First Year

6 blocks Pediatric ED
2 blocks Research
1 block Pediatric Anesthesia
1 block Pediatric Orthopedics
1 block Pediatric Intensive Care
1 block Toxicology
1 block Adult Trauma (DRH)
(includes 4 week vacation)

Second Year

7 blocks Pediatric ED
4 blocks Research
1 block Ultrasound/Adult Trauma
1 block EMS/Risk Management
(includes 4 week vacation)

Third Year

7 blocks Pediatric ED
5 blocks Research
1 block Elective
(includes 4 week vacation)

Our PEM fellowship program is designed to provide you with a rich and diverse clinical experience. In the first year, you will build a foundation of core pediatric emergency medicine clinical skills and knowledge with about one third of your time spent inside the Children’s Hospital of Michigan Emergency Department, one third doing research and the remainder of your time spent rotating on subspecialty services to learn how to apply principles of a variety of specialties to your career as a pediatric emergency physician.

Your second year will be divided between the emergency department, research and additional subspecialty and administration training, where you will build on your decision-making responsibility. The goal of this year is to augment your clinical as well as administrative management skills necessary to enable you to run a pediatric ED.

In the third year, you will have the opportunity to showcase your research and be expected to function as an attending physician.


There are thirteen 4-week blocks in an academic year. You have 28 days of vacation that you can take vacation during your Pediatric ED and Research months. You work alternating holidays (Thanksgiving, Christmas/New Years).


The emergency ultrasound training program at the Wayne State University is taught by Emergency Medicine physicians who have completed ultrasound fellowships. Ultrasound training begins in the first month of fellowship where you are introduced to the concepts of bedside ultrasound and the primary ED applications. Fellows can start to use these skills during their PEM shifts. During ultrasound rotations you rotate with interns from all WSU affiliated programs meet with an ultrasound educator in a small group learning environment for a half-day sessions. Recorded studies will be reviewed by ultrasound faculty and feedback will be provided.


Healthcare simulation spans a wide variety of formats, from the low-tech actor portraying a standardized patient to high fidelity mannequin-based human patient simulators (HPS). The Division of Pediatric Emergency Medicine hosts a simulation each block to introduce fellows to managing codes in the ED.


The Division of Pediatric Emergency Medicine works closely with the Regional Poison Control Center (PCC) operated by the Children’s Hospital of Michigan. Dr. Suzanne R. White, Chair of the Department of Emergency Medicine, serves as the Medical Director of the PCC with Dr. Cynthia Aaron and Dr. Matthew Hedge serving as associated medical directors.

The CHM regional PCC was established in 1958. It is the ninth largest poison center in the US serving 18 counties of southeastern Michigan. The PCC provides 24/7 service to the public and health care professionals with an annual call volume of approximately 70,000 calls. The Poison Center is the primary site for the two year ACGME recognized fellowship in Medical Toxicology. Fellows are actively involved in patient care, teaching, and research.


There are a variety of conferences that fellows attend including:

Weekly PEM Fellows Conference
Monthly Division Journal Club
Monthly Divisional Meeting
Monthly Peer Review (Interdisciplinary Emergency Department Peer Review Committee)
Annual PEM Fellows Orientation
Annual Michigan PEM Fellows Conference
Annual National PEM Fellows Conference
Annual National PEM Fellows Bootcamp

Weekly Departmental Grand Rounds
Weekly Interdisciplinary Departmental Fellows Conference
Monthly Trauma Committee Meeting
Quarterly Morbidity and Mortality Conference
Bi-Monthly Clinical Excellence Committee Meeting

Quarterly Toxicology Grand Rounds
Other subspecialty and research conferences