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{{Globalize|article|Canada|date=December 2014}} | ||
| '''Pediatric emergency medicine''' ('''PEM''') is a medical subspecialty of both ] and ]. It involves the care of undifferentiated, unscheduled children with acute illnesses or injuries that require immediate medical attention. While not usually providing long-term or continuing care, pediatric emergency doctors undertake the necessary investigations and interventions to diagnose patients in the acute phase, to liaise with physicians from other specialities, and to resuscitate and stabilize children who are seriously ill or injured. Pediatric emergency physicians generally practice in hospital emergency departments. | '''Pediatric emergency medicine''' ('''PEM''') is a medical subspecialty of both ] and ]. It involves the care of undifferentiated, unscheduled children with acute illnesses or injuries that require immediate medical attention. While not usually providing long-term or continuing care, pediatric emergency doctors undertake the necessary investigations and interventions to diagnose patients in the acute phase, to liaise with physicians from other specialities, and to resuscitate and stabilize children who are seriously ill or injured. Pediatric emergency physicians generally practice in hospital emergency departments. | ||
| ==Training== | ==Training== | ||
| ===United States |
===United States=== | ||
| Pediatric emergency physicians in the United States take one of two routes of training; one can do a pediatrics residency (3 years) followed by a pediatric emergency fellowship (3 years), or an emergency medicine residency ( |
Pediatric emergency physicians in the United States take one of two routes of training; one can do a pediatrics residency (3 years) followed by a pediatric emergency fellowship (3 years),<ref>{{cite journal | vauthors = Leetch AN, Glasser JA, Woolridge DP | title = A Roadmap for the Student Pursuing a Career in Pediatric Emergency Medicine | journal = Western Journal of Emergency Medicine | publisher = West J Emerg Med. | date=January 2020 | volume = 21 | issue = 1 | pages = 12–17 | doi= 10.5811/westjem.2019.10.44466 | pmid = 31913812| pmc = 6948678 }}</ref> or an emergency medicine residency (3–4 years) followed by a pediatric emergency fellowship (2 years). Majority of practicing PEM doctors take the former route. | ||
| There are currently 50+ PEM fellowship programs with 177 total spots in the United States. | There are currently 50+ PEM fellowship programs with 177 total spots in the United States. {{citation needed|date=May 2020}} | ||
| A survey published in 2009 found that PEM physicians report higher career satisfaction than doctors in all other specialties.<ref>{{cite journal |
A survey published in 2009 found that PEM physicians report higher career satisfaction than doctors in all other specialties.<ref>{{cite journal |title=Physician career satisfaction within specialties |first1=J Paul |last1=Leigh |first2=Daniel J |last2=Tancredi |first3=Richard L |last3=Kravitz |journal=BMC Health Services Research |year=2009 |volume=9 |page=166 |doi=10.1186/1472-6963-9-166|pmid=19758454 |pmc=2754441 |doi-access=free }} {{open access}}</ref> Per ], pediatric emergency physicians in the U.S. make an average of $273,683<ref>{{Cite web | url=https://www.theatlantic.com/health/archive/2015/01/physician-salaries/384846/ |title = What Doctors Make|website = ]|date = 27 January 2015}}</ref> yearly. They also work fewer hours than do other subspecialists. | ||
| ===Canada=== | ===Canada=== | ||
| In Canada, aspiring paediatric emergency physicians must first complete a ] (M.D.) and then apply to a paediatrics or emergency medicine ] program, both of which last on average five years. Residents, however, will not complete the entire residency program as they will, upon starting their final year of residency, switch to the other residency program in order to receive training in both specialties. This switch usually extends the length of the residency by a few years. As such, the residency program in its entirety usually has a length of about 6 years and leads to certification by the ].<ref>{{cite web|title=McGill Post Graduate Medical Education - Programs - Pediatric Emergency Medicine|url=http://www.medicine.mcgill.ca/postgrad/programs/pediatricemergencymed.htm|website=McGill Faculty of Medicine|publisher=McGill University|accessdate=22 February 2015}}</ref> | In Canada, aspiring paediatric emergency physicians must first complete a ] (M.D.) and then apply to a paediatrics or emergency medicine ] program, both of which last on average five years. Residents, however, will not complete the entire residency program as they will, upon starting their final year of residency, switch to the other residency program in order to receive training in both specialties. This switch usually extends the length of the residency by a few years. As such, the residency program in its entirety usually has a length of about 6 years and leads to certification by the ].<ref>{{cite web|title=McGill Post Graduate Medical Education - Programs - Pediatric Emergency Medicine|url=http://www.medicine.mcgill.ca/postgrad/programs/pediatricemergencymed.htm|website=McGill Faculty of Medicine|publisher=McGill University|accessdate=22 February 2015}}</ref> | ||
| Many institutions, such as ], ], ], and ] in the province of ], offer this residency program in collaboration with various hospital training centres. Other Canadian universities, such as ], ], ], ], and ], also offer post-graduate medical programs in emergency medicine and paediatrics. | In the 2010,Many institutions, such as ], ], ], and ] in the province of ], offer this residency program in collaboration with various hospital training centres. Other Canadian universities, such as ], ], ], ], and ], also offer post-graduate medical programs in emergency medicine and paediatrics.{{citation needed|date=May 2020}} | ||
| Another general certification program is available for ]. Upon completing a two-year residency in ], one has the possibility of completing a third year of residency in the emergency medicine enhanced skills program. Certification is awarded by the ] and allows family practitioners to work as emergency physicians in most ] across Canada. The specialty training of family physicians allows them to treat patients of all ages affected by almost any type of disease. In that sense, family physicians who hold the emergency medicine certification may work with paediatric patients. | |||
| '''<big>Australia and New Zealand</big>''' | |||
| PEM training in Australia and New Zealand can be approached from either the ] or the ]. The overlap in pathways involves core training in general pediatrics, pediatric emergency medicine, adult emergency medicine and pediatric intensive care. | |||
| ==References== | ==References== | ||
| {{reflist}} | {{reflist}} | ||
| {{Emergency medicine}} | |||
| ] | ] | ||
Latest revision as of 18:01, 3 December 2023
 | The examples and perspective in this article deal primarily with Canada and do not represent a worldwide view of the subject. You may improve this article, discuss the issue on the talk page, or create a new article, as appropriate. (December 2014) (Learn how and when to remove this message) |
Pediatric emergency medicine (PEM) is a medical subspecialty of both pediatrics and emergency medicine. It involves the care of undifferentiated, unscheduled children with acute illnesses or injuries that require immediate medical attention. While not usually providing long-term or continuing care, pediatric emergency doctors undertake the necessary investigations and interventions to diagnose patients in the acute phase, to liaise with physicians from other specialities, and to resuscitate and stabilize children who are seriously ill or injured. Pediatric emergency physicians generally practice in hospital emergency departments.
Training
United States
Pediatric emergency physicians in the United States take one of two routes of training; one can do a pediatrics residency (3 years) followed by a pediatric emergency fellowship (3 years), or an emergency medicine residency (3–4 years) followed by a pediatric emergency fellowship (2 years). Majority of practicing PEM doctors take the former route. There are currently 50+ PEM fellowship programs with 177 total spots in the United States.
A survey published in 2009 found that PEM physicians report higher career satisfaction than doctors in all other specialties. Per doximity, pediatric emergency physicians in the U.S. make an average of $273,683 yearly. They also work fewer hours than do other subspecialists.
Canada
In Canada, aspiring paediatric emergency physicians must first complete a Doctor of Medicine (M.D.) and then apply to a paediatrics or emergency medicine residency program, both of which last on average five years. Residents, however, will not complete the entire residency program as they will, upon starting their final year of residency, switch to the other residency program in order to receive training in both specialties. This switch usually extends the length of the residency by a few years. As such, the residency program in its entirety usually has a length of about 6 years and leads to certification by the Royal College of Physicians and Surgeons of Canada.
In the 2010,Many institutions, such as McGill University, Université de Montréal, Université de Sherbrooke, and Université Laval in the province of Quebec, offer this residency program in collaboration with various hospital training centres. Other Canadian universities, such as University of Toronto, University of Ottawa, University of Calgary, University of Saskatchewan, and University of British Columbia, also offer post-graduate medical programs in emergency medicine and paediatrics.
Australia and New Zealand
PEM training in Australia and New Zealand can be approached from either the Royal Australasian College of Physicians or the Australasian College for Emergency Medicine. The overlap in pathways involves core training in general pediatrics, pediatric emergency medicine, adult emergency medicine and pediatric intensive care.
References
- Leetch AN, Glasser JA, Woolridge DP (January 2020). "A Roadmap for the Student Pursuing a Career in Pediatric Emergency Medicine". Western Journal of Emergency Medicine. 21 (1). West J Emerg Med.: 12–17. doi:10.5811/westjem.2019.10.44466. PMC 6948678. PMID 31913812.
- Leigh, J Paul; Tancredi, Daniel J; Kravitz, Richard L (2009). "Physician career satisfaction within specialties". BMC Health Services Research. 9: 166. doi:10.1186/1472-6963-9-166. PMC 2754441. PMID 19758454. [REDACTED]
- "What Doctors Make". The Atlantic. 27 January 2015.
- "McGill Post Graduate Medical Education - Programs - Pediatric Emergency Medicine". McGill Faculty of Medicine. McGill University. Retrieved 22 February 2015.
