Emergency Fellowship Research and Scholarship Opportunities

Pediatric Emergency Medicine ResearchBy the completion of training, our fellows are proficient in critically reviewing published research in PEM. During their training, fellows design, conduct, analyze and interpret data from their individual research or scholarly project. Through our research curriculum fellows learn basic biostatistics and epidemiology and are able apply basic biostatistics in their scholarly work. Unique to our program, each fellow will also choose a “PEM focus track” in an area of scholarship and be able to utilize available resources to achieve productive and meaningful scholarly work in their chosen area.

Research/Scholarly Project

Fellows identify an area of research during their first year of fellowship guided by their identified primary research mentor and our scholarly oversight committee (SOC), which meets with each fellow quarterly. Fellows have research time as part of their schedule throughout their training and have 12 months of focused research time in the third year of training. An annual didactic research curriculum is provided which incorporated hands-on basic statistical application sessions. In addition, fellows have the support of our institution’s clinical and translational science institute (CTSI) to assist in their project’s development and analysis. Fellows traditionally choose scholarly projects in either clinical or bench research, or medical education/curriculum development.

All fellows are supported to attend the national PEM fellow conference, typically during their first year of training. Fellows also present their work at local, regional and national meetings. Examples of recent fellow projects/publications are listed below.

Our PEM division is a part of PECARN, the Pediatric Emergency Care Applied Research Network, which conducts high-priority, multi-institutional research on the prevention and management of acute illnesses and injuries in children. Some of our PEM attending research interests include procedural sedation, headaches, concussion, emergency ultrasound, medical education, simulation medicine, quality improvement science, child abuse, cardiac arrest, anoxic brain injury, febrile infants, serious bacterial infections, urinary track infections, otitis media, lyme disease, ventriculoperitoneal shunt malfunction, pain management, alcohol and substance abuse screening and information technology.

PEM Focus Tracks

During fellowship training, we guide our fellows to find their compass by identifying an academic area of interest to them for which they will develop additional expertise, skills and scholarship. We mentor this process and encourage fellows to choose their track by the beginning of the second training year. Current PEM focus tracks include POCUS (Dr. Jennifer Marin, Director), research, medical education (Dr. Melissa Tavarez, Director), quality improvement (QI), pre-hospital medicine (Dr. Sylvia Owusu Ansah, Director) and information technology. Fellows can participate in courses through the Institute for Clinical Research Education (ICRE), the University of Pittsburgh's premier clinical and translational research training programs to take targeted classes or a certificate (e.g medical education, research). For QI, The Wolff Center at UPMC, offers classes and an educational series and certificate in quality improvement. For pre-hospital medicine, CHP PEM partners with the Center of Emergency Medicine, Department of Emergency Medicine Division of EMS  and local and regional EMS agencies for didactics, research, EMS QI, and EMS field experience, and there is also a disaster medicine component. For information technology, our hospital has been recognized by KLAS, an independent health care research organization, as the number one pediatric hospital in its use of health care information technology, and is led by one of our PEM faculty, Dr. Srinivasan Suresh, MD, MBA, FAAP, Chief Medical Information Officer, Children's Hospital of Pittsburgh of UPMC.

Selection of Recent Fellow Publications

Double-blind Randomized Controlled Trial of Intranasal Dexmedetomidine Versus Intranasal Midazolam as Anxiolysis Prior to Pediatric Laceration Repair in the Emergency Department.
Neville DN, Hayes KR, Ivan Y, McDowell ER, Pitetti RD.
Acad Emerg Med. 2016 Aug;23(8):910-7. doi: 10.1111/acem.12998

Acute Management of Refractory and Unstable Pediatric Supraventricular Tachycardia.
Lewis J, Arora G, Tudorascu DL, Hickey RW, Saladino RA, Manole MD.
J Pediatr. 2017 Feb;181:177-182.e2. doi: 10.1016/j.jpeds.2016.10.051. Epub 2016 Nov 29.

Feasibility of the Digital Retinography System Camera in the Pediatric Emergency Department.
Pediatr Emerg Care. 2017 Jun 12. doi: 10.1097/PEC.0000000000001203. [Epub ahead of print]

The Burden of Ionizing Radiation Studies in Children with Ventricular Shunts.
Antonucci MC1, Zuckerbraun NS2, Tyler-Kabara EC3, Furtado AD4, Murphy ME5, Marin JR6.
J Pediatr. 2017 Mar;182:210-216.e1. doi: 10.1016/j.jpeds.2016.11.051. Epub 2016 Dec 15.

Ropivacaine Intramuscular Paracervical Injections for Pediatric Headache: A Randomized Placebo-Controlled Trial.
Yaeger SK1, Perry MC2, Caperell K3, Coffman KA4, Hickey RW5.
Acad Med. 2017 Apr;92(4):494-500. doi: 10.1097/ACM.0000000000001387.

Effect of a depilatory agent on cotton, polyester, and rayon versus human hair in a laboratory setting.
Plesa JA1, Shoup K2, Manole MD3, Hickey RW3.
Ann Emerg Med. 2015 Mar;65(3):256-9. doi: 10.1016/j.annemergmed.2014.08.026. Epub 2014 Sep 17.

Regional variations in pediatric medication exposure: Spatial analysis of poison center utilization in western Pennsylvania.
Nguyen MB1, Pizon AF2, Branas CC3, Fabio A4.

Clin Toxicol (Phila). 2016;54(1):47-52. doi: 10.3109/15563650.2015.1113543. Epub 2015 Nov 26.

Bloodstream Infections in Patients With Intestinal Failure Presenting to a Pediatric Emergency Department With Fever and a Central Line.
Szydlowski EG1, Rudolph JA, Vitale MA, Zuckerbraun NS.
Pediatr Emerg Care. 2016 Jul 23. [Epub ahead of print]

Design, Implementation, and Evaluation of a Simulation-Based Clinical Correlation Curriculum as an Adjunctive Pedagogy in an Anatomy Course.
Coombs CM1, Shields RY, Hunt EA, Lum YW, Sosnay PR, Perretta JS, Lieberman RH, Shilkofski NA.
Acad Med. 2017 Apr;92(4):494-500. doi: 10.1097/ACM.0000000000001387.

Missed opportunities to diagnose child physical abuse.
Thorpe EL1, Zuckerbraun NS, Wolford JE, Berger RP.
Pediatr Emerg Care. 2014 Nov;30(11):771-6. doi: 10.1097/PEC.0000000000000257.

Association of race and ethnicity with management of abdominal pain in the emergency department.
Johnson TJ1, Weaver MD, Borrero S, Davis EM, Myaskovsky L, Zuckerbraun NS, Kraemer KL.
Pediatrics. 2013 Oct;132(4):e851-8. doi: 10.1542/peds.2012-3127. Epub 2013 Sep 23.