Pediatric Emergency Medicine

The Division of Pediatric Emergency Medicine has nine full-time, board certified Pediatric Emergency Medicine faculty dedicated to the care of children. We have an established ACGME-accredited, three-year Pediatric Emergency Medicine Fellowship program. Our annual patient volume is 30,000 with a 10 percent admission rate. The Division is fully integrated within our Emergency Medicine Department with strong ties to the departments of Pediatrics and Emergency Medicine.

We provide didactic and bedside teaching of pediatric emergency medicine to Pediatric, Emergency Medicine, and Family Medicine residents, as well as fourth-year medical student sub-interns. We have highly successful faculty dedicated to ultrasound, simulation, community outreach, research, and education.

The Pediatric Emergency Department is the resource center for all pediatric emergencies within The Mount Sinai Hospital. It is staffed with fellowship trained specialists in Pediatric Emergency Medicine. Our Pediatric Emergency Medicine Fellowship program is very competitive and trains the future leaders in the field. The Pediatric ED is committed to caring for children in the most stressful of times and thus has invested in providing the best trained clinicians and support staff including Child Life Specialists whose role is to advocate for patient care and liaise between care providers, and patients and their families. In 2015, the pediatric ED moved into a new space designed to maximize the care of our children.

Our faculty provide the highest quality of care to our patients while helping to teach the doctors of the future, and our Division excels in areas considered cutting-edge.

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Resident Education

Eight highly experienced, fellowship-trained attending physicians comprise the faculty of our pediatric curriculum. They teach, supervise, and provide our residents with well-rounded exposure to pediatric care for children of all ages.

Several emergency medicine rotations are dedicated to pediatric emergency medicine, and all Emergency Medicine (EM) rotations during the second, third and fourth years include shifts in the Pediatric Emergency Department (ED) at The Mount Sinai Hospital. Mount Sinai's pediatric ED sees many subspecialty patients from the transplant, hematology/oncology, gastroenterology, metabolic, cardiology, and endocrinology services, providing our residents with the opportunity to manage patients requiring complex care. Rotations at Elmhurst Hospital Center provide additional exposure to pediatric inpatient care. These are all essential to developing our residents' expertise in treating acutely ill pediatric patients through all stages of their illnesses.

Rotations in Pediatric Anesthesiology and Orthopedics are part of the PGY-1 curriculum. A pediatric elective and Specialty Track are also available to interested residents. One morning report weekly is dedicated to a pediatric case, presented by the Pediatric Emergency Medicine fellows. In addition, a monthly pediatric mock code is held for the Emergency Medicine residents. Pediatric Advanced Life Support (PALS) certification is provided by a dedicated staff of PALS instructors, which includes both Pediatric Emergency Medicine (PEM) faculty and all PEM fellows.

For Medical Students

We offer many opportunities for students to hone their history and physical exam skills, as well as further develop differential diagnoses and management plans. Fourth-year medical students electing to do a month rotation in our Department assess children presenting with a broad range of urgent and emergent medical complaints, and together with the attending physicians, develop and implement management plans for those patients.

Additionally, there are opportunities to perform procedures, including laceration repair, foreign body removal, IV line placement, and assisting with children in respiratory distress. In addition to clinical care, students attend a weekly case conference to review an interesting case recently seen in the emergency department, and they present a case toward the end of their rotation. Students also attend the pediatric divisional conference for pediatric emergency focused lectures, and periodically review cases and questions with the attending coordinator for the rotation.

Our award-winning research program has a portfolio of studies employing prospective observational methods as well as randomized controlled trials designed to answer questions related to common problems in the acute care of children. These questions have been related to injury/fractures, respiratory illnesses, abdominal pain, skin infections, and allergic reactions, as well as developing methods to mitigate elevated cancer risks due to exposure from CT scans and x-rays.

The Pediatric Emergency Medicine Fellowship, an established ACGME-accredited program, trains physicians to provide compassionate, evidenced-based, up-to-date emergency care for children.

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Our Section is an active and integral part of the Division of Emergency Medicine Ultrasound. With three Pediatric Emergency Ultrasound trained faculty, it is one of the largest subspecialty groups of its kind in the country. The Division is active in teaching and provides ultrasound education to medical students as part of their curriculum, and supports rotation, didactic, and bedside ultrasound teaching to Emergency Medicine, Internal Medicine, Family Medicine, and Pediatric Residents. The faculty also provides educational and research support to the Pediatric Emergency Medicine Fellows.

The faculty is prolific in research and publications involving point-of-care ultrasound in pediatric emergencies, with interests in its application for detections of appendicitis, pneumonia, angioedema, and fractures. The Division also actively participates in regional, national, and international conferences by providing workshops and lectures in Pediatric Emergency Ultrasound.

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Our Division has a robust simulation program of its own. Experiential learning and deliberate practice are essential components of medical education. We use simulation both to teach procedures such as airway management and more complex concepts like resuscitation, teamwork, and communication skills. Two high-fidelity wireless pediatric mannequins provide unmatched, interactive learning opportunities for students, residents, and fellows.

Our PEM fellows practice in regular simulations throughout the year and learn how to teach using the simulator. They help teach medical student simulations as well as replace an EM morning report monthly with a simulation done in the resuscitation room of the Pediatric ED with our residents. Our EM residents receive regular simulation instruction (both pediatric and adult simulators. The pediatric mannequins are also used regularly by the PICU attending physicians and pediatric residents to do mock codes on the pediatric floor and a simulation with the pediatric clerkship students.

We strive to promote wellness and educate children and their families about prevention of injuries through a multitude of community outreach projects. Current partnerships include the R Baby Foundation and Little Sisters, as well as concussion education to youth athletic teams and schools in the area.

In addition to our work with RBaby, we also run educational programs for youth athletic groups about injury prevention and concussion diagnosis and management.

The Pediatric Emergency Department faculty practice sees patients from throughout New York City, the United States and the world. Our physicians are board certified in Pediatric Emergency Medicine and have trained in leading academic institutions throughout the United States. Our faculty have a variety of academic interests including simulation training, bedside ultrasound, and child advocacy.