Washington University/B-JH/SLCH Consortium Program

The Pediatric Emergency Medicine Fellowship at Washington University in St. Louis offers a robust educational experience for candidates aspiring to become expert clinicians specializing in the care of children with acute illnesses and injuries. This program is strategically designed to develop fellows into master clinicians through an emphasis on clinical training, teaching, and research endeavors. With ACGME accreditation, the program is affiliated with top-ranked hospitals that provide a comprehensive learning environment.

The fellowship aims to individualize learning experiences, allowing fellows to pursue personalized career paths aligned with their interests. The program is enhanced by its partnership with St. Louis Children’s Hospital (SLCH), the only American College of Surgeons designated pediatric level 1 trauma center in Missouri, which sees around 58,000 emergency visits annually. Additional clinical training occurs at Barnes-Jewish Hospital, noted for its significant patient volume and comprehensive services in emergency medicine 1.

Curriculum Overview

The Pediatric Emergency Medicine Fellowship encompasses a comprehensive curriculum that includes required clinical rotations, mentorship, and didactic sessions. The program is noted for its flexible elective time which enables fellows to gain experience in subspecialties pertinent to their career goals. Key components of the didactic curriculum include board reviews, core PEM topics, subspecialty conferences, simulation workshops, and education series 1, 4.

Clinical Experience

The clinical experiences provide fellows with extensive hands-on opportunities in pediatric emergency settings. Clinical rotations primarily occur at SLCH, where fellows engage with experienced PEM faculty within a dynamic emergency department staffing model involving pediatric specialists and a multidisciplinary support team. The program permits participation in international rotations or other specialized experiences pending approval from the program director 3.
Fellows are required to complete a minimum of six months of pediatric rotations, alongside elective rotations across various departments at SLCH and Barnes-Jewish Hospital. Moonlighting opportunities and four weeks of vacation annually are also provided, enhancing work-life balance during the fellowship period 3.

Research Opportunities

Research is a core element of the fellowship, with an emphasis on fostering skills necessary for conducting impactful clinical investigations. Fellows are assigned dedicated research mentors and are expected to complete a scholarly project that adheres to American Board of Pediatrics requirements. Research efforts are supported by ample resources, including patient enrollment assistance and access to multicenter networks like PECARN and PEM CRC, enhancing collaborative research opportunities 5.

Application Process

For admission to the Pediatric Emergency Medicine Fellowship, candidates must fulfill specific application criteria, including submission through ERAS of a curriculum vitae, personal statement, letters of recommendation, and USMLE Step scores. The main application deadline is set for August 31, 2024, with a preliminary screening by a divisional committee 2. The program is competitive and welcomes candidates from diverse backgrounds, including those who are DO or IMG. The fellowship accepts J-1 visas, which provides vital support for international applicants in the residency process 2.

Unique Aspects of the Program

The fellowship is distinguished by its emphasis on education and mentorship. Fellows gain essential teaching skills through structured feedback and participation in various formal conferences and workshops throughout the training period. The Division of Emergency Medicine integrates advanced training opportunities in ultrasound and quality improvement initiatives, ensuring a well-rounded preparation for future clinical challenges 4.

Leadership and Support

The leadership of the fellowship program comprises several dedicated faculty members who are committed to fostering a supportive educational atmosphere. The program encourages interaction and learning through various departmental activities, including conferences and mentoring sessions 6.

Fellowship Life in St. Louis

St. Louis offers a vibrant environment both professionally and personally for fellows. The city is rich in cultural diversity and provides ample recreational and social activities. Programs are also in place to promote wellness and inclusivity, contributing to a fulfilling fellowship experience 1.