry and one elective month. Within the department,
PEM fellows have defined graduated levels of responsibility, unlike
residents. PEM fellows are expected in their first year to begin initiating
treatment independently as graduated pediatricians. They will be responsible
for fielding referral calls, giving phone support to outlying facilities,
and arranging for patient transport to the ED. First year fellows are
encouraged see all their cases through to completion, and are given time to
do so. They are encouraged to perform all necessary procedures with the
assistance of other sub-specialists (i.e. Bier block and reduction with the
Ortho resident). They share procedure responsibility with second year
fellows and residents during a code (i.e. line placement, femoral blood
draws, ABG, thoracostomy tubes, etc.) Second year fellows are responsible
for multiple patient cases simultaneously. They must learn to prioritize
patient care in the event of multiple “emergent cases”. All emergent cases
must be initially seen and stabilized by the second year fellow, and they
must be aware of the patient’s progress even if they do not pick up the case
as their own. Second year fellows field all EMS/flight radio calls. They
also serve as preceptors for bedside teaching and procedures to the
residents and first year fellows. Second year fellows are responsible for
airway management during trauma and resuscitation cases. Third year fellows
control the flow of the emergency department and must be aware of every
urgent and emergent patient present. With PEM faculty back-up they oversee
the care of patients first evaluated by residents and junior level fellows.
They are the trauma team and resuscitation team leader in the department.
Fellows
are responsible for teaching and mentoring others within the department and
assisting with the continuing education of nurses, paramedics and outlying
residency programs. Through telephone consultation, PALS (Pediatric Advanced
Life Support, offered by the American Heart Association), APLS (the
pediatric emergency medicine course, offered by the American Academy of
Pediatrics), and mini-lecture series, fellows are the face of PEM to the
hospital and the outside community. All fellows are expected to take PALS
and APLS in their first year and achieve PALS instructor status by their
second year. Fellows provide lectures to the residents rotating through the
department on a monthly basis and Mock Code practice for both the ED
residents and the inpatient teams. Fellows serve as beside teachers and
preceptors for mastered procedures and patient cases. Third year fellows
function as junior faculty and provide teaching and patient care on that
basis with faculty back-up. They also give lectures to EM residents and
perform grand rounds presentations for the pediatrics department.
A
great deal of emphasis and protected time is given to fellow research in
this program. Fellows have 11 months throughout their three years for
research. Independent research must culminate in a first author paper
submitted for publication in a peer reviewed journal prior to graduation.
Two months of time are dedicated in their first year to identify a project
and research mentor in an area of interest. Extramural funding grants are
available for application and strongly encouraged. In addition to a formal
research project, a smaller administrative project is also required which
can involve some aspect of QA/QI for the hospital, or department, child
advocacy, legislative affairs, systems-wide processing improvement, etc.
Presentation at national meetings is both encouraged and funded.