Emergency Medicine - Fellowship



Our fellowship program provides comprehensive training in the subspecialty of Pediatric Emergency Medicine (PEM). Graduates learn to independently manage all medical conditions that would fall under the purview of a Pediatric Emergency Medicine subspecialist.

Learning from direct patient care is augmented by numerous integrated longitudinal curricula involving research, critical appraisal of literature, quality, toxicology, simulation, EMS/transport, DHEI, self-directed and facilitated educational activities.   Our fellows are required to participate in quality projects, lead a scholarship project, produce a first-authored manuscript, and provide education to a variety of trainees, faculty, and medical professionals throughout their fellowship.

Fellows rotate primarily through Children’s Hospital Colorado  (Children's Colorado) located on the  Anschutz Medical Campus  in Aurora, Colorado. Children's Colorado is the only free-standing, quaternary care pediatric hospital in Colorado and the only Level 1  Regional Pediatric Trauma and Burn Center   in the state with regional referrals from the surrounding 7-state region.  

Program Aims

  • To produce physicians who are clinically proficient in the practice of pediatric emergency medicine, especially in the management of the acutely ill or injured child, in the setting of an emergency department (ED).
  • To produce physicians who are knowledgeable and have experience in clinical research and research methodology, quality improvement/patient safety, and skills in teaching and life-long learning.
  • To provide useful tools to combat burn-out and encourage wellness and resiliency among trainees, inform trainees of available departmental and institutional resources to address trainee needs.
  • To build and maintain an infrastructure to recruit diverse fellows and provide an inclusive learning environment that promotes and celebrates differences.


Meet the Fellows...

Tour Children's Hospital Colorado...

Clinical Training

The primary focus of our clinical training is to provide comprehensive training in Pediatric Emergency Medicine (PEM) to allow the graduate to independently manage acutely ill and injured children.

 PEM clinical training

Fellows are directly supervised by Pediatric Emergency Medicine and Emergency Medicine faculty during their clinical ED rotations.  Under the supervision of a large and diverse faculty, trainees gain exposure to patients with a broad spectrum of clinical conditions. To prepare trainees to function as effective Pediatric Emergency Medicine subspecialists upon completion of their fellowship, the fellows assume graduated responsibility for patient care over the course of three years.

First Year

During their first year, fellows function as direct care providers, focusing on honing clinical and procedural skills.  In the second half of the year, fellows will have shifts in which they provide clinical supervision of junior trainees and learn ED management/flow under the direct supervision of a PEM attending. 

The first year for pediatric-trained fellows includes:

For emergency medicine-trained fellows:

Second Year

During the 2nd half of their second year, fellows begin the transition from caring for patients directly to becoming the supervising physician in charge of an ED team.  In their second year, the total amount of clinical time decreases compared to year I and fellows assume more teaching and supervisory responsibilities and dedicate more time to scholarship projects.  As part of their clinical requirement, fellows begin “Pre-tending” or “Attending” Shifts where they gradually assume the responsibilities of the Attending ED physician under direct supervision. 

The second year for pediatric-trained fellows includes:

For emergency medicine-trained fellows, clinical responsibilities during Year 2 transition to 3rd year fellow expectations of Pediatric-trained fellows.

  • Pediatric ED (4 blocks)
  • Research (6 blocks)
  • Elective (2 blocks)


 PEM clinical training2

Third Year

During their third year, fellows become proficient in running a large, urban, Level 1 Trauma Pediatric ED.  Fellows take primary responsibility for patients, trainees, and other providers on the ED team, referral and transfer calls, and are expected to maintain an effective working relationship and communication with the charge nurse, nursing and ancillary staff. 

The third year for pediatric-trained fellows includes:

  • Pediatric ED (4 blocks)
  • Research (5 blocks, during which fellows have decreased clinical shift load)
  • Adult Emergency Medicine and Trauma month at Denver Health Medical Center (DHMC)
  • Adult ED Point-of-Care Ultrasound at Denver Health (1 month)
  • Elective (1 block)


Sample Block Schedule for Pediatric Residency Graduates:

1st Yr Rotation# Clinical ED Shifts
1st Yr Rotation# Clinical ED Shifts
Adult ED (1 month)12
Pediatric Critical Care (1 month)0
Peds Anesthesia (1 month)4
Toxicology (1 month)6
Research (1 month)8
PEM ED shifts (6 months)
(Includes 2-week Ultrasound Block)
Totals108-118 PEM ED Shifts
12 Adult ED Shifts


2nd Yr Rotation# Clinical ED Shifts
2nd Yr Rotation# Clinical ED Shifts
Adult ED12
Research (6 months)40-48
PEM ED  (2 months)28-32
Attending shifts (2nd semester)18
Totals100-110 PEM ED Shifts
12 Adult ED Shifts


3rd Yr Rotation# Clinical ED Shifts
3rd Yr Rotation# Clinical ED Shifts
Adult ED12
Elective (1 month)0
Adult ED POCUS (1 month)6
Research (5 months)40
PEM ED  (4 months)48-58
Totals88-98 PEM ED Shifts
18 Adult ED shifts


Diversity / Equity / Inclusion


We are committed to creating a diverse environment for students, residents, fellows, and faculty. We believe that an environment of inclusiveness and respect promotes excellence and that a setting where diversity is valued leads to the training of physicians who are prepared to practice culturally effective medicine and meet the needs of the various populations we serve. Visit our Diversity, Equity, and Inclusion webpage for more....

Well-Being / Resilience

Be well

By embracing wellness and improving personal resiliency, physicians can reconnect with the meaning of their work and fend off stress. Reducing or eliminating burnout also has practical implications for the entire department such as improving patient safety, student advancement, and the overall campus environment.

Visit our Pediatric Well-Being and Resilience website for more.

Pediatric Emergency Medicine Fellowship

Program Coordinator: Jessica.Coleman

13123 East 16th Avenue, Box

Aurora, CO 80045

Phone: 303-724-2566 Fax:720-777-7258

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