A Roadmap for the Student Pursuing a Career in Pediatric Emergency Medicine.

TitleA Roadmap for the Student Pursuing a Career in Pediatric Emergency Medicine.
Publication TypeJournal Article
Year of Publication2019
AuthorsLeetch AN, Glasser JA, Woolridge DP
JournalWest J Emerg Med
Date Published2019 Dec 09
ISSN Number1936-9018
KeywordsCareer Choice, Child, Critical Care, Curriculum, Emergency Medicine, Emergency Service, Hospital, Fellowships and Scholarships, Humans, Internship and Residency, Pediatric Emergency Medicine, Students, Medical

INTRODUCTION: Three pathways are available to students considering a pediatric emergency medicine (PEM) career: pediatric residency followed by PEM fellowship (Peds-PEM); emergency medicine residency followed by PEM fellowship (EM-PEM); and combined EM and pediatrics residency (EM&Peds). Questions regarding differences between the training pathways are common among medical students. We present a comparative analysis of training pathways highlighting major curricular differences to aid in students' understanding of these training options.

METHODS: All currently credentialed training programs for each pathway with curricula published on their websites were included. We analyzed dedicated educational units (EU) core to all three pathways: emergency department (ED), pediatric-only ED, critical care, and research. Minimum requirements for primary residencies were assumed for fellowship trainees.

RESULTS: Of the 75 Peds-PEM, 34 EM-PEM, and 4 EM&Peds programs screened, 85% of Peds-PEM and EM-PEM and all EM&Peds program curricula were available for analysis. Average Peds-PEM EUs were 20.4 EM, 20.1 pediatric-only EM, 5.8 critical care, and 9.0 research. Average EM-PEM EUs were 33.2 EM, 18.3 pediatric-only EM, 6.5 critical care, and 3.3 research. Average EM&Peds EUs were 26.1 EM, 8.0 pediatric-only EM, 10.0 critical care, and 0.3 research.

CONCLUSION: All three pathways exceed pediatric-focused training required for EM or pediatric residency. Peds-PEM has the most research EUs, EM-PEM the most EM EUs, and EM&Peds the most critical care EUs. All prepare graduates for a pediatric emergency medicine career. Understanding the difference in emphasis between pathways can inform students to select the best pathway for their own careers.

Alternate JournalWest J Emerg Med
PubMed ID31913812
PubMed Central IDPMC6948678
Faculty Reference: 
Aaron N. Leetch, MD, FACEP
Dale Woolridge, MD, PhD, FACEP