APPENDIX F : OVERALL GOALS OF THE RESIDENCY PROGRAM
The PEM residency program follows the Royal College Objectives of Training for
Pediatric Emergency Medicine. Residents who successfully complete the training will be
eligible for the RCPSC PEM examinations at the completion of 2 years of training.
The following are the goals and objectives of the PEM residency program:
Clinical
 Acquire subspecialty expertise in the care of an acutely ill or injured child or
adolescent
 Triage and prioritize multiple patients efficiently
 Develop the skills to function as mock attending (under supervision) in the second
year of training
Teaching
 Demonstrate teaching competence in various aspects of Pediatric Emergency
Medicine
 Bedside teaching: review cases with junior trainees
 Provide teaching to junior trainees at a level appropriate for their training
 Balance teaching activities with managing flow in the ED
 Academic Rounds – Present:
o Case Rounds once per month on PEM rotations
o Grand Rounds once per year
o Radiology Rounds once per year
o Journal Club – critically appraise an article for discussion
o Morbidity and Mortality Rounds 1-2x per year
o Evidence Based Practice Rounds 1-2 x per year
o Board Review sessions monthly
o Junior mock codes 2-3 x per year
 SickKids Pediatric Grand Rounds once during the residency
 Participate as instructors in divisional resuscitation courses: APLS, Emergency
Procedures Workshop, PEM Conference, Pediatric Update.
Research
 Acquire expertise to become a productive investigator
 Become familiar with various research methods and be able to apply appropriate
methodological principles to address various research questions
 Correctly critique published literature
 Residents are encouraged to formulate a viable research question with some
literature overview prior to the commencement of their training.
 The question must be :
o relevant to pediatric emergency medicine
o of interest to the resident
o original or incompletely answered in the literature
o of real clinical interest and with practical impact
o be well defined yet answerable within a reasonable timeframe
 2 blocks are dedicated to research to formulate a formal study protocol and
commence the study. A formal grant application for funding preparation should be
completed.
 By the end of residency, the research project should be at least at the completion of
data or patient recruitment stage. Research projects should be submitted to and
published in a peer-reviewed journal. Presentations at national and international
conferences are strongly encouraged: CPS, AAP, PAS, SAEM. All residents are
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expected to present their research project at PERC Fellows Day (annual Pediatric
Emergency Research of Canada conference) once during the residency.
Residents are expected to present their research at the divisional emergency
research day once per year.
A summer introduction to epidemiology series (PEPR course) is held over 2 summer
months on Thursdays. A University of Toronto Clinical Epidemiology course is
available to those with minimal previous experience.
Yearly attendance at one of AAP, CPS, PAS, or SAEM is strongly encouraged.
Administration
 Develop expertise in administrative issues in Pediatric Emergency Medicine:
e.g.: leadership skills, quality assurance, scheduling and periodic review of ED
charts and follow up on problems identified, charting, ethics, telephone advice, legal
issues, public relations, Emergency Medical Services systems.
 Residents are expected to attend the administration course sessions as part of the
academic day.
 Residents are encouraged to attend residency committee meetings.
 Residents should participate in the residents advocacy project.