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Cornell Pediatrics

Emergency Medicine Fellowship Training Program

Casel.Komansky.10.11-521

The ACGME-accredited fellowship training program in Pediatric Emergency Medicine (PEM) at NewYork-Presbyterian Hospital/Weill Cornell Medical Center’s Phyllis and David Komansky Center for Children’s Health aims to build experts and leaders in the field of Pediatric Emergency Medicine (PEM). New York-Presbyterian/Weill Cornell Medical Center offers a uniquely diverse clinical environment, with mentorship from esteemed experts in the fields of Pediatrics, Emergency Medicine and all Surgical subspecialties. The PEM subspecialty resident (fellow) receives a comprehensive training experience and acquires all requisite skills to become an astute clinician and scholar. The fellowship curriculum emphasizes both academic and clinical achievement, and fosters an independent, evidence-based approach to patient care. Our fellows graduate with a strong foundation essential to achieve a rich and rewarding career in pediatric emergency medicine.

In July 2017, we are excited to introduce a new program combining Pediatric Emergency Medicine and Global Health for children. We recognize the complementary nature of these fields, and that pediatric emergency medicine is a common path toward a career in international healthcare for children. This unique track will provide both didactic and experiential training in global childhood health. Nationally renowned Weill Cornell faculty with vast knowledge and experience in the field of Global Health will partner with our Pediatric Emergency Medicine program to offer outstanding opportunities for the PEM trainee to learn and to perform scholarly research. The PEM Global Health curriculum will be incorporated into the ACGME requirements of the Pediatric Emergency Medicine Subspecialty training program. See below for more details about this new program.

Developing Clinicians

The program offers a unique opportunity for the PEM subspecialty resident to train in a variety of pediatric emergency settings. The majority of clinical training takes place at NewYork-Presbyterian Phyllis and David Komansky Center for Children's Health/Weill Cornell Medical Center, located on the Upper East Side of Manhattan. This is an urban, tertiary, Level 1 designated trauma center and regional burn center providing care to diverse general and subspecialty patients, many with highly complex medical and surgical issues. We accept referrals from private physician offices and neighboring schools, as well as transfers from many hospitals throughout the greater New York metropolitan area.

The PEM subspecialty resident also performs clinical rotations in the pediatric emergency service at NewYork-Presbyterian Morgan Stanley Children's Hospital (Columbia Campus), located in Washington Heights, New York, serving a high volume, inner city community. This tertiary, Level 1 designated pediatric trauma center, provides exposure to a diverse clinical patient population and education by highly regarded and nationally-acclaimed Pediatric Emergency Medicine faculty.

The PEM Global Health track offers the PEM subspecialty resident clinical rotations in a resource-limited setting at Weill Bugando in Mwanza, Tanzania, and potentially in Mumbai, India. Trainees may choose to travel to another community with which they may already have an established relationship, if deemed appropriate by the program faculty.

The PEM resident is afforded the opportunity to develop skills at medical investigation, rapid assessment and triage, evidence-based analysis, simulation-based education and technical procedures. Subspecialty residents learn to prioritize care and manage patient flow, and, with an advancing independent role during the training program, acquire the skills essential to supervise and oversee all aspects of a busy urban ED. Pain management, child health advocacy and patient satisfaction are greatly emphasized.

A robust emergency simulation educational program incorporates simulation-based scenarios for infrequently seen medical entities, resuscitation procedures, communication, team training and leadership into the clinical curriculum.

Developing Educators

At Weill Cornell, there is a strong emphasis on developing clinical educators. The Pediatric Emergency Medicine subspecialty resident is provided formal training and close mentorship in developing teaching skills in a variety of modalities. There are numerous opportunities to teach, both domestic and abroad, including one-on-one sessions with medical students and pediatric residents at the bedside, and delivering formal and informal presentations to pediatric and emergency medicine residents and faculty in a range of academic venues, including Grand Rounds. Lecture development and public speaking skills are emphasized throughout the curriculum, with emphasis on incorporating an interactive teaching style.

Emergency simulation in incorporated throughout the curriculum. A focused rotation in emergency simulation affords the fellow the foundation and tools to develop simulation scenarios with high fidelity mannequins, to independently run scenarios, and to skillfully debrief the student participants. The first year PEM fellow attends our annual BASE Camp, a high-intensity, fully immersive weekend of simulated pediatric emergencies where fellows and nurses work together in multidisciplinary teams to manage critically ill and injured pediatric simulated patients. During the 2nd and 3rd year of training, the fellow participates in BASE Camp as a junior faculty mentor and/or instructor.

Developing Researchers

The program emphasizes the importance of academic investigation and scientific advancement in the field of Pediatric Emergency Medicine. In collaboration with the Department of Pediatrics and Emergency Medicine at Weill Cornell Medical College, , we offer all essential resources our trainees require to attain expertise in the design, methodology, statistical analysis and composition of original clinical research and/or scholarly activities.

Formal coursework in research design and biostatistics provides an introductory foundation in the first months of training. PEM faculty mentors meet with the fellow for monthly research review, and the PEM subspecialty resident presents ongoing research progress to the scholarship oversight committee (SOC) biannually.

The PEM subspecialty resident has the opportunity to attend the National Pediatric Emergency Medicine Fellowship Conference twice during the training program. This enables the subspecialty resident to present individual research projects to and receive feedback from peers and nationally-acclaimed scholars in the field of Pediatric Emergency Medicine. The PEM subspecialty resident is expected to present his/her research at a national meeting and to prepare a completed manuscript/work product at the completion of the training program. The PEM curriculum includes 12 months of dedicated research time, distributed throughout the 3 years of training, in a manner that will support the development and successful completion of meaningful clinical research.

The PEM fellow engaging in the Global Health track will have the opportunity to perform his/her scholarly project in the field of Global Health, with a goal toward enhancing international child health, as approved by the Program Director. Scholarly projects may be performed in resource limited communities, under the auspices of the appropriate institutional review board, with mentorship both at home and abroad.

Developing Administrators

The PEM subspecialty resident is exposed to a variety of administrative roles and leadership opportunities. These activities may vary based on the experience and unique interests of the individual resident. The PEM resident may develop programmatic and operational enhancements in the pediatric emergency service, serve on a departmental or institutional committee, participate in safety and quality improvement, develop programs for pediatric advocacy and/or join in community outreach activities. Formal education is offered on physician wellness, ethics, healthcare economics, safety and quality improvement.

Developing Global Health Pediatric Emergency Medicine at Weill Cornell

Starting July 2017, the New York Presbyterian PEM Fellowship at Weill Cornell Medicine will introduce a Global Health Medicine Track – the FIRST of its kind in the New York Metropolitan area. The mission of the PEM-GH training is to promote Pediatric Emergency Medicine and Acute Care Programs for children internationally, through leadership, teaching, advocacy, research, and clinical skills. This new track will enable the PEM fellow to meet all required ACGME standards, while at the same time receiving intensive, focused education and experience in International Health for children. The curriculum will address the unique needs of children in resource-limited communities, both in the U.S. and abroad.

Didactic Curriculum:
PEM-GH training program will partner with Weill Cornell Medicine Global Health [http://weill.cornell.edu/globalhealth/] to foster, in an academic environment, learning:

  • International humanitarian law and human rights as they relate to conflict
  • Humanitarian crises and disaster response
  • Program and emergency systems development
  • Global and public health and prevention
  • Cultural disparities in international health care

There will be opportunities to attend conferences in Global Health. These may include:

WCM Conferences

  • Monthly Global Health Grand Rounds
  • Careers in Global Health Seminars
  • Global Health Emergencies Course

Regional and/or International Conferences

  • International Committee of the Red Cross - Health Emergencies in Large Populations (H.E.L.P.) course
  • Missioncraft Leadership in Effective Disaster Relief Course at MGH
  • Harvard Humanitarian Initiative

Experiential Curriculum:
The PEM-GH fellow will have a variety of opportunities to perform clinical fieldwork over the three year curriculum. These will be uniquely developed based on individual interest and prior experience, and will be coordinated and supervised by the PEM-GH Track Director and the PEM Fellowship Program Director. Fieldwork may be conducted at NYP-WCMC affiliated sites, in partnership with other universities or organizations or at a site with which the fellow has had prior affiliation. Field experiences are designed to increase the fellow’s knowledge base and opportunity to practice acquired skills. Fellows are expected to take an active leadership role during field experiences.

International Experience, established locations

  • Bugando Medical Centre (Mwanza, Tanzania)
    • Mentors: Dr. Jeffrey Perlman, Dr. Christine Joyce
  • Mumbai, India
    • Mentor: Dr. Satchit Balsari

Research/Scholarly Curriculum:
The PEM-GH fellow will conduct research and/or perform scholarly activities in global health. Foundations for research design and project development are provided, with guidance on the unique facets of performing research within an international construct and community. Fellows are strongly encouraged, and supported, to complete at least one grant proposal during the fellowship. Fellows have the opportunity to join faculty in their ongoing projects or to develop and implement their own individualized study with close mentorship and support. Twelve months of non-contiguous research time is allotted to complete a scholarly project within global health.

Potential areas for International Research may include:

  • Early recognition and management of acute illness and injury in children
  • Basic and advanced pediatric skills for critical and emergency care
  • Pre-hospital and Emergency health systems for children
  • Epidemiology and/or Public Health for children
  • Humanitarian assistance and/or Disaster response for children
  • Educational initiatives for pediatricians and/or emergency physicians

The Environment

The Division of Pediatric Emergency Medicine in the Department of Pediatrics at the NewYork-Presbyterian Phyllis and David Komansky Center for Children's Health is part of NewYork-Presbyterian Hospital/Weill Cornell Medical, a world-renowned university hospital affiliated with Weill Cornell Medicine, The Hospital for Special Surgery and Memorial Sloan Kettering Cancer Center. The hospital is a tertiary care medical center and is designated by the New York City Regional Trauma Advisory Committee and the New York State Department of Health as a Level 1 trauma center for children and adults. The William and Randolph Hearst Burn Center at New York-Presbyterian Hospital/Weill Cornell Medical Center is one of the largest and busiest burn centers in the country and serves as the primary regional burn center in New York City.

The Departments of Pediatrics and Emergency Medicine have distinguished and nationally recognized faculty in all subspecialties of pediatrics and emergency medicine, offering the highest caliber in teaching and clinical consultation. Areas of expertise include toxicology, emergency ultrasound, simulation, patient safety and pediatric critical care. The pediatric general and critical care units collaborate with emergency medicine to care for children with highly complex medical and surgical entities. The Pediatric Emergency Service at Weill Cornell serves as a robust educational venue for residents in both Pediatrics and Emergency Medicine, and medical students at Weill Cornell Medicine.

The Curriculum

The program is uniquely developed to meet the individualized interests and needs of the PEM resident, while adhering to ACGME program guidelines. This is a three year program, structured to foster academic and personal growth by encouraging increasing independence and responsibility with each training year.

Clinical rotations at NewYork-Presbyterian Hospital/Weill Cornell Medicine include:

  • Pediatric Critical Care
  • Adult Emergency Medicine
  • Emergency Simulation
  • Emergency Ultrasound
  • Emergency Medical Services (EMS)
  • Anesthesia
  • Toxicology - A rotation in Toxicology is performed at the New York City Poison Control Center. This is a nationally and internationally recognized regional poison center receiving more than 90,000 consultations each year.
  • Trauma - A rotation in Trauma is performed at the R Adams Cowley Shock Trauma Center at University of Maryland Medical Center in Baltimore, Maryland. This is an intense month of training, during which highly skilled and trained trauma surgeons supervise the PEM subspecialty resident in the acute assessment and management of the most severely injured adults and adolescents.
  • Global Health - See above for PEM-GH curriculum.
  • Electives are offered in burn surgery, orthopedics, sports medicine, otolaryngology, ophthalmology, oral surgery, plastic surgery, emergency radiology, obstetrics, child protection, wilderness medicine, and adolescent medicine/ gynecology.

Competency-based goals and objectives are outlined for each rotation and reviewed with the subspecialty resident prior to and after the completion of each rotation. Evaluations by the subspecialty resident of a rotation provide critical feedback and serve as a basis for programmatic modifications, enabling continuous and ongoing curriculum improvement.

Certification in PALS, BLS, ACLS and ATLS are required throughout the training period.

The PEM Subspecialty Resident

This program has a single PEM resident position over the three year training period. The subspecialty resident works closely with the PEM faculty, and obtains maximal exposure to all possible clinical experiences in the pediatric ED. Given the small size, the program is able to tailor the curriculum to the unique interests and individual learning objectives of the subspecialty resident. There is meaningful oversight and guidance in all areas of training. The subspecialty resident develops close relationships with faculty, and there is a mature sense of camaraderie and mutual respect toward the trainee.

Our PEM Faculty

The Division of Pediatric Emergency Medicine is comprised of PEM board eligible/certified faculty with outstanding training and experience in the field of pediatric emergency medicine. Members of the faculty are genuinely dedicated to the PEM training program, and work closely with the PEM subspecialty resident, offering expertise, guidance and training in both the clinical and didactic venue.

Shari Platt, MD
Chief, Division of Pediatric Emergency Medicine
NewYork-Presbyterian Hospital-Weill Cornell Medical Center

Michael Alfonzo, MD
Director, Pediatric Emergency Medicine-Global Health Track

Kevin Ching, MD
Director, Pediatric and Emergency Simulation

Robert Finkelstein, MD
Mia Friedman, MD
Catherine F. Hicks, MD
Ji Won Kim, MD
Janienne Kondrich, MD
Rachel Kowalsky, MD, MPH
Maria Lame, MD
Sophia Lin, MD
David Listman, MD
Marie Lupica, MD
Michele Rosenthal, MD
Yaffa Vitberg, MD

Current PEM Fellow

Jason Chan, MD

How to Apply

Applicants must be board certified or board eligible in pediatrics and/or emergency medicine when they begin the fellowship. Acceptance into the subspecialty residency program requires a current New York State Medical License or limited permit. Applications are received via the ERAS system, for July 2017. ERAS website: https://www.erasfellowshipdocuments.org/

The PEM application deadline is Friday, September 2, 2016 at 12p ET.

Applicants are considered for an interview only once all application requirements are complete.

ERAS Application Requirements

  1. Application Form
  2. C.V.
  3. Recent Photo
  4. Four letters of recommendation (one must be from the Program Director)
  5. Personal Statement (single page)
  6. Applicants interested in the PEM-GH Track, please note this in your Personal Statement.

If you would like to learn more about the PEM-GH combined track, please contact:

Michael Alfonzo, MD
Director, PEM-GH Track
Email: mia2016@med.cornell.edu

Please feel free to contact us for any additional information:

Shari Platt, MD
Program Director
Email: slp9001@med.cornell.edu

Jason Chan, MD
Current PEM Fellow 2014-17
Email: Jac9179@nyp.org

Yvonne Wright
Program Administrator
Office: 212-746-0780
E-mail: yvw2004@med.cornell.edu

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