Pediatric Emergency Medicine (PEM) Rotations
The fellowship length is two years for emergency medicine residency graduates and three years for pediatric residency graduates. Each block is 4 weeks long, and there are 13 blocks per year.
All rotations are at Rady Children’s Hospital-San Diego unless otherwise noted.
Most of the fellows’ clinical time is spent in the emergency department at Rady Children’s Hospital. Other clinical training occurs at the UC San Diego Medical Center/Hillcrest, the only state-designated Comprehensive Emergency Department in San Diego County which serves an urban, underserved population. This facility is a Level 1 Trauma Center and the county’s only burn center. The fellows have general emergency medicine, emergency medical services (EMS), toxicology, and burn rotations at UC San Diego. Additional training occurs at our partner hospital: fellows rotate on trauma surgery and general emergency medicine at Scripps Mercy Hospital, a high-acuity, urban, Level I trauma center.
Pediatrics-Trained Fellows
Year 1 |
Year 2 |
Year 3 |
| PEM/Research (7.75 blocks) | PEM/Research (8 blocks) | PEM/Research (9 blocks) |
| General EM (1 block) | General EM (1 block) |
General EM (1 block) |
| Ultrasound (0.25 blocks) | Toxicology (1 block) | Burn (0.5 blocks) |
| Adult Trauma (1 block) |
ED Immersion (0.5 block) | Elective (1.5 blocks) |
| PICU/CVICU/CHET (1 block) |
Elective (1 block) | Vacation (1 block) |
| Pediatric Anesthesia (1 block) |
Vacation (1 block) | |
| Vacation (1 block) | EMS (0.5 blocks) | |
| ED Immersion (0.5 block) | ||
| Total # of PEM Shifts: 98 | Total # of PEM Shifts: 84 | Total # of PEM Shifts: 91 |
Emergency Medicine-Trained Fellows
Year 1 |
Year 2 |
| PEM/Research (7.25 blocks) | PEM/Research (9 blocks) |
| Ultrasound (0.25 blocks) | Elective (1.5 blocks) |
| PICU/CVICU/CHET (1 block) | PICU/CVICU/CHET (1 block) |
| NICU (UCSD) (0.5 block) | Pediatric Anesthesia (0.5 blocks) |
| Child Protection (1 block) | Vacation (1 block) |
| Primary Care (1 block) | |
| Pediatric Anesthesia (1 block) | |
| ED Immersion (0.5 block) | |
| Vacation (1 block) | |
| Total # of PEM Shifts: 96 | Total # of PEM Shifts: 100 |
POCUS Track (Pediatrics-trained only)
Year 1 |
Year 2 |
Year 3 |
| PEM/Research (7.25 blocks) | PEM/Research/US (9 blocks) | PEM/Research/US (10.25 blocks) |
| General EM (1 block) | General EM (1 block) | General EM (1 block) |
| Ultrasound (0.25 block) | Toxicology (1 block) | Burn (0.25 block) |
| Adult Trauma (1 block) | Anesthesia (0.5 block) (airway and US-guided nerve blocks) | Cardiology US (0.5 block) |
| PICU/CVICU/CHET (1 block) | EMS (0.5 block) | Vacation (1 block) |
| Anesthesia (0.5 block) | Vacation (1 block) | |
| ED Immersion (0.5 block) | ||
| Vacation (1 block) | ||
| Total # of PEM Shifts: 98 | Total # of PEM Shifts: 80 | Total # of PEM Shifts: 87 |