Pediatric Emergency Medicine Fellowships: Faculty and Resident Training Profiles

Incentives and barriers to pursuing pediatric emergency medicine fellowship: A cross‐sectional survey of emergency residents

“…1,2 Studies have demonstrated that only 5% of PEM faculty are emergency medicine trained. 3,4 Moreover, although the number of emergency resident graduates has increased by 1500 during the past 5 years, and the number of PEM fellowship positions has increased by 20, even fewer emergency graduates are pursuing a PEM fellowship. [5][6][7] Historically, emergency graduates have made up 15% of PEM fellows.…”

“…Pediatric emergency physicians most commonly train in pediatrics before fellowship, with a small subset completing an emergency medicine residency 1,2 . Studies have demonstrated that only 5% of PEM faculty are emergency medicine trained 3,4 . Moreover, although the number of emergency resident graduates has increased by 1500 during the past 5 years, and the number of PEM fellowship positions has increased by 20, even fewer emergency graduates are pursuing a PEM fellowship 5‐7 .…”

“…Historically, emergency graduates have made up 15% of PEM fellows. More recent studies have demonstrated that 8% of current PEM fellows completed an emergency medicine residency 3,4,7‐10 …”

Optimizing the workforce: a proposal to improve regionalization of care and emergency preparedness by broader integration of pediatric emergency physicians certified by the American Board of Pediatrics

“…3,7 Despite the lack of availabil- ABP-certified PEMs to support credentialing at non-pediatric EDs. 3,8 Theoretical modeling has shown that the greatest impact on overall pediatric care occurs when physicians with pediatric expertise were distributed throughout the community rather than in isolated pediatric practices. 9 This discussion is directed toward identifying service gaps and not meant to detract from the importance of individual specialty training and certification from an American Board of Medical Specialty.…”

“…“Compartmentalization” results largely from the fact that the vast majority of the pediatric emergency physicians received board certification through the ABP have historically occupied positions in academic children's hospitals. In addition, challenges to hiring ABP‐certified PEM physicians in an ED include the following: low pediatric volumes, lack of funding for additional personnel with specific pediatric experience, and a perceived limited scope of practice of ABP‐certified PEMs to support credentialing at non‐pediatric EDs 3,8 . Theoretical modeling has shown that the greatest impact on overall pediatric care occurs when physicians with pediatric expertise were distributed throughout the community rather than in isolated pediatric practices 9 .…”