Emergency Medicine Fellowship

Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del.

The Pediatric Emergency Medicine Fellowship Program at the Nemours/Alfred I. duPont Hospital for Children, in affiliation with Sidney Kimmel Medical College at Thomas Jefferson University (TJU), trains physicians in advanced skills in pediatric emergency medicine.

While the program emphasizes clinical skills, you’ll also receive comprehensive training in related areas — including research and teaching, as well as a thorough grounding in the practical and academic topics that surround emergency care for children.

Diversity and Inclusion Statement

Diversity is the richness of human differences. It is one of the foundational supports in Thomas Jefferson University’s Blueprint for Strategic Action, and is incorporated into the behaviors that sustain our core values. Inclusion is the active, intentional and ongoing engagement with diversity. At Sidney Kimmel Medical College (SKMC) at Thomas Jefferson University, we promote and cultivate an inclusive environment that embraces and celebrates the diversity of our people. SKMC believes that a diverse and inclusive environment is key to achieving excellence in our missions of patient care, education and research. We believe that our mission and values will create and nurture the physicians who provide compassionate and culturally-sensitive care to the diverse patient population that they serve.

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Program Details

Our Fellowship Program

With an emphasis on the care of acutely ill and injured children, the program‘s objective is to yield competent physicians who are capable of teaching pediatric emergency medicine, conducting high-quality research (a requirement for board certification in pediatric emergency medicine) and demonstrating responsible administrative skills.

Physicians in the program also learn about medical and legal issues, health care finances, hospital organizational structures, quality assurance, personnel management, patient services and child advocacy issues.


Fellow Curriculum and Rotations

First year curriculum and rotations
  • Pediatric emergency medicine (20 weeks)
  • Anesthesia (4 weeks/longitudinal)
    • Fellows may spend time in the operating room 2-3 times per month after their initial rotation to practice airway management 
  • Critical care (4 weeks)
  • Toxicology (2 weeks)
  • General emergency medicine (4 weeks)
  • Trauma (4 weeks)
  • Electives (4 weeks)
  • Research (4 weeks)
  • EMS (2 weeks)
  • Vacation (4 weeks)
Second year curriculum and rotations
  • Pediatric emergency medicine (20 weeks)
  • General emergency medicine (8 weeks)
  • Research (12 weeks)
  • Electives (4 weeks)
  • Vacation (4 weeks)
  • Ultrasound (4 weeks)
Third year curriculum and rotations

Clinical time spent in the emergency department is in the role as the attending physician.

  • Pediatric emergency medicine (20 weeks)
  • Research (24 weeks)
  • Electives/Administration (4 weeks)
  • Vacation (4 weeks)
Conference Schedule
  • Pediatric Emergency Medicine (PEM) – Friday morning resident conference
  • General Emergency Medicine and Simulation – Thursday/Friday (CCHS)
  • Resident and Fellow cardiology EKG review
  • PEM Fellow lecture series
  • PEM business meeting
  • ED Acuity conference
  • ED M&M conference
  • ED Ultrasound conference
  • ED/Hospitalist joint conference
  • Trauma conference
  • PEM Fellow board review
  • PEM Fellow research conference and journal club
  • PEM Fellow mock code
  • PEM Fellow procedure day
  • PEM Fellow skills course (first year)
  • PEM Fellow retreat
  • Fellow cardiology review
  • Fellow research course (first year)
  • Fellows may also choose to attend the annual AAP National PEM Fellows’ Conference and/or BASE camp (put on by Cornell Medical College)
Electives in the program include, but are not limited to:
  • Plastic Surgery
  • Pediatric sports medicine
  • Cast clinic
  • Palliative care
  • Simulation 
  • Sedation service
  • Kidshealth, Nemours
  • Ultrasound
  • Child Advocacy Center, Nemours
  • Burn Center, Crozer Medical Center
  • Critical Care Transport Team, Nemours
  • Administration and Quality Improvement, Nemours
  • Emergency Ophthalmology, Will’s Eye
  • International Medicine. Prior fellows have spent rotations in Togo, Rwanda and Haiti.
Teaching Activities for Fellows

The Division of Emergency Medicine at duPont Hospital for Children offers many teaching activities to help fellowship participants derive the most knowledge from the program.

These include:
  • weekly resident didactic lectures
  • evidence-based medicine journal club
  • case management, procedure and acuity conferences
  • mock codes
  • monthly fellows’ seminars
  • chapter review
  • monthly divisional research meetings

Fellows are encouraged to become PALS instructors during fellowship. As third years, fellow are also invited to participate as lecturers and instructors for the multiple CME emergency medicine based conferences put on by the hospitals.

The Emergency Medicine Division

The Division of Emergency Medicine, part of the hospital's Department of Pediatrics, is staffed with board-certified pediatric emergency medicine physicians who supervise the Emergency Department (ED) 24 hours a day. In addition, pediatric, family and emergency medicine residents from various programs rotate through the unit. Our 5-zone, 42-bed ED is a 911-trauma level 1 facility that logs approximately 60,000 visits annually, exposing physicians to a wide scope of pediatric emergencies.

In addition to providing faculty for the emergency medicine fellowship, the division plays an active role in teaching residents and medical students and is an award-winning teaching division, as voted upon by the residents. Medical students from Sidney Kimmel Medical College rotate through the hospital for their pediatric training, in addition to an emergency medicine rotation.

Research Opportunities

Research Opportunities

Early in the first year, emergency medicine fellows will participate in an education and research training course, along with other subspecialty pediatric fellows. This course provides training in biostatistics, study design, clinical and laboratory research methodology, preparation of IRB protocols, abstract and manuscript writing and ethical principles related to clinical research. Additional training is provided by the fellowship director during monthly research lectures. Prior fellows have also completed MPH degrees during their 3 year fellowship. Many current and former fellows have successfully advanced their projects to presentations at national meetings and publications.

Examples of fellow research projects include:

  • Kieffer J.  Comparison of Paper and Electronic Medical Record for Trauma Activations in a Pediatric Trauma Center.  Pediatric Academic Societies Annual Meeting 2019; Philadelphia, PA.
  • Fong K.  Impact of Early Insulin Administration on Critically Ill Patients in Diabetic Ketoacidosis. Society for Academic Emergency Medicine Annual Meeting 2019; Las Vegas, NV. 
  • Fong K. Quality Improvement Initiative to Reduce Door-to-Insulin Time for Diabetics in the Pediatric Emergency Department.  Pediatric Academic Societies Annual Meeting 2019; Philadelphia, PA.
  • Kusulas M. Are “Traumatic Taps” Truly Traumatic? Pediatric Academic Societies Annual Meeting 2016; Baltimore, Md.
  • Smith N. Ideal Observation Time after Racemic Epinephrine in the Pediatric Emergency Department for Those with Croup.Pediatric Academic Societies Annual Meeting 2016; Baltimore, Md.
  • Kelly S. The Effect of Subsidized Malaria Testing on Provider Treatment Patterns at a Togolese Mission Hospital. Pediatrics Academic Societies Annual Meeting 2016; Baltimore, Md.
  • Kusulas M. The Effect of Team Care Plan Meetings on Resident Education in the Emergency Department. The Eastern Society for Pediatric Research Annual Meeting 2015; Philadelphia, Pa.
  • Savage JS. Does the Role of a Rapid Triage Provider Improve Pain Control in an Academic Pediatric Emergency Department? Pediatric Academic Societies Annual Meeting 2015; San Diego, Calif.
  • Baghdassarian A. Pediatric Emergency Care: Knowledge Assessment of Pre-Hospital Emergency Physicians in Yerevan, Armenia. Pediatric Academic Societies Annual Meeting 2013; Washington, D.C.
  • Rogers BD. Correlation Between Unexpected Return Visits to a Pediatric Emergency Department and the Office Hours and Scheduling Times of the Primary Care Provider. American Academy of Pediatrics Annual Meeting 2012; New Orleans.
  • Sandelich S. A Clinical Decision Support System Improves the Evaluation and Management of Pediatric Victims of Sexual Abuse. Pediatric Academic Societies Annual Meeting 2017; San Franciso, Calif.
  • Mayo M. Impact of Rapid Serum Lyme Testing on the Management of Monoarticular Arthritis in the Pediatric Emergency Department.  Pediatric Academic Societies Annual Meeting 2017; San Francisco, Calif.
  • Fugok K. The effect of telemedicine on resource utilization and hospital disposition in critically ill pediatric transport patients. Society of Critical Care Medicine's Annual Congress 2016; Orlando, Fla.
  • Kennedy T. The Utility of Peripheral White Blood Cell Count for Non-Diagnostic Ultrasound and Non-Contrast Magnetic Resonance Imaging Studies in Suspected Pediatric Appendicitis. Pediatric Academic Societies Annual Meeting 2018; Toronto, Canada.
  • Kennedy T. Pediatric Heatstroke Fatalities Caused By Being Left In Motor Vehicles. Pediatric Academic Societies Annual Meeting 2018; Toronto, Canada.

  • Kennedy T, Thompson AD, Choudhary A, Caplan R, Schenker K, Depiero A.  Utility of applying white blood cell cutoffs to non-diagnostic MRI and ultrasound studies for suspected pediatric appendicitis. Am J Emerg Med 2018; in press.
  • McLean L, Elwell S, DePiero A. Assessment of the electronic medical record in documenting trauma resuscitations in the pediatric ED. The American Journal of Emergency Medicine 2015;33(4):589-590.
  • Giordano K, Rodriguez E, Green N, Armani M, Richards J, Shaffer TH, Attia, M. Pulmonary Function Tests in Emergency Department Pediatric Patients with Acute Wheezing/Asthma Exacerbation. Pulmonary Medicine 2012.
  • Green NA, Durani Y, Brecher D, DePiero A, Loiselle J, Attia, M. Emergency Severity Index Version 4 – A Valid and Reliable Tool in Pediatric Emergency Department Triage. Pediatric Emergency Care 2012;28(8):753-757.
  • Zomorrodi A, Bennett JE, Attia MW, Loiselle J, Rogers KJ, Kruse R. Consistency of Emergency Department and Orthopedic Physicians’ Diagnosis and Treatment of Distal Fibular Salter Harris I Fractures. Pediatric Emergency Care 2010;27(4):301-303.
  • Durani Y, Brecher D, Loiselle J, Walmesly D, Attia MW. The Emergency Severity Index (Version IV): Reliability in Pediatric Patients. Pediatric Emergency Care 2009;25(8):504-507.
  • Patel PB, Diaz MC, Bennett JE, Attia MW. Bacterial Conjunctivitis in Children. Academic Emergency Medicine 2007;14(1):1-5.
  • Pitone ML, Attia MW. Pattern of Injury Associated with Routine Childhood Falls Children. Pediatric Emergency Care 2006;22(7):430-435.
  • Savage J. An Unusual Case of Limp in a Toddler. Annals of Emergency Medicine 2016(67):296-306.
  • Savage JS, et al. An Unusual Case of Limp in a Toddler. Annals of Emergency Medicine 2017;67(2):296-306.
  • Smith N, et al. Failure of Outpatient Management with Different Observation Times After Racemic Epinephrine for Croup. Clinical Pediatrics 2017; Epub ahead of print.
  • Kusulas M, et al. Bedside ultrasound for the evaluation of epidural hematoma after infant lumbar puncture. Pediatric Emergency Care 2018; Epub ahead of print

Learn More About Research at Nemours »

About Our Hospital

Nemours/Alfred I. duPont Hospital for Children is like no other in the region — designed by families, for families.

About Our Hospital in Delaware

The Nemours/Alfred I. duPont Hospital for Children is a multispecialty, tertiary care teaching institution located on a 300-acre estate in the scenic Brandywine Valley in Wilmington, Del.

Among the hospital’s amenities for all staff are:

  • free parking
  • park-like setting
  • gym/fitness center
  • on-site child care center for children of staff
  • massage therapy

Learn More About duPont Hospital for Children »

Contact Us

Debbie Campbell

Program Coordinator
(302) 651-4296

Amy Thompson, MD

Associate Program Director
(302) 651-4296

Andrew DePiero, MD

Program Director
(302) 651-4296

Apply for This Fellowship

Application Requirements
Deadline: Aug. 31, 2019

A completed application consists of the following:

  • Nemours fellowship application
  • curriculum vitae
  • personal statement describing the development of your career plan and your specific interests and goals in pediatric emergency medicine.
  • current passport-sized photograph
  • three letters of recommendation, one of which should be from the program director of your residency program.  
  • original scores of USME
  • original medical school manuscript

Note: Completed applications must be submitted through ERAS by Aug. 31, 2019.