Emergency Medicine Fellowship Program, Orlando
Program Overview
The Pediatric Emergency Medicine (PEM) Fellowship at Nemours Children’s Hospital, Florida (NCHFL) is a three-year ACGME-accredited program for graduates of pediatric and emergency medicine residencies. NCHFL is a state-of-the-art freestanding tertiary care facility for children. The hospital is part of Nemours Children’s Health, a nonprofit organization funded by the Nemours Foundation. The hospital is currently operating 135 inpatient beds serving pediatric patients from birth to 18 years. There are more than 180 pediatric medical and surgical faculty physicians at NCHFL caring for an incredibly medically vulnerable and diverse patient population across Central Florida. In addition, there are 36 categorical pediatric residents invested in the care of our patients.
The NCHFL Pediatric Emergency Department saw more than 41,000 patients visits in 2022. Our provider team evaluates and treats a robust variety of pediatric patients, including those with acute life-threatening illness and injury, those with chronic and medically complex disease with technology dependence, and healthy children who require acute care in the emergency department setting.
The emergency department is staffed by American Board of Pediatrics certified PEM physicians who provide care 24/7/365. The PEM division is additionally supported by dedicated PEM nurses, pediatric acute care nurse practitioners and physician associates, paramedics, child life specialists, social workers, respiratory therapists, pharmacists, and other expert team members to ensure optimal patient safety. The presence of the interprofessional team ensures maximal patient interface, critical thinking and medical decision making for the PEM fellow while promoting progressive autonomy and enhancing interprofessional relationships critical in the emergency medicine setting.
Mission and Aims
Mission
To train caring, compassionate pediatric emergency medicine physicians who are: competent to provide the highest level of pediatric medical care for neonates, infants, children and adolescents; advocates for children and their families in terms of social, emotional and medical needs; educated to address the social determinants of health for children; and have the requisite skills and scientific background to pursue meaningful careers in pediatric emergency medicine.
Aims
To achieve our mission, the program aims to:
- Recruit highly qualified physicians to an academic Pediatric Fellowship program that embraces diversity, inclusion and equity as its core values.
- Foster critical thinking based on medical and scientific data, and provide the educational tools required for the fellows to acquire knowledge for expertise in their subspecialty field.
- Provide a curriculum of fundamental information concerning pediatric emergency medicine which allows the fellow to develop deep medical knowledge, patient care skills, and expertise in pediatric emergency medicine.
- Supervise, monitor and facilitate the educational process to assure fellows are well prepared to achieve their professional goals, including but not limited to, proficient subspecialty clinical practice, educational leadership opportunities and contribution to meaningful scholarship at the completion of their fellowship training.
- Provide robust education regarding the social determinants of children's health to ensure that fellows recognize the broad influence of social and economic disparities on health and healthcare policy in their daily clinical practice, educational opportunities and scholarship portfolios.
- Recruit high caliber pediatric academic faculty physicians who have the knowledge and expertise to provide a robust clinical learning environment with their programmatic niches and scholarship portfolios.
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Our Fellowship Program
The 3-year program is designed to meet ACGME training requirements in pediatric emergency medicine and research, while allowing fellows to adapt specific training based on career goals.
Core Clinical Rotations:
EM Graduate Track: Fellows are required to complete 76 weeks (19 EUs) of core clinical rotations over the 3-year fellowship. Core clinical rotations include Pediatric Emergency Medicine, NICU, PICU, Anesthesia, Orthopedics, Emergency Medical Services and Pediatric Ambulatory Services.
Pediatric Graduate Track: Fellows are required to complete 76 weeks (19 EUs) of core clinical rotations over the 3-year fellowship. Core clinical rotations include Pediatric Emergency Medicine, Anesthesia, Orthopedics, Adult Emergency Medicine and Emergency Medical Services.
Individualized Curriculum (IC): Fellows are granted 20 weeks (5 EUs) for individualized curriculum over the 3-year fellowship program. Blocks can be divided into 2-week, or 4-week blocks based on the fellow’s individual goals and/or preferences.
- Cardiology — Inpatient/Outpatient
- Cardiac Intensive Care Unit (CICU) — Inpatient
- Gastroenterology — Inpatient/Outpatient
- Infectious Disease — Inpatient/Outpatient
- Hematology/Oncology — Inpatient/Outpatient
- Endocrinology — Inpatient/Outpatient
- Pulmonology — Inpatient/Outpatient
- Child Advocacy/Child Abuse — Outpatient
- Pediatric Radiology — Inpatient
- Pediatric Ultrasound — Inpatient
- Ophthalmology — Outpatient
- Pediatric Critical Care Unit — Inpatient
- Transport Medicine
- Advanced Anesthesia/Pain Management
- Medical Education/Simulation
- Neurology — Inpatient/Outpatient
- Nephrology — Inpatient/Outpatient
- Pediatric Surgery — Inpatient/Outpatient
- Plastic Surgery/Wound Management — Outpatient
Research and Scholarship: Fellows are required to complete 48 weeks (12 EUs) dedicated to scholarly activity over the 3-year fellowship including the development of requisite skills, project completion, and presentation of results to the Scholarship Oversight Committee and Pediatric Emergency Medicine Division.