Johns Hopkins Children’s Center Pediatric Emergency Medicine Fellowship M. Douglas Baker, M.D. 1800 Orleans St. Baltimore, MD 21287 Director, Division of PEM T: 410-955-6146 Faculty The Pediatric Emergency Medicine Fellowship Program at Johns Hopkins Children’s Center provides a gamut of opportunities for training. The program is based in a moderate volume (34,000 visits per year) Pediatric ED set in a large tertiary pediatric hospital. The clinical program is challenging, with a high acuity level and high level of complexity in our patient population. The Johns Hopkins Children’s Center is the only designated Pediatric Trauma Center and Pediatric Burn Center in the state of Maryland. Jennifer Anders, M.D. Oluwakemi B. Badaki-Makun, M.D. CM Therese Canares, M.D. J. (Kate) Deanehan, M.D., RDMS Mitchell Goldstein, M.D. Amyna Husain, D.O. Justin M. Jeffers, M.D. Jessica Katznelson, M.D. Bruce L. Klein, M.D. Thuy L. Ngo, D.O., M.Ed. Jean Ogborn, M.D. In addition, the resources of Johns Hopkins Children’s Center and Johns Hopkins University are nearly limitless. A range of research and other academic opportunities can be mined to tailor an individual program for each fellow. The primary focus of this program is to produce fellows ready for research or clinician educator career paths in academic PEM. The following goals and objectives delineate the basic level of proficiency expected of all fellows by the time of graduation. Leticia Manning Ryan, M.D., M.P.H. Karen Schneider RSM, M.D., M.P.H. Martha (Molly) Stevens, M.D., M.S.C.E Fellows Anne O’Connor, M.D., M.Sc. Sylvia Owusu-Ansah, M.D., M.P.H. Jennifer Fishe, M.D. Daniel Yu, M.B.B.CH. Ariel Cohen , M.D. Lauren Kahl , M.D. Page 1 of 6 Clinical Care: Build medical knowledge, patient care skills, and procedural skills through a variety of clinical rotations and didactic teaching sessions both within the PED and in affiliated rotations outside the PED. Core rotations include: Anesthesia - Rotate through our anesthesia suite with world-renowned anesthesiologists. There are additional opportunities for anesthesia time throughout the fellowship o PICU - We work closely with our PICU not only for the block rotation, but also in joint conferences, trauma transport, patient care, simulation, and a transport elective. o Trauma - Our fellows work with world-class trauma surgeons at the Shock Trauma Center at the University of Maryland. o Toxicology – This rotation takes place at the Maryland Poison Control Center. Fellows participate in conferences, give a toxicology lecture and assist with poison control calls throughout the month. o Child Abuse – Fellows join the JHH Child Protection Team for hospital consults and case conferences with an in-depth focus on recognition and evaluation of child abuse. Fellows also visit the partner program at University of Maryland. o EMS - EMS month includes ride-along opportunities with EMS providers in the city and the Maryland State Police, a unique group of transport paramedics that provide healthcare throughout the state of Maryland. You will also spend time at the Maryland Institute for Emergency Medical Services Systems (MIEMSS), one of the most well structured EMS state systems in the country. o Adult Emergency Medicine – Fellows rotate to the Adult Emergency Department at JHH and the Emergency Department at Johns Hopkins Bayview Medical Center to prepare to treat adult emergencies. Build communication, leadership and prioritization skills necessary to manage shifts in a pediatric emergency department. Increasing autonomy in the PED throughout the fellowship. o Teaching Skills: Ample opportunity for bedside teaching on clinical shifts. Master presentation skills and lecture development for various audiences. o Deliver monthly PEM core curriculum lectures to residents and students o PEM Conference didactic lectures to fellows and faculty o PICU/ER didactic lectures to joint fellows and faculty o Large audience lecture including: EM Friday conference, pediatric Noon conference, community hospital grand rounds, EMS conference or other CME lecture. Produce a portfolio of novel lectures on pediatric emergency medicine topics. o Fellows can expect to develop at least 10 lectures for a variety of audiences. Develop skills in assessing performance and delivering feedback o Participate in monthly resident evaluations Page 2 of 6 Research Skills: Participate in monthly Journal Club and Evidence Based Medicine Conferences. Complete all IRB required training in human subjects protection, privacy protection and research ethics. Fellows will be trained in, and expected to contribute to ongoing research projects in the division. Gain a practical knowledge of biostatistics in order to critically assess the medical literature and as a foundation for future research. o Science of Clinical Investigation course series at the Johns Hopkins School of Public Health provides flexible coursework (evening or online learning) in research foundations. All fellows will complete 2 courses (Statistical Methods and Design of Clinical Studies) and may take additional courses that qualify for the certificate in Science of Clinical Investigation at the Johns Hopkins School of Public Health. Produce academic work (original research, curriculum development, quality improvement project etc.) to meet requirements of American Board of Pediatrics for subspecialty certification and prepare for an academic career. Administrative Skills: Gain familiarity with relevant topics via didactic sessions and clinical and administrative rotations. (PEM Conference, PEM rotations (JHH and ACH), Adult ED rotations, EMS rotation) Attend and participate in monthly Comprehensive Unit-based Safety Program (CUSP) and PEM M&M Conference. Present M&M conference twice a year. Attend the monthly PEM division meeting. Fellows are expected to become involved in specific problem solving work groups that coordinate with his or her individual interests. Emergency Medical Systems/Pre-hospital Care: o Complete Pediatric Base Station Course and provide online medical direction o Complete required rotation in EMS o Elective opportunities for involvement with EMS-C and MIEMSS Disaster Preparedness: o Attend at least one disaster preparedness committee meeting o Participate in mock disaster exercises o Program provides elective opportunities for involvement with CEPAR (Center for Emergency Preparedness and Research) Page 3 of 6 More Exciting Opportunities: Ultrasound training: Develop a strong foundation in point-of-care emergency ultrasound with scanning opportunities in the pediatric emergency department under the guidance of an ultrasound fellowship trained PEM faculty member, as well as in both the adult emergency department and Shock Trauma Center. The ultrasound curriculum includes a series of didactic lectures during regular conference hours, combined with hands on practice during the ultrasound rotation and on ED shifts. Additional learning opportunities, including an ultrasound “boot camp” with the adult ED residents, are available. Simulation Training: Improve clinical and didactic skills in our fully equipped simulation center. Monthly simulation sessions enable proficiency of pediatric emergency medicine clinical skills. Large scale joint simulation trainings with PED and PICU. Opportunities to teach simulations to residents, medical students, EMS providers, other health providers PALS educators: Fellows will be credentialed PALS instructors for the hospital and community outreach. International Electives: Each year there are many opportunities for an international elective for interested fellows. Dr. Karen Schneider leads numerous foreign medical aid missions to developing countries including Guyana, Nigeria, Haiti and Kenya. This is a favorite rotation of the residents and Karen loves to have fellows help her with teaching and medical care. Johns Hopkins University School of Public Health offers numerous travel grants every year though the Paul S. Lietman Global Travel Grant . Recently Graduated Fellows: Where are they now? Elizabeth Hines, MD Dr. Hines is currently enrolled in the NYU Toxicology program, to become one of the few pediatric toxicologists in the country, as well as being an exceptional, well rounded, clinical and academic PEM physician. Breanna Barger-Kamate, MD Dr. Barger-Kamate initially started down the infectious disease pathway, and then decided to do PEM. She continued her research work related to infectious disease in Mali (West Africa), and received numerous grants, and presented her research at the Pediatric Academic Society 2015. She is currently a PEM attending in Spokane, Washington. Ashley Metcalf, DO Dr. Metcalf has a strong interest in trauma and blood transfusion related protocols and is currently a PEM Page 4 of 6 attending at Rady Children’s in San Diego, CA. This year PEM fellow Dan Yu teamed with Dr. Schneider to organize a new 1 month global health elective to the Solomon Islands! They will take 3 pediatric residents and 1 pediatric ED nurse. Most of their work will be in the local hospital at Honiara but they will also be spending a week at rural sites that have no access to doctors. International electives offer great opportunities for clinical, teaching and scholarly work. It is an extremely valuable experience for leadership practice and personal development. All Children’s PEM (St. Petersburg Florida): All Children’s hospital is a Johns Hopkins Medical Institutions member and a Children’s Hospital. ACH is a community hospital model with tertiary care capabilities. All fellows will do a one-month clinical rotation in the second or third year of fellowship. Core elements of this rotation include: Exposure to community hospital PEM model Administrative Training (aka “the business of PEM”) Collaborative research opportunities Resident teaching opportunities Housing provided Transportation costs covered Advocacy: National (Washington DC) and state (Annapolis) legislatures and executive offices are both less than one hour away. JHU has a strong tradition of advocacy and there are numerous opportunities for pediatric health care advocacy opportunities on a federal, state, and city level. There are many opportunities for collaboration with other pediatric resident and fellow specialties interested in advocacy projects. Page 5 of 6 Our PEM Faculty in Brief Fellowship Leadership Team Jen Anders: Fellowship Program Director. Jen’s primary research interest is EMS and regionalization of care. She is our EMS base station director and the PEM liaison with the Pediatric Trauma Service. Justin Jeffers: Associate Program Director. Justin is our Simulation Guru and resident Apple Genius. His academic interests are education, and resuscitation. He works closely with the JHCC resuscitation group (CodeBusters) and directs the HOPE office (PALS classes). Kate Deanehan: Associate Program Director and Director of Pediatric Ultrasound. Kate’s primary academic interests are, not surprisingly, use of point of care ultrasound in pediatric emergency medicine. PEM Division Doug Baker: Division Chief (also the Director of Community Outreach) Doug has broad and varied research interests, from febrile infants to administrative practices. Bruce Klein: As the director of the pediatric transport team, Bruce knows everyone and lectures everywhere! Bruce has a prodigious knowledge base, so if you have an interest – his is a great brain to pick. Just don’t ask him to type anything! Molly Stevens: Our director of research, Molly takes an active role in helping fellows develop their research projects and presentations. Molly’s own research focus is injury prevention. Jean Ogborn: Jean is our EPIC leader and her primary research activities are in asthma. Mitchell Goldstein: Mitchell runs the Child Protection Team and is deeply involved in the Medical School. Karen Schneider: Karen directs the Tropical Medicine elective for the Peds Residency Program and travels many times per year directing medical missions (see International Elective above). Thuy Ngo: Thuy is an associate program director for the pediatric residency program and her academic focus is in education. She is also an amazing baker. Jessica Katznelson: JKN focuses her research on preparing small emergency departments for pediatric emergencies, mostly with simulation-based education. In addition, she is a medical ethicist and teaches at the U of Baltimore law school. Tish Ryan: Tish is an injury prevention researcher with a variety of foci. Her major work has been with bone health and fracture risk in children. Kemi Badaki: Kemi is currently a PhD student in the school of public health. Her research focus is sickle cell disease. Therese Canares: Therese is in business school and interested in urgent care usage. Ann Kane: Ann is invested in QI and (along with Kemi) our champion for the pediatric sepsis collaborative. Page 6 of 6