Part of the traditional Acute Care Pathway, residents interested in Pediatric Emergency Medicine (PEM) should seek out elective and procedure experiences that increase their exposure to the continuum of care for ill and injured children, as well as the other health care professionals, sites, and resources involved in acute care.
Contact
Caitlin Valentino Caitlin.Valentino@cchmc.org
Emergency Department Rotation Director
Essential Electives
Liberty ED
Contact: Caitlin Valentino
- Half (8 shifts) or full block (16 shifts); day and evening
- Work one on one with PEM attending, sometimes alongside senior EM residents from UC
- Procedures are plentiful
- Work on decision making and efficiency
Urgent Care
Contact: Caitlin Valentino
- Half (8 shifts) or full block (16 shifts); day and evening
- Work one on one with experienced clinical staff
- At Burnet. Liberty and the community CCHMC Urgent Cares – Green, Anderson, Mason
- Procedures, efficiency, decision making
Recommended Electives
Ultrasound Elective
Contacts: Jamie Nong & Ted Brenkert
Offered 4 blocks a year, residents on this elective will participate in 8-half days learning hands on POCUS. After tutorial sessions residents will scan actual patients and practice techniques such as skin and soft tissue, bladder, cardiac, lung, and more.
Procedures: Residents on this rotation should log all of their POC ultrasounds
Simulation Elective
Contact: Gary Geis (email)
This half block only elective introduces residents to the simulation center and in-situ simulation trainmen at CCHMC. Residents will learn how a sim is developed, work behind the scenes with sim educators, Learn how to design and debrief a simulation, and observe how multidisciplinary teams train (ECMO, OR, in-situ ED trainmen, Code Conference).
Procedures: Residents may have the opportunity to perform procedures in the sim center including endotracheal intubation, central lines, and chest tubes.
Work Product: Residents will develop a simulation scenario
Anesthesiology
Contact: Name
This half block only elective (8 clinical days) is scheduled with Anesthesiology. Residents are assigned to different OR rooms each day. It is generally limited to PGY-3 and above residents due to limited teaching availability.
Procedures: Endotracheal intubation, bag mask ventilation, peripheral IVs
Other Electives
ED Procedures
Contacts: Caitlin Valentino
This half block elective involves scheduling 8 shifts in the Burnet ED and Urgent Care focused on procedures.
Child Abuse
Contacts: Kathi Makaroff
This half or full block elective will expose residents to the care of children who are victims of child physical and sexual abuse. It is hosted through the Mayerson Center for Safe and Healthy Children.
Toxicology
Contacts: Caitlin Valentino
This half or full block elective exposes residents to use based and hands-on learning with our medical toxicologists and the Drug and Poison Information Center.
Transport medicine
Contact: Hamilton Schwartz
Residents in this half block elective will accompany the Cincinnati Children’s Transport Team on various inter-facility transports. There is a limited opportunity for airfare transport as well.
radiology
Contact: Stacey Elangovan
This half or full block elective is taught by faculty in the Division of Radiology. Residents pursuing PEM should seek out additional experiences in Ultrasound and Interventional Radiology by scheduling in advance.
Sports Medicine
Contact: Kate Berz
This half or full block elective will expose residents to the various health care professional that care for and prevent sports-related injuries in patents involved in youth athletics in our area. On field activities are season dependent. Contact in advance to arrange these.
Recommended procedures
- Bag mask ventilation
- Bladder catheterization
- Cervical collar placement and clearance
- CPR
- Foreign body removal
- Gastrostomy tube placement / exchange
- Hemorrhage control
- I&D of abscess
- LP
- MDI and nebulized treatments
- Peripheral IV/venipuncture
- Simple reductions
- Splinting
- Sutures
- Hemorrhage control
Optional procedures
- Central venous access
- Chest tube
- Defibrillation
- Endotracheal intubation
- Fracture reduction
- IO
- Nasopharyngeal scope with ENT
- POCUS
- Procedural sedation
Other Experiences
Residents Selected to Intubate – a longitudinal training program that will train residents in the use of video laryngoscopy for intubation, as well as the RSI process. Residents completing the program will be allowed to intubate select patients in the STS, as well as serve as the second physician manning the checklist in RSI cases.
RESUSC 200 – An advanced version of the baseline RESUSC longitudinal curriculum intended for residents interested in pursuing acute care careers.
Scholarly Activity
Most applicants pursuing PEM participate in a scholarly project. The project does not have to be housed in the Division of Emergency Medicine specifically, and a wide array of projects have been completed by residents matching into Emergency Medicine. The quality the mentoring and methodology are the most important criteria programs consider.
Recent resident projects
Coming soon!
Professional Organizations
AAP Section on Emergency Medicine
Journals & Online Resources
Pediatric Emergency Care
Annals of Emergency Medicine
PEMBlog
PEM Currents: The Pediatric Emergency Medicine Podcast
Academic Life in Emergency Medicine
Pediatric EM Morsels
PEM Playbook
Life in the Fast Lane
Don’t Forget the Bubbles
EM Crit