Rotations

The bulk of fellows’ clinical time is spent working in the SLCH emergency department with the PEM faculty and our outstanding nursing and support staff.  Our fellows rotate through multiple services and departments at St. Louis Children’s Hospital and Barnes-Jewish Hospital for required and elective rotations.

First Year
Pediatric emergency medicine/research six months
Introduction to scholarly activity  one month
Pediatric critical care one month
Pediatric anesthesia three weeks
Ultrasound one month
Adult emergency medicine/trauma one month
Pediatric surgery one month
Second Year
Pediatric emergency medicine/research seven months
Toxicology one month
Pediatric orthopedics one month
Adult emergency medicine/trauma two months
Child abuse pediatrics two weeks
EMS two weeks
Third Year
Pediatric emergency medicine/research nine months
Labor and delivery two weeks
Elective ten weeks

The curriculum for emergency medicine residency graduates includes a minimum of six months of pediatric rotations, which may include general pediatric outpatient and subspecialty rotations in place of the emergency medicine / trauma rotations. 

Elective time may be spent in any subspecialty at St. Louis Children’s Hospital or Barnes-Jewish Hospital. Fellows may also participate in international or other “away” rotations with the program director’s approval.  Moonlighting opportunities in the SLCH ED and off-site affiliated EDs are available.  Fellows are allotted four weeks of vacation time per year.

Research time is spread longitudinally over the course of the fellowship. During pediatric emergency medicine/research months, fellows are scheduled for 12 shifts in the SLCH ED, allowing time to progress in their scholarly projects on an ongoing basis throughout fellowship.

Learn more about patient care provided through our division.

Our hospital partners

St. Louis Children’s Hospital

St. Louis Children’s Hospital is a 350-bed institution offering a full range of pediatric services and is consistently ranked by U.S/ News and World Report as #1 in Missouri and Top 10 in the nation in several subspecialties. The immediate service area has a population of 2.8 million and around 275,000 patients visit SLCH each year. Facilities include a 32-bed emergency department, 13 operating suites, a 120-bed neonatal intensive care unit, a 40-bed PICU, a 16-bed bone marrow transplant unit and a 38-bed Heart Center which also includes a CICU. The world’s leading pediatric lung transplant program is at SLCH with active programs in heart, liver, kidney and bone marrow transplantations. Other units include the dialysis unit, wound service, neurorehabilitation service, a sports medicine gym and two Ronald McDonald Family Rooms on site.

Barnes-Jewish Hospital

Barnes-Jewish Hospital is ranked among the top U.S. hospitals and is a nationally certified Level 1 Trauma Center with over 95,000 ED annual visits.  At 1,266 beds, this makes it the largest hospital in a multi-state region.  The Charles F. Knight Emergency & Trauma Center at Barnes-Jewish Hospital occupies the ground floor of a multistory building with surgical suites, radiology, laboratory and essential services located on upper floor.  The rooftop helipad allows for integration and efficiency of care.  The 70-bed ED encompasses 52,000 square feet and includes two separate indoor and outdoor contamination units, 12 critical care beds, 12-bed urgent care area and a 12-bed observation unit.  Our division includes specialized sections of critical care medicine, ultrasound, EMS, toxicology and simulation. Our EM faculty members include physicians with dual board certification, sub-specialty training and advanced degrees in education, research, management and scientific investigation that lend expertise to the teaching and learning interaction.