special-programs

Pediatric Emergency Medicine

Pediatric Emergency Medicine Fellowship opportunities at North-Shore LIJ Health System draw on the vast resources of Cohen Children’s Medical Center on the Long island Jewish Medical Center campus in New Hyde Park, New York.

The Pediatric Emergency Medicine Fellowship is an ACGME accredited, three-year fellowship program (two years following an EM residency) that prepares physicians for an academic career to lead and further advance the field of Pediatric Emergency Medicine. Fellows receive comprehensive education and in-depth experience in clinical care, teaching, administration, and research.

The Cohen Children’s Medical Center Emergency Department (ED) serves approximately 35,000 children per year. It is designated by New York State as a Level 1 Pediatric Trauma receiving hospital. The department is staffed by twenty full and part-time Pediatric Emergency Medicine specialists, six (expanding to nine) fellows, as well as pediatric and Emergency Medicine residents with dedicated pediatric EM nursing staff. The new state-of-the-art Pediatric Emergency Department includes two trauma bays, thirty-three private examination rooms, a psychiatric holding unit, and two radiology suites and  a CT scanner.  In addition, a separate urgent care facility, staffed by pediatric attending physicians, is available seven days a week within the Children’s Hospital.


Pediatric Emergency Medicine Fellowship Goals

The main goals of the training program at Cohen Children’s Medical Center is to provide progressive clinical, teaching, research, and administrative experiences that will enable out fellows to acquire the expertise necessary to become an academic Pediatric Emergency Medicine physician. During the three-year fellowship program (two years following an EM residency), the fellow is expected to:

  • Become clinically proficient in the practice of Pediatric Emergency Medicine with emphasis on the acutely ill and injured child
  • Become competent in teaching other professionals, health care providers, and families about appropriate topics in their fields of expertise
  • Demonstrate competence in research
  • Become familiar with the administrative issues relevant to an Emergency Department

 

Pediatric Emergency Medicine Fellowship Program

Year 1

The emphasis during the first year of the Pediatric Emergency Medicine Fellowship program is the development of knowledge and clinical skills necessary to function as an effective care provider, supervisor, teacher/consultant, and researcher. Fellows are involved in direct patient care and also supervise pediatric and emergency medicine residents in the care of patients. These activities occur under the supervision of an attending physician. Fellows are also required to complete rotations in trauma, anesthesia, and critical care medicine.

Teaching is expected to consist of informal lectures which are critiqued by the faculty and senior fellows. Fellows begin learning about administrative issues in Emergency Medicine. They are also expected to attend an introductory research course in biostatistics, epidemiology, and study design that meets on a weekly basis. This course prepares the fellows to develop their own independent research project and enhances their ability to critically appraise the medical literature.

Year 2

The second year of our Pediatric Emergency Medicine Fellowship training has a dual focus. First, the fellows continue to refine clinical, teaching, research and administrative skills as they complete the required clinical rotations. During this year, the fellows also experience more supervisory time as they “double-cover” shifts with the faculty. Faculty members serve as supervisory mentors and thereby enhance clinical and teaching skills.

Additional responsibility is placed on the fellows to present more elaborate lectures to a variety of audiences, thus enabling them to strengthen their teaching skills. In the second year, it is expected that the fellows become more familiar with administrative issues related to the Emergency Department such as Performance Improvement, Policy and Procedure, and Disaster Planning. During the second year, fellows are given protected time, as needed, in order to allow for completion of the data collection for their research project.

Year 3

The final year of our Pediatric Emergency Medicine Fellowship training is designed to allow the fellows to fine-tune their clinical and administrative experience as well as complete their research projects. One-on-one teaching, academic lectures, and case presentation skills are also emphasized. Protected time is provided, as needed, to allow the fellows to complete their research projects. The balance of time is available for electives as well as supervisory time in the Emergency Department.


Pediatric Emergency Medicine Fellowship Conference Schedule

Weekly

  • Pediatric Emergency Medicine business meeting
  • Pediatric Emergency Medicine lecture series
  • Subspecialty didactic lectures
  • Fellow clinical conference

Monthly

  • Performance Improvement
  • Simulation exercises at the Center for Learning and Innovation (CLI)
  • Journal review
  • Research meeting
  • Board review
  • Skills workshops
  • PALS teaching


Pediatric Emergency Medicine Fellowship Curriculum & Sample Rotations

First Year Rotation Blocks

  • Pediatric Emergency Department 5.0
  • Anesthesia 1.0
  • Critical Care 1.0
  • Trauma 1.0
  • Fast Track 1.0
  • Toxicology 1.0
  • Pre-Hospital Care 0.5
  • Ultrasound 0.5
  • Research 1.0
  • Vacation 1.0

Second Year Rotation Blocks

  • Pediatric Emergency Department 4.0
  • Research 3.0
  • Critical Care 1.0
  • Adult Emergency Department 1.0
  • Adolescent GYN 0.5
  • Otolaryngology 0.5
  • Ultrasound 0.5
  • Child Abuse 0.5
  • Elective 1.0
  • Vacation 1.0

Third Year Rotation Blocks

  • Pediatric Emergency Department 4.0
  • Adult Emergency Department 1.0
  • Research 5.0
  • Electives 2.0
  • Vacation 1.0


Pediatric Emergency Medicine Fellowship Research

Research education, experience, and accomplishment are requirements of the program. Faculty members in the Division of Emergency Medicine participate in mentoring research activities, which include:

  • Research proposal development
  • Data collection and analysis
  • Presentation of research results locally and nationally
  • Manuscript preparation and publication

Fellows have an appropriate level of clinical, teaching, and administrative responsibility to allow time for the accomplishment of meaningful research.


Applying for Pediatric Emergency Medicine Fellowship

The North Shore-Long Island Jewish Pediatric Emergency Medicine Fellowship program currently accepts three fellows per year. The fellows are paid according to their PGY level. Clinical responsibilities in the Emergency Department do not exceed 36 hours/week.

The successful applicant will have satisfactorily completed residency training at an ACGME accredited program. Applications for Pediatric Emergency Medicine Fellowships are accepted for applicants who have successfully trained in Pediatrics or Emergency Medicine. The American Board of Medical Specialties (ABMS) has approved Pediatric Emergency Medicine as an official subspecialty of the above primary specialties. Interested individuals should apply through the ERAS system.

To obtain more information regarding the North Shore-Long Island Jewish Pediatric Emergency Medicine Fellowship program at Cohen Children’s Medical Center, please contact:

Robert Gochman, MD
Program Director, Pediatric Emergency Medicine Fellowship Program
Long Island Jewish Medical Center, Cohen Children’s Medical Center
270-05 76th Avenue
New Hyde Park, NY 11042
718-470-7640
rgochman@nshs.edu