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Fellowship Program Information

Fellow Role by Year

  • First Year (First 6 months)
    • Pick up patients and manage those patients without a resident to learn EPIC and hospital processes
    • Pick up patients requiring procedures (laceration repair, abscess incision and drainage, lumbar puncture) in order to demonstrate proficiency (will need to be signed off by your attendings and required numbers will be provided)
    • Supervise resident procedures (after having been signed off on proficiency
    • Respond to overhead pages for physician assistance
    • Escort critically ill patients to the PICU and CT scanner
    • Active participation in traumas
      • Complete the primary assessment
      • Assist the resident with the secondary assessment
      • Develop a plan for orders and radiology studies
    • Enroll patients in ongoing research studies
  • First Year (Last 6 months)
    • All of the above
    • Staffing one pediatric resident on the A or B team (upon approval from fellowship leadership)
    • Bedside teaching with the residents on interesting cases
  • Second Year
    • All of the above
    • Staffing 1-2 residents on the B team
    • Assist the OTL with maintaining flow in the ED (utilization of the internal waiting room and ortho chairs)
    • Trauma:
      • Teaching residents to perform the primary assessment
      • Teaching residents to perform the secondary assessment
      • Developing a plan with the critical care team prior to patient arrival
      • Following through with orders, organizing steps in patient care
  • Third Year
    • All of the above
    • Fellow shifts:
      • Staffing 1-2 residents on the B team
        • Supervising procedures
        • Taking transport calls and OSH consults
        • Maintaining ED patient flow
        • Leading the trauma team (as appropriate)
        • Pretending shifts (2 per ED month):
      • Staffing the A team residents
        • Maintaining ED patient flow on A team
        • Communication with hospitalist/PICU/sub-specialty accepting physicians
        • The attending will assist the fellow by supervising resident procedures and taking transport/OSH Medi-phone calls as necessary

Clinical Rotations

  • Clinical sites

    Our fellows rotate at a number of clinical sites in the DFW Metroplex

  • Rotations
    • Pediatric Emergency Medicine (PEM)

      Fellows complete 5 PEM rotations per year in the CMC Dallas ED. First-year fellows begin their training as “super-residents,” with transition to the full fellow role by the second half of their first year. Fellows take transport calls from outside facilities, oversee residents, perform procedures, and work alongside attendings to manage flow in the ED.

      First-year fellows average 14 shifts per PEM block, second-year fellows average 13 shifts per PEM block, and third-year fellows average 12 shifts per PEM block. Shifts are scheduled for 9 hours, with one hour of overlap provided for finishing tasks and handoff to the oncoming fellow. For second and third-year fellows, several shifts per month are designated “procedure shifts,” with the opportunity to perform procedure in all areas of ED.

      Pediatric Emergency Medicine

    • Adult Emergency Medicine

      PEM Fellows complete their adult emergency medicine rotations at Texas Health Resources Harris Methodist Fort Worth, focusing on procedural experience not as common in pediatric patients.

    • Research

      First and second year pediatric-trained fellows complete 3 research months per year; third year fellows have 6 research blocks. Fellows are scheduled for ED shifts during their research months, albeit fewer than during a PEM block. All fellows average 8 ED shifts during each research month.

    • Pediatric Intensive Care (PICU)

      First year pediatric and EM-trained fellows spend 1 month in the CMC Dallas PICU, functioning as a fellow on a PICU team.

      Pediatric Intensive Care (PICU)

    • Trauma

      First year pediatric-trained fellows spend 1 month in the Methodist Dallas ED, with the opportunity to refine ATLS skills and perform procedures.

      Trauma

    • Anesthesiology

      First year fellows spend 1 month on anesthesia at CMC Dallas.

      Anesthesiology

    • Orthopedics

      First year pediatric-trained fellows spend 1 month at Scottish Rite for Children.

      Orthopedics

    • Transport/EMS

      Second and third year fellows schedule a transport shift once monthly during PEM months.

      Second year fellows spend 2 weeks on an EMS rotation during their REACH/EMS block.

      Transport/EMS

    • REACH

      Second year fellows spend 2 weeks at the Referral and Evaluation of At Risk Children (REACH) clinic with certified Child Abuse providers.

      Reach Clinic at Children's

      REACH

    • Toxicology

      Second-year fellows spend a month with the North Texas Poison Center.

      Toxicology

    • Ultrasound

      Ultrasound is introduced to first-year fellows during orientation and throughout the year; fellows are encouraged to incorporate the use of ultrasound into their clinical shifts. Regular feedback on fellow scans and one-on-one teaching sessions are provided by Dr. Michael Cooper, Director of Clinical Ultrasound for the division of emergency medicine. Second-year fellows spend a month at Parkland refining their ultrasound skills.

      During the ultrasound month, fellows participate in regular didactics and scanning sessions with Parkland faculty. Fellows can also schedule scanning shifts at CMC Dallas in addition to those at Parkland.

      Ultrasound

    • NICU

      EM-trained fellows spend one month with the Neonatal Resuscitation Team at Parkland, refining NRP skills through attendance at deliveries.

    • Pediatric Inpatient Hospital Medicine

      EM-trained fellows spend one month on various inpatient medicine services, expanding their understanding of pediatric care and the management of complex pediatric conditions.

    • Pediatric Outpatient Medicine

      EM-trained fellows spend 1 month at various outpatient pediatric clinics, namely the complex care clinic, in order to gain more experience with pediatric patients and the nuances of outpatient care.

    • CVICU-Cards

      EM-trained fellows spend 1 month with the CVICU and Cardiology teams to gain more experience with pediatric cardiac concerns and management of congenital heart disease.

Research and Quality Improvement

Educational Opportunities

  • Fellowship Didactics

    Once weekly, from 8a-12p, fellows participate in a protected educational conference. Faculty and guest speakers provide lectures on topics relevant to each month’s theme, and fellows give a variety of presentations throughout the year. Fellow presentations include journal club (an in-depth review of a pertinent article with a faculty mentor), journal scan (a brief review of significant recent publications), case report, fellow lecture, peer review, and M&M conference.

    We collaborate with other pediatric emergency medicine programs in the state of Texas to organize quarterly joint PEM fellow conferences. We discuss relevant educational topics as well as career development topics such as mentorship and interviewing.

  • Simulation

    Once monthly, fellows participate in a high-yield simulation. Simulations take place either in the ED or the CMC Dallas simulation center.

  • Resident Education

    Fellows are encouraged to participate in resident education daily in the ED, as well as in a more formal lecture setting through weekly ED resident conferences and pediatric resident noon conferences. Fellows are frequently invited to participate as facilitators in EM and Family Medicine resident simulation days as well.

  • Multidisciplinary Education

    PEM fellows and attendings participate in a weekly multidisciplinary conference with the UTSW Department of Pediatrics. Fellows and faculty are invited to present at this conference when an ED case is discussed.

    The ED and PICU participate in periodic joint conferences and M&M’s to discuss mutual cases; fellows are also invited to present cases for these discussions.

  • Administrative Opportunities

    Each fellow is expected to take on an administrative role within the fellowship program. Examples include “Hot Topic” (monthly board review) facilitator, recruitment, website development, social media, and Program Evaluation Committee (PEC).

    Each year, one member of the 3rd year class serves as the chief fellow, working closely with the fellowship administration to facilitate scheduling, education, and general program advancement.

Contact Us

Jo-Ann Nesiama, M.D.

Jo-Ann Nesiama, M.D.

Associate Professor

Director, Pediatric Emergency Medicine Fellowship Program

Sing-Yi Feng, M.D.

Sing-Yi Feng, M.D.

Associate Professor

Associate Director, Pediatric Emergency Medicine Fellowship Program

Geoffrey Lowe, M.D.

Geoffrey Lowe, M.D.

Assistant Professor

Assistant Director, Pediatric Emergency Medicine Fellowship Program

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Amy Park

Coordinator, Pediatric Emergency Medicine Fellowship Program

amy.park@utsouthwestern.edu

 

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