Pediatric Emergency Medicine | Fellowship | Clinical Activities

Washington University School of Medicine in St. Louis is an ideal place to gain clinical experience. The Division of Emergency Medicine, as part of the Department of Pediatrics, is based at St. Louis Children's Hospital (SLCH). Our fellows also spend time at Barnes Jewish Hospital, the affiliated adult facility also located on the Washington University Medical Campus.

St. Louis Children's Hospital's Emergency Department is the state of Missouri's only American College of Surgeons designated Pediatric Level 1 Trauma Center. We receive approximately 58,000 visits annually. The Division of Pediatric Emergency Medicine is comprised of 11 board certified physicians in pediatric emergency, 11 fellows, 4 general pediatricians, and 2 PAs. We are supported in the Emergency Department by an outstanding team of pediatric nurse practitioners, nurses and medics, and pediatric and emergency medicine residents of all levels. 


About St. Louis Children's Hospital

St. Louis Children's Hospital is a 350-bed institution offering a full range of pediatric services and is consistently ranked by US News and World Report as #1 in Missouri and Top 10 in the nation in several subspecialties. The immediate service area has a population of 2.8 million and around 275,000 patients visit SLCH each year. Facilities include a 32-bed emergency department, 13 operating suites, a 120-bed neonatal intensive care unit, a 40-bed PICU, a 16-bed bone marrow transplant unit, and a 38-bed Heart Center which also includes a CICU. The world’s leading pediatric lung transplant program is at SLCH with active programs in heart, liver, kidney, and bone marrow transplantations.  Other units include the dialysis unit, wound service, neurorehabilitation service, a sports medicine gym, and two Ronald McDonald Family Rooms on site.

About Barnes-Jewish Hospital

What to Expect in the ED - Barnes-Jewish Hospital

Barnes-Jewish Hospital is ranked among the top U.S. hospitals, and is a nationally certified Level 1 Trauma Center with over 95,000 ED annual visits.  At 1,266 beds, this makes it the largest hospital in a multi-state region.  The Charles F. Knight Emergency & Trauma Center at Barnes-Jewish Hospital occupies the ground floor of a multistory building with surgical suites, radiology, laboratory, and essential services located on upper floor.  The rooftop helipad allows for integration and efficiency of care.  The 70-bed ED encompasses 52,000 square feet and includes 2 separate indoor & outdoor contamination units, 12 critical care beds, 12-bed urgent care area, and a 12-bed observation unit.  The Division of Emergency Medicine includes specialized sections of Critical Care Medicine, Ultrasound, EMS, Toxicology and Simulation.  Our EM faculty members include physicians with dual board certification, sub-specialty training, and advanced degrees in education, research, management, and scientific investigation that lend expertise to the teaching and learning interaction.

Clinical Rotations

The bulk of fellows’ clinical time is spent working in the SLCH Emergency Department with the PEM faculty and our outstanding nursing and support staff.  Our fellows rotate through multiple services and departments at St. Louis Children's Hospital and Barnes-Jewish Hospital for required and elective rotations.  

First Year:

Pediatric Emergency Medicine/Research       6 months
Introduction to Scholarly Activity  1 month
Pediatric Critical Care
1 month
Pediatric Anesthesia 1 month
Ultrasound 1 month
Adult Emergency Medicine/Trauma  1 month
Pediatric Surgery 1 month

Second Year:

Pediatric Emergency Medicine/Research       7 months
Toxicology 1 month
Pediatric Orthopedics
1 month
Adult Emergency Medicine/Trauma 2 months
Child Abuse Pediatrics 2 weeks
EMS 2 weeks

Third Year:

Pediatric Emergency Medicine/Research       9 months
Labor and Delivery 2 weeks
10 weeks

The curriculum for emergency medicine residency graduates includes a minimum of six months of pediatric rotations, which may include general pediatric outpatient and subspecialty rotations in place of the emergency medicine / trauma rotations. 

Elective time may be spent in any subspecialty at St. Louis Children’s Hospital or Barnes-Jewish Hospital. Fellows may also participate in international or other “away” rotations with the Program Director’s approval.  Moonlighting opportunities in the SLCH ED and off-site affiliated EDs are available.  Fellows are allotted four weeks of vacation time per year.

Research time is spread longitudinally over the course of the fellowship. During Pediatric Emergency Medicine/Research months, fellows are scheduled for 12 shifts in the SLCH ED, allowing time to progress in their scholarly projects on an ongoing basis throughout fellowship.


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