Paediatric Emergency Medicine Subspecialty Training Overview

Paediatric Emergency Medicine (PEM) is a specialized field within Emergency Medicine offering two routes to subspecialty training, with competencies organized into domains and a competency-based assessment approach. Trainees undergo a one-year PEM training program with rotations in a Paediatric Emergency Department and a Paediatric Intensive Care Unit, providing opportunities for skill development, audit participation, and more. Recruitment is aligned with a national schedule, and future plans include a shift to centralized interviews. The PEM curriculum allows for a broad range of opportunities based on trainee interests.

• Pediatric Emergency Medicine
• Subspecialty Training
• PEM Curriculum
• Recruitment
• Skill Development

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1. PAEDIATRIC EMERGENCY MEDICINE AS A SUBSPECIALTY Diane Williamson August 2020

2. Paediatric Emergency Medicine (PEM) is one of the three specialisations available to higher specialty Emergency Medicine trainees PAEDIATRIC EMERGENCY MEDICINE (PEM)

3. Two routes to PEM subspecialty RCEM RCPCH Shared PEM syllabus Competencies organised into domains Competency based assessment, no exams New curriculum in 2021 PEM CURRICULUM

4. EM trainees are eligible to apply at ST4 or ST5 1 year PEM training Based at Addenbrooke s Hospital, Cambridge 6 months PICU 6 months Paediatric Emergency Department PEM ROTATION

5. Recruitment dates are aligned with national PEM recruitment schedule Interviews are held locally by Cambridge University Hospitals NHS Foundation Trust (CUHFT) Interview format for RCEM and RCPCH PEM recruitment is the same Future expectation is a movement to national recruitment with centralised interviews PEM RECRUITMENT

6. Opportunities during the PEM year are broad and can be catered to the interests of the trainee PEM OPPORTUNITIES

7. PICU Rotation 6 months on senior PICU rota On-call rota structure Responsibilities in PICU and Paediatric HDU Emphasis on developing anaesthetic and ICM skills with direct PICU consultant support Opportunities to participate in audit and quality improvement, teaching, paediatric anaesthetic lists and other trainee-led intiatives PEM PICU ROTATION

8. 6 months based in Paediatric ED Shift pattern rota During the 6 months in Paediatric ED trainees have scheduled Personal Development time and can get involved with Research Management Teaching Simulation training Quality improvement projects Other trainee-led initiatives PEM PAEDIATRIC ED ROTATION

9. Competitive specialty growing in popularity Currently two posts/year available in East of England Excellent employment prospects for EM/PEM consultant post PEM

10. Get involved with the paediatric ED in your current trust Let your Educational Supervisor know you are interested in PEM so they can guide you toward learning opportunities Plan your PDP Complete APLS as soon as you have an opportunity Look for meetings and conferences with a Paediatric focus Introduce yourself to your Paediatric colleagues and find out what s going on around you and use your personal development time to attend Paediatric teaching Paediatric ward rounds Paediatric clinics Paediatric Clinical Governance Meetings PEM RECOMMENDATIONS

11. PEM Contacts in HEEoE: Diane Williamson PEM Consultant Addenbrooke s Hospital, CUHFT ACCS Training Programme Director Diane.williamson1@nhs.net Lisa MacKenzie PEM Consultant Addenbrooke s Hospital, CUHFT PEM HST Training Programme Director Lisa.Mackenzie@addenbrookes.nhs.uk PEM CONTACTS