Orientation Lecture/workshop Series:
Pediatric Emergency Department (PED)
During the first year, the fellow's responsibilities include precepting residents and medical students, running trauma and medical codes, answering medial control, as well as performing procedures and caring for patients. The total clinical hours are approximately 32 hours per week.
Fellows are given a month early in the year to read about and investigate topics they find of interest. During this month they meet regularly with their research mentor in order to develop an appropriate research project. Research requires continued effort throughout the fellowship years. However, this month of concentrated work allows fellows to determine the direction their research will take and to get a solid start on this aspect of the program. Once the fellow identifies an area of research interest we help in identifying a formal mentor for the fellow.
Adult Emergency Department
Boston Medical Center has a very busy Adult Emergency Department with an excellent emergency medicine residency. During this month, fellows work as residents under the supervision of emergency medicine attendings. They split their time between the non-acute and acute sides. Particular attention is paid to gaining skills in minor trauma, multiple procedures, gynecology, ophthalmology and orthopedics, as well as a wide variety of other adult medical problems. During the second half of the month our fellows act as the “procedure person” and have a formal role on the trauma team.
Fellows spend one month at the Regional Center for Poison Control and Prevention. They participate in toxicology rounds and provide telephone coverage for the poison control center. During the last two weeks of the rotation function as the toxicologist on call, with back-up from a PCC toxicologist.
In their first year, our fellows spend two months at Boston Children's Hospital developing skills in airway management and in caring for critically ill children. During their anesthesia month, fellows work in the operating room and have numerous opportunities to intubate and become familiar with induction and paralytic agents. In the ICU, fellows are responsible for the management of surgical and medical patients as well as transport calls.
Fellows are strongly encouraged to spend time throughout their fellowship working internationally in an underserved country as volunteer physicians. The program protects time for such work and covers travel expenses. This unique opportunity is newly offered in response to fellows' interests in gaining exposure to global medicine. Current fellows have traveled to Lesotho, Columbia and Cambodia to provide care in various types of medical settings.
In July, our fellows participate in a curriculum under the guidance of the Adult Emergency Department designed to teach the basics in a wide variety of surgical and nonsurgical techniques commonly used in emergency medicine This course includes a lab to learn placement of central lines, chest tubes and cricothyroidotomy splinting and suturing workshops, introduction to slit lamp use as well as ultrasound experience.
We have a structured curriculum with weekly educational meetings designed to meet the educational needs of our fellows. In addition, we have regular simulation activities for faculty and fellows. The fellows take part in our teaching series for residents and medical students.
Throughout the year, regular educational meetings in the Department of Pediatrics and the Adult Emergency Department afford multiple opportunities for cooperative learning, teaching and case discussion.