The Division of Emergency Medicine in the Department of Pediatrics at Northwestern University’s Feinberg School of Medicine offers training opportunities to fellows to develop excellent clinical and academic skills. This program, established more than 20 years ago, is accredited by the ACGME Residency Review Committee for Pediatrics. The program accepts two fellows each year. Fellows get a broad clinical experience caring for ill and injured children in the Emergency Department (ED) at Children’s Memorial Hospital. The ED is located in Chicago’s Lincoln Park neighborhood and has more than 61,000 annual pediatric visits. There is an on-site urgent care area that is staffed 16 hours/day. The hospital is a tertiary care referral center; ED patients include children from the community as well as those from the larger metropolitan area with subspecialty care needs. The patients are socioeconomically and racially diverse, representing a broad cross-section of Chicago children. Medical needs range from the simple and common to the complex and rare. The ED is a designated pediatric trauma center, one of four in the city of Chicago. It is equipped with an EMS Base Station, and it serves as a local as well as a regional referral center for pediatric trauma. Fifteen full-time pediatric emergency care physicians direct patient care and teach fellows, residents, and medical students. In addition to ED-based clinical training, fellows participate in electives to develop skills related to the provision of pediatric emergency care including anesthesia, critical care, pediatric surgery, and toxicology. Elective time is available during the second and third years to diversify the clinical experience as well as to work on research. An on-site medical simulation center is used for additional didactic training to complement clinical experiences. Fellows start their research projects during their first year. Although most choose clinical research projects, those interested in a bench laboratory experience have collaboration opportunities with researchers at Children's Memorial Research Center as well as at Northwestern University. It is anticipated that a project will be completed during fellowship and that the work will be presented at a national meeting. There is research time during ED clinical months as well as dedicated research time during which the fellow is free from clinical responsibilities. Resources include mentorship from faculty within the division as well as throughout the Department of Pediatrics. Assistance in study design and statistical analysis is also available through faculty in the Child Health Services Research Program. The clinical schedule can be adjusted to accommodate coursework needed to complete a Masters of Science in Clinical Investigation or a Masters of Public Health. Several of the faculty are in leadership positions in the Injury Control and the Emergency Medicine Sections of the American Academy of Pediatrics. Fellows’ are not assigned to clinical duties during “Fellow’s Conference,” which occurs for two hours each week. This conference, which also serves as the Division of Pediatric Emergency Medicine’s faculty education program, includes a core curriculum, research conference, an evidence based medicine forum, journal club, and morbidity and mortality conference. Fellows are exposed to division-specific administrative and quality activities and advocacy initiatives. Many additional optional conferences are available through the Department of Pediatrics including Grand Rounds (weekly), Firm Rounds (weekly), Outcomes Review Conference (monthly), and the Child Health Research Seminar Series (bi-monthly). Fellows improve their teaching skills by giving lectures to students and residents during the weekly PEM Resident Education Program. Faculty are present to provide feedback about the method and quality of presentation. Fellows also present topic lectures to peers and faculty during Fellows’ Conference, and participate in teaching in the Emergency Medicine Resident Lecture Series for the programs at Northwestern and at Cook County. Fellows also provide instruction in the ED to a broad variety of trainees. CMH is an education site for two emergency medicine and five family practice programs. Fourth-year medical students also participate as sub-interns in the ED. Nancy Irizarry (nirizarry@childrensmemorial.org) Division of Pediatric Emergency Medicine Children's Memorial Hospital 2300 Children's Plaza, #62 Chicago, IL 60614 773.975.8709 |