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Peds Em
- Thread starter mfleur
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i think there is a previous thread before this regarding peds em
briefly, two ways.
do em, then peds em. 3-4 year residency, 2 year fellowship. can practice both adult and peds.
do peds, then peds em. 3 year residency, 3 year fellowhship. can only practice pediatric em.
if you want adults or a shorter course, do the first. if you hate adult medicine and only want to see kids, do the second.
don't know much about combined programs. but remember if you do regular em, you can also see kids in the ed. you just can't be an attending at a children's er.
briefly, two ways.
do em, then peds em. 3-4 year residency, 2 year fellowship. can practice both adult and peds.
do peds, then peds em. 3 year residency, 3 year fellowhship. can only practice pediatric em.
if you want adults or a shorter course, do the first. if you hate adult medicine and only want to see kids, do the second.
don't know much about combined programs. but remember if you do regular em, you can also see kids in the ed. you just can't be an attending at a children's er.
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Actually I am aware of several programs with dedicated Peds ED's that are staffed by regular BE/BC EM physicians. As a BC Em physician you are fully qualified to see children in any ED setting. Most Peds EM people that I know of either direct a Peds ED or fellowship program or are in some academic EM position. A dedicated Peds ED has much more to do with facilities and trained nursing staff than the attending physicans.
I'm sure that most Peds ED's would like to be fully staffed by Peds EM but I don't think that is possible financially or with the current workforce. The EM attendings I talked to at these programs felt that Peds EM doesn't add much to their practice and may in fact sideline them into seeing only peds and no more adults.
Casey
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I'm think the previous poster meant that you couldn't work in an ED in a dedicated children's hospital. No great loss to me. For those of us with broad demographics, having a peds EM-only person makes no financial sense unless you ALWAYS have the volume to keep him busy.
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Actually, I was referring to a Peds ED in a Children's Hospital. At the particular ones I'm thinking of, there are about 1/2 Peds EM attendings and 1/2 regular EM. There is single coverage and it rotates. The regular EM attendings also take shifts in the neighboring adult ED.
Casey
There was some discussion on this under ER/Peds (http://forums.studentdoctor.net/showthread.php?s=&threadid=84088&highlight=Peds+Emergency+medicine)
This is what I am planning on going into and as said before there are a number of ways to do this:
1. Peds residency then Peds EM fellowship
2. EM residency then Peds EM fellowship
3. EM & Peds residencies
4. Combined 5yr Peds/EM residency
For me, I am probably going to go route 2 because I want to be able to practice in a wide variety of settings and not be "confined" to a Pediatric hospital.
I have also looked into #4 and the major draw back it that there are few of these programs- Also keep in mind that you will not be specialized in "Pediatric Emergency Medicine" instead you will be double boarded in Pediatrics and Emergency medicine. It is a little different focus-
I recommend reading "Rules of the Road" chpt 11-
http://www.emstudent.org/members/pdfs/11.Combined Programs.pdf
This is through the American Academy of Emergency Medicine
Brooke
This is what I am planning on going into and as said before there are a number of ways to do this:
1. Peds residency then Peds EM fellowship
2. EM residency then Peds EM fellowship
3. EM & Peds residencies
4. Combined 5yr Peds/EM residency
For me, I am probably going to go route 2 because I want to be able to practice in a wide variety of settings and not be "confined" to a Pediatric hospital.
I have also looked into #4 and the major draw back it that there are few of these programs- Also keep in mind that you will not be specialized in "Pediatric Emergency Medicine" instead you will be double boarded in Pediatrics and Emergency medicine. It is a little different focus-
I recommend reading "Rules of the Road" chpt 11-
http://www.emstudent.org/members/pdfs/11.Combined Programs.pdf
This is through the American Academy of Emergency Medicine
Brooke
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not to keep harping on this, but the 5th way would be do do an EM residency and stopping. i know that you won't be as strong in pediatrics but is tacking on a 2 year fellowship worth it? i guess for some.
finally, yes i know also of board certified em physicians who pick up a few shifts a month at a local dedicated children's er. mainly it's to try to keep up to date with their peds. truthfully, i don't find those em physicians working in a peds er vs adults er to be any more effective. i personally think a strong pediatric children's hospital ed should have primarily board certified ped er physicians. even if i could work all my shifts at a pediatric er, i wouldn't. as a matter of fact, i think most regular EM trained physicians wouldn't want to do solely peds.
i'm not sure where i'm going with this but basically i think if you love peds and hate adults but like er you should do pediatrics then possibly a peds er fellowship. if you like adults and er, do emergency medicine. see, per my point of view, you should just be done. why spend another 2 years to be board certified in EM and Ped EM? if you do an em residency, you will be able to see peds. and in most communities, pediatrics is a good 20-30% of er visits. in certain cities, philadelphia, for instance, there are three dedicated children's hospital er's that one sees very little peds in adult ed's, but that's not the case in the community.
finally, yes i know also of board certified em physicians who pick up a few shifts a month at a local dedicated children's er. mainly it's to try to keep up to date with their peds. truthfully, i don't find those em physicians working in a peds er vs adults er to be any more effective. i personally think a strong pediatric children's hospital ed should have primarily board certified ped er physicians. even if i could work all my shifts at a pediatric er, i wouldn't. as a matter of fact, i think most regular EM trained physicians wouldn't want to do solely peds.
i'm not sure where i'm going with this but basically i think if you love peds and hate adults but like er you should do pediatrics then possibly a peds er fellowship. if you like adults and er, do emergency medicine. see, per my point of view, you should just be done. why spend another 2 years to be board certified in EM and Ped EM? if you do an em residency, you will be able to see peds. and in most communities, pediatrics is a good 20-30% of er visits. in certain cities, philadelphia, for instance, there are three dedicated children's hospital er's that one sees very little peds in adult ed's, but that's not the case in the community.
