Specialty Training Curriculum. Fellowship in Pediatric Emergency Medicine. Fellowship Program Director: Dr. Quang Ngo. July 2016

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1 Specialty Training Curriculum Fellowship in Pediatric Emergency Medicine Fellowship Program Director: Dr. Quang Ngo July 2016 Division of Pediatric Emergency Medicine Department of Pediatrics McMaster Children s Hospital 1200 Main St. W., Hamilton, ON, L8N 3Z , ext qngo@mcmaster.ca 1

2 Contents: 1. Program Highlights 2. Goals of Training 3. Entry Requirements 4. Selection Process 5. Duration of Training 6. Curriculum 7. Training Sites 8. Supervision and mentorship 9. Funding 10. Application 2

3 1. Program Highlights The Emergency Department at McMaster Children s Hospital is a new, state of the art space built in 2012, which currently sees approximately patients per year with a large number of high acuity patients (15% CTAS I and II). The hospital serves as the tertiary care referral center for South Central Ontario with a population of over 2.3 million people and also serves as the regional pediatric trauma center. While all subspecialty support exists with the exception of pediatric cardiac surgery, complex patients remain the responsibility of the Pediatric Emergency Medicine (PEM) fellow. The core strength of the department lies in the educational diversity of its faculty. Over ¾ of the core faculty are certified in PEM (Royal College and American) with the remaining faculty trained in emergency medicine and pediatrics having extensive experience in PEM. They also bring expertise in subspecialty areas such as sports medicine, point of care ultrasound, child protection and simulation with options to pursue electives in all these disciplines. The PEM Academic Half Day is weekly and protected for fellows and emphasizes both didactic as well as experiential learning for clinical skills and resuscitation. Fellow level seminars are built into this program and emphasize more advanced teaching in preparation for independent clinical practice. Fellows are also involved in the teaching of Pediatric Advanced Life Support courses for the region. Journal club occurs bimonthly and fellows are invited to participate in PEM Consultant Rounds (AD&D) that occur monthly. 2. Goals of training: Upon the completion of training the fellow is expected to be prepared for a career in PEM as well as to successfully complete the Royal College of Physicians and Surgeons of Canada certification exam in PEM. We also aim 3

4 to provide trainees with the necessary foundation for success in an academic career, whether in education, research or administration. During the course of their training, the fellow will be expected to take on more of a leadership role in the educational activities of the department as well as to present a research or quality improvement project that they undertake and complete. Opportunities exist in the areas of quality assurance, education and clinical research that are ongoing in the department. Fellows will also be expected to present regularly at academic half days in addition to leading them as senior fellows. 3. Entry requirements: The fellowship program is designed for current residents or recent graduates of pediatrics or RCPSC emergency medicine. Recent graduates are required to submit an application form and comply with McMaster University Postgraduate Medical Education requirements for fellows ( They should also be eligible for a license to practice medicine in Ontario. Residents from a Pediatrics residency should have completed 3 years training by the start date of the fellowship. Emergency Medicine trainees should have completed 3 years of training prior to the start of their fellowship and can have their fellowship training divided into 2 non contiguous blocks of training. 4. Selection Process: We are looking for highly motivated applicants with strong interpersonal skills. They should have a demonstrated drive for clinical excellence and display a commitment to a future career in pediatric emergency medicine. All applications require a personal letter outlining previous experience as well as commitment to a career in PEM. A curriculum vitae and 3 letters of reference are also required. Electives done at McMaster are not a requirement. Late applications will be considered only in extenuating circumstances. 4

5 Selected applicants will be contacted by or phone to arrange for an interview and site visit. If circumstances where travel to Hamilton is not possible, videoconferencing will be available. Deadline for application: Interview dates: 5. Duration of the training: The program is 2 years in length and follows Royal College of Physicians and Surgeons of Canada training requirements. 6. Curriculum The academic year at McMaster University consists of 13 four week blocks and rotation requirements vary depending on the training background of the fellow. Regardless of training background, fellows will complete 13 blocks of Pediatric Emergency Medicine. Pediatrics entry PEM (13 blocks), Anesthesia (1 block), PCCU (1 block), Orthopedics (1 block), Plastic Surgery (1 block), Adult EM (1 block), Trauma (1 block), Toxicology (1 block), EMS (1 block), Radiology/US/Child Protection (1 block), Electives (2 blocks), Research/Administration (2 blocks) Emergency Medicine entry PEM (13 blocks), NICU (1 block), PCCU (1 block), Toxicology (1 block), Pediatric Medicine (1 block), EMS/Child Protection (1 block), Orthopedics (1 block), Plastic Surgery (1 block), Radiology/US (1 block), Electives (3 blocks), Research/Administration (2 blocks) PEM blocks will be evenly distributed between the 1 st and 2 nd year of the fellowship. The fellowship is virtually divided into 4 stages in which the trainee is expected to increase their independence. They begin as senior trainees working under the direct supervision of the PEM consultant, to senior trainees with increasing responsibility in 5

6 the teaching of other trainees. In the second year, the trainee will progress to the role of junior consultant with increasing independence in the management of patients and finally to a junior consultant who manages the flow of the department while working in parallel with the PEM consultant. At this point, they will also receive a shift reduction in order to participate in Trauma Team Leader call under the supervision of a PEM faculty. PCCU will be scheduled in the 1 st year of training in order to develop a working relationship with the acute care consultants that the fellow will interact with throughout the rest of their training. A research block will be scheduled in each year of training. The trainee will be expected to complete a project for presentation at the local/national or international level. Administration is longitudinal throughout the program and includes a curriculum aimed at introducing the trainee to the diverse issues associated with a busy emergency department, including scheduling, quality assurance, patient relations etc. The academic half day curriculum follows a 2 year cycle covering the Royal College objectives. A quality improvement curriculum is delivered as a joint curriculum within the department of Pediatrics. High fidelity simulation is conducted both in lab and in situ in order to supplement high acuity/low frequency situations and procedures. Electives should be arranged in consultation with the program director. Examples include ophthalmology, ENT, sports medicine, ambulatory clinics, simulation education, international electives. Opportunities exist to pursue advanced degrees in clinical epidemiology and medical education. 7. Training Sites McMaster Children s Hospital Hamilton General Hospital Manitoba Poison Control Centre 6

7 Opportunities exist to do electives at other sites including New York Poison Control Center and Ontario Poison Control Center 8. Supervision and feedback In addition to regular meetings with the program director, the fellow will be encouraged to identify a mentor within the division who will serve as a mentor in both career and personal matters pertaining to the training program. While the program prefers that this relationship proceeds organically, trainees will be paired with an appropriate consultant if none is identified within a specified period of time. The program director will meet with the fellow formally quarterly to review clinical, educational and administrative progress. Clinical evaluation will occur formally in the form of daily shift evaluations and end of rotation evaluations. Direct observed clinical shifts will occur at least once per PEM block and consist of a PEM faculty shadowing the trainee for half a shift in order to directly observe their clinical skills for feedback. Teaching evaluations compiled on a half yearly basis (from presentations, academic half days, simulation etc.) will be reviewed for progression through the program. 9. Funding TBD. 10.Application Please see the link below for information on submission of applications. 7