Curriculum

Clinical Training
 

The PEM Fellowship Program consists of the following components. Each fellow will be assigned to these various components in an educationally appropriate sequence over the usual thirty-six (36) months of training. The training includes rotation in pediatric emergency departments (6 months per year), adult emergency departments (4 months during the course of fellowship), a month in pediatric intensive care unit and 2-4 weeks in sedation and anesthesia. One month of adult ED experience is focused on trauma management and one month is focused on toxicology and emergency medical services. This curriculum is based on providing first year fellow with high degree supervision during direct patient contact and treatment, and providing second and third year fellows more independent working and graded supervisory responsibility for the pediatric and emergency medicine residents, medical students, and their patients. The second and third years of fellowship provide more time for administrative responsibilities and dedicated research time.

Research and Scholarly Activites

The trainee meets formally during the first months of training with Division faculty to discuss research goals and possible projects. Following these one-on-one discussions, the trainee will choose a mentor, and start development of a formal research project. The outline for this project will be completed before the end of the first year, and then implemented during the second and third years. In some cases, implementation can begin during the first year of training.

Throughout the three years of training, the trainee will receive informal and formal training in research methodology, research ethics, biostatistics, scientific publication preparation, and grant writing. It is expected that trainees will acquire the skills to submit strong applications for grant funding.

Goals
 

• To gain the capacity to conceive, formulate and carry out a basic independent clinical science research project (or participate in a project of substantive scholarly exploration) in the field of emergency medicine, which will serve as a basis for a career.
• To learn the essentials of proper data collection and analysis, including the proper use of statistical methodology.
• To learn to write medical literature coherently in order to facilitate communication of scientific information.
• To be able to present original research in an open forum (P.R.E.S.S., Pediatric Academic Societies annual meeting, AAP section of Emergency Medicine meeting).
• To understand the fundamentals of grant applications, Institutional Review Board (IRB), and administration.
• To seek support from Center for Care and Innovation and Research (CCIR).

Objectives

By the end of training, the PEM fellow will have demonstrated competency in scholarly activity by:

• Completing the Pediatric Core Curriculum For Subspecialty Residents requirements or completing the Emergency Medicine Basic Research Symposium (EMBRS) course
• Submitting original abstracts to:
  Ø        The Department of Pediatrics Annual Fellows’ Research Symposium (PRESS)
  Ø        National pediatric/emergency medicine meetings (i.e., PAS, AAP, etc.)
• Presenting original projects annually at AAP PEM Fellows’ Conference
• Generating a specific written scholarly activity work product approved by the individual’s Scholarship Oversight Committee. Examples include, but are not limited to:
  Ø        A peer-reviewed publication in which the fellow played a substantial role
  Ø        An in-depth manuscript describing a completed project
  Ø        A thesis or dissertation written in connection with the pursuit of an advanced degree
  Ø        A progress report for projects of exceptional complexity, such as a multi-year clinical trial

Guidelines for Expectations of Progress in Research and Scholaraly Activities

First Year Fellows are expected to:

 Second year Fellows are expected to:

Conferences:

Conference	Frequency
REQUIRED: Fellows conference- first hour of bimonthly staff meetings	2x/mo.
REQUIRED: Metro conference (monthly) Fellows are expected to present cases at each Metro conference and each fellow is required to present a minimum of four cases per year.	1x/mo
REQUIRED: Journal club at above meeting every quarter	4x/yr.
REQUIRED: Monthly fellow topic discussion after Metro conference.	1x/mo.
REQUIRED: Meeting with Fellowship Coordinator after staff meeting	1x/mo.
REQUIRED: Fellowship educational meeting at UMN	1x/mo.
REQUIRED: Core Curriculum lectures at University of MN	6x/yr.
REQUIRED: courses of BLS, ACLS, PALS, PALS instructor, ATLS and “Benchmark lab”	1x during the course of Fellowship
AAP/PEM Fellows’ conference. Fellows are encouraged to attend every year and at minimum, once in the duration of fellowship.	1x/yr.
ACEP research workshop, Emergency Medicine Basic Research Skills (EMBRS)	1x during the course of Fellowship
Attendance at pertinent Grand Rounds	Held 4x/mo.
Toxicology Journal club and core lectures at Regions’ Hospital	Held 4x/mo.

Teaching Responsibilities

Ongoing clinical and scholarly educational programs include the following:

Core PEM Topics to Cover Every 2 Years

(3 meetings per month- Children's Minneapolis, St.Paul, PEM University of Minnesota)