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Emergency Medicine - Fellowship


 
View from Denver's City Park
 
Overview
 
The primary focus of our training program is to provide comprehensive training in Pediatric Emergency Medicine (PEM) to allow the graduate to independently manage all problems that would fall under the purview of a Pediatric Emergency Medicine subspecialist. Fellows rotate primarily through Children’s Hospital Colorado (Children's Colorado) located on the Anschutz Medical Campus. Children's Colorado is the only free-standing, tertiary care pediatric hospital in Colorado and the only Level 1 Regional Pediatric Trauma Center in the state. The emergency department sees approximately 70,000 visits annually, with over 1200 patients meeting trauma registry criteria. Fellows also rotate through Denver Health Medical Center (DHMC) for general Emergency Medicine training, including Toxicology, and an Ultrasound Mini-Fellowship. Under the supervision of a large and diverse faculty, trainees gain exposure to patients with a broad spectrum of clinical problems. Learning from direct patient care is augmented by a comprehensive series of lectures and conferences focused on Pediatric Emergency Medicine.

 

To prepare trainees to function as effective Pediatric Emergency Medicine subspecialists upon completion of their fellowship, the fellows assume graduated responsibility for patient care over the course of their three years. Fellows are directly supervised by Pediatric Emergency Medicine and Emergency Medicine faculty during their clinical ED rotations.

 

Call Responsibilities

There is no in-house call except for the month of Pediatric Critical Care during the first year

when the fellow is on no more than every fourth night and averages every fifth night.

 
Clinical Schedule
 
 
Overview
 
The program seeks to provide comprehensive scholarly training that prepares all trainees with the background and skills to compete for academic faculty positions at the completion of their fellowship.
 
The expectation of this fellowship program is that graduates will have completed a research or complex scholarly project during their three years including presentation of the research project at a national meeting, such as the American Academy of Pediatrics fall meeting or the Pediatric Academic Societies spring meeting, and publication of a first author manuscript.
 
Research Infrastructure
 
The Section has a full-time research coordinator and biostatistician who are available for assistance with study design, IRB applications, database management, statistical analysis, abstract, and manuscript submission. Currently, there is research assistant coverage for 10-16 hours per day in the ED for study enrollment and data collection including fellow projects.
 
Timeline for Pediatric-trained PEM fellows
PEM Fellowship Year 1:
  • Choose a mentor and research project with the help of the Program Director and Research Director by the winter/spring of the first year
  • Presentation at EDRC (Emergency Department Research Conference) and/or CEMRC (Combined Emergency Medicine Research Conference with Emergency Medicine
  • colleagues at Denver Health Medical Center and the University of Colorado) for feedback
  • Presentation at the National PEM Fellow Conference
  • Presentation of idea to Scholarship Oversight Committee
  • Preparation of Colorado Multiple Institutional Review Board (COMIRB) proposal
PEM Fellowship Year 2:
  • Apply for funding if possible or necessary
  • Supervise patient enrollment and data collection
  • Poster presentation of research study progress at the annual Department of Pediatrics Spring Poster Session
  • Presentation of progress to Scholarship Oversight Committee
  • Submission of an abstract to a national scientific meeting
PEM Fellowship Year 3:
  • Conclude patient enrollment
  • Analyze and interpret data
  • Submission of an abstract to a national scientific meeting
  • Preparation and submission of a paper for publication in a peer-reviewed journal
  • Presentation of progress to Scholarship Oversight Committee who will determine if the fellow has met board certification requirements
  • Poster presentation of research study progress at the annual Department of Pediatrics Spring Poster Session
National Research Networks
The University of Colorado Denver/Children's Colorado is a member of PECARN, the Pediatric Emergency Care Applied Research Network. PECARN is a federally funded pediatric emergency medicine research network conducting multi-institutional research on the prevention and management of acute illness and injuries in children and youth of all ages. For more information: http://www.pecarn.org/
 
Several faculty are members of PEM CRC, the PEM Collaborative Research Committee, a subcommittee of the American Academy of Pediatrics Section on Emergency Medicine. PEM CRC is an unfunded volunteer effort which provides a framework for multicenter investigation. It provides a means of developing protocols and identifying interested co-investigators at over 40 member sites.  For more information: http://www.pemcrc.org/
 
Local Research Support
 
The Colorado Clinical and Translational Sciences Institute is a collaborative enterprise between University of Colorado Denver, University of Colorado at Boulder, six affiliated Hospitals and health care organizations, and multiple community organizations with resources to promote research and training that will advance health care and improve the public health. Through the CCTSI, Clinical Translational Research Centers (CTRCs) have been established at several affiliated hospitals, including Children's Colorado, University of Colorado Hospital, and Denver Health Medical Center. The CTRC also offers biostatistical collaboration/consultation for study design, including sample size and power calculations, data analysis,
 
Specialty-Specific Curriculum
 
Fellows participate in several educational seminars focused on Pediatric Emergency Medicine. Below is the list of conferences:
 
Pediatric Emergency Medicine Fellow’s Core Lecture Series: This series anchors the educational program and is scheduled for two hours on the first, second and fourth Tuesdays of the month. Attendance is mandatory. The primary focus of the series is to provide lectures on core clinical topics essential to the practice of Pediatric Emergency Medicine. A didactic lecture is paired with a self-learning exercise such as Journal Club, Journal Watch, Interesting Cases, EBM, and Board Review Questions.
 
Pediatric Emergency Medicine Fellows’ Research Education: This 1-2 hour educational series occurs monthly, facilitated by the associate research director for the Section of Pediatric Emergency Medicine. It encompasses didactic and group learning exercises which will ensure core knowledge of basic epidemiology, biostatics, research methods, specific research project assistance, presentation, abstract and manuscript writing.
 
Pediatric Emergency Medicine Toxicology Curriculum: In addition to their month in toxicology, fellows get longitudinal toxicology education provided by our faculty toxicologist through 1 hour didactics or facilitated self-directed learning exercises every 6 weeks.
 
PEM and PED Multidisciplinary Simulation: Occurs twice monthly. Fellows take on the role as team leader in high fidelity simulations with ED staff in managing acute patients, honing communication and teamwork skills. Facilitated by CHCO Simulation Center staff.
 
Combined PICU-ED Conference: This conference occurs quarterly between the Sections of Pediatric Emergency Medicine and Critical Care. Conferences alternate between M&M discussions of the management of critically ill patients and Journal Club.
 
Pediatric Resident ED Educational Series: This session occurs twice montly. Allows PEM fellows to teach housestaff and other trainees through didactic lectures, simulated resuscitations, and interactive discussions of interesting patients.
 
Trauma Conference: This seminar series occurs monthly through the Trauma Program and focuses on topics broadly relevant to the care of critically injured pediatric patients including presentations from trauma surgeons, subspecialty surgeons, rehabilitation specialists, intensivists, emergency medicine physicians, and EMS providers.
 
 
Section or Departmental Conferences
 
Morbidity and Mortality Conference: Monthly conference. Difficult cases are presented by ED providers, with particular attention given to identifying systems issues affecting outcome, process improvement, and medical management.
 
 PEM Faculty Administrative Staff Meeting: Fellows are exposed to a variety of administrative issues through the faculty meetings which occur twice a month.
 
Combined Pediatric Morbidity and Mortality Conference: This conference occurs quarterly and is attended by faculty from Children's Colorado, Denver Health Medical Center, and the University of Colorado Emergency Medicine program.
 
Radiology Discrepancy Conference: This conference takes place every other month to review X-rays interpreted incorrectly by the ED, as well as interesting radiologic findings.
 
Pediatric Grand Rounds: These presentations occur weekly during the academic year. Speakers include CU faculty and invited guests who are nationally and internationally recognized experts in pediatric-related topics.
 
Additional Graduate Coursework
 
A mini-certificate or a MPH degree may be obtained at the Colorado School of Public Health (collaboration between University of Colorado Denver, Colorado State University and the University of Northern Colorado). For more information: www.publichealth.ucdenver.edu . The certificate program requires 15 hours of graduate work and the MPH requires 42 hours of graduate work. This requires extra time commitment as the clinical and elective requirements remain unchanged. Funding is not fully supported by the department.
 
 
Scientific Meetings
 
Pediatric Emergency Medicine fellows are encouraged to attend national scientific meetings throughout their fellowship. The first year fellows are supported to attend the National PEM Fellows Conference. Among the meetings attended by Pediatric Emergency Medicine fellows are the Pediatric Academic Societies spring meeting and the American Academy of Pediatrics fall meeting. The Section supports travel to any national meeting for which the trainee has an oral presentation.
 

 

Eligibility
 
We particularly hope to attract applicants who are motivated and self-directed learners who want to develop academic careers based on excellence in research, scholarship, education and clinical Pediatric Emergency Medicine. To be considered for admission to our program, applicants must have successfully completed training in an ACGME-accredited residency program in Pediatrics or Emergency Medicine.
 
Required Application Materials
  
All application material should be submitted through the Electronic Residency Application Service(ERAS) We participate in the National Residency Matching Program (NRMP) and typically do not offer any positions outside of the match. Required application materials include a completed ERAS common application form, curriculum vitae, a USMLE (or COMLEX/ECFMG) transcript, a personal statement addressing your interest in Pediatric Emergency Medicine, and 3 letters of recommendation (one preferably from a PEM fellowship director).
 
Dates to Remember
 
Applications will be accepted as soon as the ERAS Post Office opens on July 1st and end on August 27th. Additional dates for the Pediatric Emergency Medicine fellowship match are provided below. Please visit the NRMP website for additional information.
 

 

Interview Dates
 
Competitive applicants are offered on-site interviews, which will take place on Wednesdays starting late September through October, 2014.  Interview days generally last from 8am-3pm.
Salary and Benefits
The University of Colorado offers salary and benefits packages that are competitive with other fellowship programs across the country. Current salary levels can be found at the School of Medicine - Graduate Medical Education Stipends
Please address further questions to:
Tien Vu, MD
Fellowship Program Director, Section of Emergency Medicine
University of Colorado School of Medicine
E-mail:
Tien Vu  
Michelle Gruver
Fellowship Coordinator, Section of Emergency Medicine
E-mail:Michelle.Gruver@childrenscolorado.org

 
Emergency Medicine Fellows
(Left-Right): Timothy Vanderkooy (PGY5, 1st year), Tara Neubrand (PGY6, 3rd year), Nidhya Navanandan (PGY5, 2nd year), Sarah Mellion (PGY6,3rd year), Sarah Schmidt (PGY5, 2nd year) Adam Johnson (PGY5, 1st year).
 
First Year Fellows
Adam Johnson, MD
Residency: University of Alabama at Birmingham Pediatrics residency program
Medical School: University of Florida College of Medicine
Research Interest: TBD

Contact: Adam.Johnson

 
Timothy Vanderkooy,MD
Residency: University of Michigan Emergency Medicine Residency Medical School: Wayne State University School of Medicine Research Interest:TBD

Contact: Timothy.VanderKooy

Second Year Fellows
Nidhya Navanandan, MD
Residency: Ann and Robert H. Lurie Children's Hospital Chicago/Northwestern University
Medical School: Feinberg School of Medicine, Northwestern University
Research Interest: asthma, medical education, QI
Contact:
Nidhya.Navanandan
 
Sarah Schmidt, MD
Residency: University of Colorado Pediatrics residency program
Medical School: University of Virginia School of Medicine
Research Interests: Simulation, sepsis, medical education, QI
Contact:
Sarah.Schmidt
 
Third Year Fellows:
Sarah Mellion, MD
Residency: University of Utah Pediatric Residency
Medical School: University of Cincinnati College of Medicine
Research Interest: Sedation
Contact:
Sarah.Mellion
 
Tara Neubrand, MD
Residency: University of Colorado Pediatric Residency Program
Medical School: University of Texas Medical Branch of Galveston
Research Interest: Fascia iliaca compartment nerve blocks for acute femur fractures Contact: Tara.Neubrand