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Essentials of Pediatric Emergency Medicine Fellowship: Part 3: Clinical Education and Experience
Matthew R Mittiga1, Joshua Nagler, Charles D Eldridge
1From the *Department of Pediatrics, University of Cincinnati College of Medicine; Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; †Harvard Medical School; Division of Emergency Medicine, Boston Children's Hospital, Boston, MA; ‡Department of Pediatrics, Washington University in St. Louis; Division of Pediatric Emergency Medicine, St. Louis Children's Hospital, St. Louis, MO; §Emergency Medicine and Pediatrics, San Diego School of Medicine, University of California; Division of Emergency Medicine, Rady Children's Hospital, San Diego, CA; Department of Emergency Medicine, UC San Diego Health System, San Diego, CA; and ∥University of Pittsburgh School of Medicine; Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA; on behalf of the PEM Fellowship Directors' Writing Group.
Abstract:
This article is the third in a 7-part series that aims to comprehensively describe the current state and future directions of pediatric emergency medicine fellowship training from the essential requirements to considerations for successfully administering and managing a program to the careers that may be anticipated upon program completion. This article focuses on the clinical aspects of fellowship training including the impact of the clinical environment, modalities for teaching and evaluation, and threats and opportunities in clinical education.
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Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...

