Overview

Fellowship Overview

The fellowship is intended for physicians to acquire particular expertise and skills in clinical practice, teaching, investigative research and administrative functions related to the field of pediatric emergency medicine. The clinical information and skills acquired during residency training will be sharpened and focused as the fellow gains new knowledge and experience pertinent to the emergency management of seriously ill and injured children. The fellow will participate in teaching of both medical and lay personnel on topics related to pediatric emergency medicine in a variety of formats. An understanding of clinical research will be fostered through course study in research design and the development and execution of a research project. In addition, exposure to the administrative aspects of managing an emergency department will be afforded the fellow during the years of training. Unique to our program is the ability to utilize all available resources to tailor the program to meet the curricular needs of each fellow to achieve his/her career goals within the specialty, including quality improvement, teaching, research, global health, child abuse, administration and ultrasound.

Our specific program aims:

  • Educate fellows to be excellent practitioners of Pediatric Emergency Medicine and advocates for safety and injury prevention in our communities
  • Support fellows in achieving advanced training in their niche of choice by utilizing all available resources and applying flexibility in creating individualized curriculums for each fellow’s needs
  • Mentor fellows to strive for an appropriate life-work balance which will help promote resiliency and career longevity.
  • Promote fellows taking an active role in their educational needs including progressive autonomy in their clinical care

Clinical Experience

MUSC Children’s Health serves as a comprehensive regional pediatric quaternary hospital. All major pediatric subspecialties are represented at our institution, with six nationally ranked by US News and World Report (only ten pediatric subspecialties are ranked, and we are the only ranked pediatric hospital in the state). We are an active member of the Children’s Hospital Association and participate in the Pediatric Health Information Systems (PHIS) database.

The Emergency Department (ED) provides care for over 25,000 patients annually, with an admission rate around 18%, which is in the top quartile for pediatric ED’s nationally. We are a Level 1 Trauma Center (ACS) with nearly 200 trauma activations annually. We provide over 400 procedural sedations per year. In December 2019, we opened a state-of-the-art, 18-bed pediatric ED in our new, freestanding children’s hospital. The ED includes 2 interconnected resuscitation bays, adjacent radiology services (including CT scan and ultrasound), and a proximal clinic space that can be used on nights and weekends as needs dictate. Our space is equipped with remote monitoring capabilities, telemedicine carts, and video capability within the resuscitation bays.

In addition to 24/7 staffing by faculty from the Division of Pediatric Emergency Medicine, patients are seen by Pediatric Nurse Practitioners during peak times. Residents are always providing care in the ED, allowing ample opportunity for “in situ” teaching by fellows. Only pediatric nurses provide care in our ED, and we have ED-dedicated Certified Child Life Specialists.

As a quaternary referral center, many of our patients are transferred from other facilities to our ED. MUSC has its own transport team, servicing children from across the state via ground or air (helicopter or fixed-wing), though we receive many patients from external ground or air transport services. Our new children’s hospital has its own helipad with a dedicated elevator for transport of these patients directly to the ED.