Mother Child W Physician

Pediatric Emergency Medicine

Pediatric Emergency Medicine (PEM) Fellowship Program

Our three-year curriculum trains pediatric emergency medicine specialists to provide expert pediatric emergency care, to supervise others who provide such care and to conduct research focused on improving the care of acutely ill and injured children. This ACGME accredited program has been preparing fellows for subspecialty board certification for over 25 years. We attract candidates from across the United States with many of our graduates staying in Milwaukee and joining the team as faculty members.

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About PEM Fellowship

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Educational Settings
Children's Wisconsin is a state of the art 296-bed facility on the campus of the Milwaukee Regional Medical Center.

Children's Wisconsin is the only free standing pediatric hospital in Wisconsin, providing primary care to children in the Milwaukee area, Level I trauma care, and tertiary care to patients from a wide referral base including Wisconsin, northern Illinois, and the Upper Peninsula of Michigan. The hospital has a 72-bed PICU, which hosts a Pediatric Critical Care Fellowship Program, as well as an active pediatric transport team. The hospital is linked to the Medical College of Wisconsin (MCW) by a skywalk, and to other major teaching centers of MCW (Froedtert Hospital and the Eye Institute).

The Emergency Department and Trauma Center (EDTC) of Children's Wisconsin is staffed by PEM faculty members, APPs and fellows. We are involved in teaching medical students, pre-hospital providers, and residents in pediatrics, emergency medicine, and family practice. Our group is active in clinical research in various areas of pediatric emergency medicine including trauma, injury prevention, asthma, head trauma, violence, adolescent issues, pain management, sedation and outcome measures for common interventions. We participate in the PECARN network and are actively involved in the head trauma and cervical spine studies coordinated by this network.

The Children's Wisconsin EDTC is adjacent to the Adult Emergency Department of Froedtert Hospital. Although each department functions independently, the close proximity provides a unique setting for sharing of knowledge and teaching opportunities. Easily accessible formal conferences include Pediatric Emergency Medicine Grand Rounds, Emergency Medicine Grand Rounds, and multidisciplinary trauma conferences. We are involved in pre-hospital direction of care for critically ill and injured pediatric patients through the Milwaukee County Paramedic Base.
Fellowship Faculty
Pediatric Emergency Medicine Section Chief
David Brousseau, MD, MS – Professor of Pediatrics

Fellowship Director
Viday Heffner, MD – Associate Professor Pediatrics

Medical Director of the EDTC
Amy Drendel, DO, MS – Professor of Pediatrics

EDTC Attending Physicians

Administrative Staff

  • Joan Nowak – Division Administrator
  • Shayla Crape – Administrative Assistant Sr.
  • Karen Zale – Administrative Assistant Sr.
  • Christina Hoppe - Education Program Coordinator II
Rotations

Sample Fellowship Rotation Schedule (PDF)

Clinical Training in the Emergency Department - Clinical training occurs during the three fellowship years. Assignments in the EDTC during the first 3-6 months of fellowship are "protected" with the emphasis on developing the knowledge and skills necessary to practice independently and to supervise. These fellow shifts are supervised by the attending EDTC physician. As the fellow progresses during the first year, supervision of house staff and students, and independent practice working with an on-site attending physician is emphasized. During the second and third year of fellowship, the fellow is assigned some shifts as the attending-level physician with attending on-site presence and intervention as necessary.


Elective Options (3 months)

  • Toxicology
  • Plastic Surgery
  • Pediatric Surgery
  • Burn Medicine
  • Pediatric Radiology
  • Pediatric Dermatology
  • Pediatric Ophthalmology
  • Pediatric ENT
  • Pediatric Neurology
  • Sports Medicine
  • Hand Surgery
  • Gynecology/Adolescent Medicine
  • Flight Medicine
  • Medical Education
  • Child/Sexual Abuse
  • Administration
  • Prehospital Care
  • Adult Emergency Medicine
  • Intensive Research Experience
  • Simulation Education

If desired, electives can be combined (e.g., ½ radiology + ½ dermatology, etc.)

Research and Scholarly Activities

Education
Fellows receive formal training in research design and statistics, and become competent in scientific writing and research. The research study design and introduction to statistical analysis seminars are scheduled early in the first year. Statistical guidance is available in the section. Fellows create their scholarship oversight committees which have the responsibility of supervising the fellow's research efforts. This committee meets biannually and reports to the fellowship director who monitors research activity and productivity. Manuscript and abstract preparation skills are emphasized in didactic and individual sessions.

Mentoring
Each fellow will choose a faculty member to assist him/her in developing and conducting a research project. The faculty mentor will provide advice on study design, data collection, abstract preparation and manuscript writing. The fellowship director will be available to provide advice and is responsible for monitoring the fellow's progress in research.

Focused Time
In addition to twelve months of focused time for research, the fellowship has been designed to allow on-going time for research during most months of training.

Research Expectations
The fellow is expected to complete a significant study of publishable quality during the fellowship and present the research at local, regional, and national conferences. The fellow will be encouraged to collaborate on additional projects as appropriate.

Areas of Research
Research may be done in any area of pediatric emergency medicine. Some current research interests in our group include new methods of analgesia/sedation, asthma, injury prevention, emergency department utilization, head trauma and violence prevention.

Statistical Analysis
Available within the Section of Pediatric Emergency Medicine.

Graduate Degree
Master's preparation in Clinical Epidemiology, Bioethics, and Public Health is offered on campus at MCW through a master's in Clinical & Translational Sciences. Fellows are encouraged to undertake this coursework and are supported through schedule adaptation when necessary.

Administrative Skills

Administrative Skills
Participation in administrative duties is an integral part of fellowship education and career development. Fellows will participate in:

  • Individual administrative assignments including: fellow recruitment coordinator, trauma committee member, educational schedule coordinator/administrator
  • Quarterly PEM fellow business meetings
  • Monthly section business meetings

Quality Improvement
Fellows will receive education and mentorship on quality improvement in an effort to improve patient safety and care. Fellows will participate in:

  • Ongoing section QI activities
  • Monthly section QI meetings
  • Biannual missed X-ray conferences
  • Biannual multi-disciplinary conferences

Risk Management
Fellows will become familiar with concepts of risk management and essentials of emergency department documentation.

Educational Opportunities

In addition to bedside teaching of residents and medical students, there are many opportunities to participate in formal lectures outside the emergency department:

  • Journal club: Each fellow will lead journal club with 1-2 article reviews per year.
  • Case conference: Each fellow will present an interesting or difficult case to a group of PEM faculty and fellows 2-3 times per year.
  • Department of Emergency Medicine Grand Rounds: Each fellow will present a pediatric topic at the Department of Emergency Medicine Grand Rounds 1-2 times per year.
  • Splint and Suture workshops: Fellows will participate in quarterly splint and suture workshops for pediatric residents.
  • Pediatric Intern workshop: Fellows have the opportunity to participate in procedural workshops for incoming pediatric interns that include airway, laceration repair and lumbar puncture stations among others.
  • PALS courses: Fellows have the opportunity to become a certified PALS instructor for MCW/Children's.
  • Pediatric Fundamental Critical Care Support Course: Fellows have the opportunity to take this course which is sponsored by the Society for Critical Care Medicine. This course teaches the skills necessary to stabilize and transport critically ill pediatric patients.
  • PEM Bootcamp: Regional bootcamp held in St. Louis, MO. Tailored to 1st year fellows, teaching hi-acuity, low frequency procedures and conditions through simulation, lectures, workshops and discussions.
  • Resident Simulation Facilitator: Fellows have the opportunity to help run SIM’s for pediatric residents and help facilitate discussion and debriefing.

Formal fellow education is also an integral portion of training and consists of lectures as well as hands-on workshops:

  • Simulation lab: Fellows manage high acuity scenarios through high fidelity in-situ simulation 1-2 times monthly and receive immediate feedback from PEM faculty.
  • Book club: Fellows meet monthly with a faculty member to practice board style questions in prep for PEM boards.
  • Radiology lectures: Lecture based series led by radiology faculty that involves methodical approaches to reading images while reviewing interesting films occurring monthly to every other month.
  • Ultrasound curriculum: Monthly lecture based, and hands-on sessions led by PEM.
  • Procedure workshops: Integrated with the monthly SIM sessions throughout the year and led by PEM.

For those fellows interested in a Medical Education/Teaching focus, the Medical College of Wisconsin hosts a thriving pediatric residency program providing physicians in training opportunities to achieve clinical excellence. Learn more about Pediatric Medical Education.

 

Benefits Conditions and Terms of Employment
The Medical College of Wisconsin Affiliated Hospitals (MCWAH) offers its employees a competitive and comprehensive benefit package. The benefits offered are designed to recognize the diverse needs of our workforce and provide long-term financial security to employees and their family members.

Visit the Graduate Medical Education website for information regarding vacations, leaves, insurance, stipends and professional liability: See MCWAH Benefits, Conditions & Terms of Employment.

Academic Development Fund
Fellows receive a fund each year to be used for items such as society memberships, license renewal, board fees, text books, travel to academic meetings and any other seminars or educational materials that may be required during the fellowship.

Application Process
Our 3-year fellowship program is ACGME accredited and begins on July 1 each year. We accept two or three fellows each academic year through the National Resident Matching Program (NRMP). Applications from prospective applicants are accepted from August through September through the Electronic Residency Application Service (ERAS). We will access your application via ERAS and contact you to make interview arrangements.

Fellowship Match Calendar

Applications Open
Mid-July

Interview Dates
September-October

Rank List Opens
Late-October

Quota Change Deadline
Mid-November

Rank List Closes
Late-November

Match Day
Mid-December

Complete Applications should include the following:
  • ERAS application form
  • At least three letters of reference, including Program Director letter
  • Medical Student Performance Evaluation/Dean's Letter
  • Curriculum Vitae
  • Personal statement
  • Transcripts
  • USMLE scores - Steps 1, 2, and 3
  • ECFMG certificate for foreign medical school graduates (see visa information below)

Our program currently accepts the following visas:

  • Permanent Resident Visa
  • Visitor Exchange Visa sponsored by ECFMG (J-1)
  • Temporary Professional Worker's Visa (H-1B)

For additional visa information please visit the Graduate Medical Education

Teaching Skills
Clinical
Supervision and teaching of medical students and residents (pediatric, family practice, and emergency medicine) in EDTC. A workshop on bedside teaching is presented annually.

Didactic

  • Presentations
    • PALS instructor
    • Formal presentations at Department of Medicine Grand Rounds, PEM case conference, Pediatric noon conference and Trauma Peer Review (Children's Wisconsin)

  • Preparation - The fellows receive instruction on lecture preparation skills and slide preparation. Each presentation is reviewed with the fellow for content, organization, and presentation and assistance with slide preparation is provided.
Graduate Testimonials

“I felt that the program allowed for natural growth throughout the fellowship, and would provide me with the confidence needed to manage an Emergency Department.” - Nick Kuehnel, MD

“I love the autonomy of the program. The people are so supportive and Milwaukee is a fun and very  livable city.” - Stephanie Schroter, MD

“This fellowship offers a unique opportunity to complete successful research while still being a trainee which I feel is rare at this training level.” - David Vyles, DO, MS

"I chose MCW to work alongside attendings who make you feel like a colleague and join a program with great research support. The program truly wants to find ways to support your academic interests that will shape your future career, whatever they may be."  - Sarah Thill, MD

"I feel that the program here really supports fellow research efforts and quality improvement work.  It prepared me to be a very competitive applicant for faculty positions."  - Shannon Baumer-Mouradian, MD

I knew I would get my exposure training at a high volume tertiary care hospital currently  >70,000 visits/year that is a Level 1 Trauma Center. The longstanding history of providing as much autonomy to the fellows in training as possible was another deciding factor influencing my choice to train here which has provided a lot of clinical growth and will help my transition to become a future PEM faculty member after graduation.” - David Ashby, DO, MS

The thing that drew me to the fellowship, made by experience as a fellow truly enjoyable, and led me to come back as an attending is the people. I’ve always appreciated everyone’s passion and dedication to their work, support for each other and willingness to try new ideas. – Chris Spahr, MD

Milwaukee is a great place to learn how to be a pediatric emergency physician. Patient volumes in the ED are consistently high, and there is a solid mix of trauma, bread and butter pediatrics, and more complex, special needs patients. There is also wonderful faculty mentorship and research support. I’m very happy I chose MCW for fellowship. – Megan Schultz, MD, MA

My co-fellows were so nice and welcoming.  From the very beginning, the attendings really made me feel like I was one of them.  I remember the first time an attending asked me for an opinion on how to manage a patient, not just to test me, but because they really valued my opinion…it was awesome, and I knew I made the right choice! – Michelle Pickett, MD, MS

What I most value from my training (and why I decided to come here in the first place) are the amazing people I got to work with!  From the faculty to nurses to ancillary staff I always felt supported and was able to gain valuable knowledge, skills and mentors both clinically, academically and personally. – Jean Pearce, MD, MS

In looking for a fellowship, I sought a program at a hospital that served a large catchment area to provide a variety of clinical experiences, an academic program with quality mentorship for fellows, and a somewhere that is a great place to live. Milwaukee has it all! I must have made the right decision because I’m still here!"
- Andrea Morrison, MD, MS


Current Pediatric Emergency Medicine Fellows

Keli Coleman, MD

Third Year Fellow

Keli Coleman, MD

Residency: MCWAH-Children’s Wisconsin, Milwaukee, WI

Medical School: Medical College of Wisconsin, Milwaukee, WI 

Research Project: Does a pre-sedation virtual reality intervention improve post-sedation negative behavioral outcomes in the pediatric emergency department?

Yan Zhan, MD

Third Year Fellow

Yan Zhan, MD

Residency: University of California, San Diego, CA

Medical School: University of Pittsburgh School of Medicine, Pittsburgh, PA

Research Project: Detection of True Cephalosporin Allergy in Patients Presenting to the Pediatric Emergency Department

Kelly Bailey, MD

Second Year Fellow

Kelly Bailey, MD

Residency: MCWAH-Children's Wisconsin, Milwaukee, WI

Medical School: Medical College of Wisconsin, Milwaukee, WI

Research Project: An assessment of pediatric-specific content covered in US based wilderness medicine training programs

Daphne Branham, MD

Second Year Fellow

Daphne Branham, MD

Residency: St. Louis Children’s Hospital/Washington University in St. Louis, MO

Medical School: New York Medical College, Valhalla, NY

Research Project: Evaluation of an established school safety curriculum’s impact on safety knowledge and anxiety 

Dominique Diggs, MD

First Year Fellow

Diggs Dominique 20190705 5x7c

Residency: Baylor College of Medicine, Houston, TX

Medical School: Howard University College of Medicine, Washington, DC

Research Interests: Prehospital care

 

Meagan Ladell, MD

First Year Fellow

Ladell Meagan 20190705 5x7c

Residency: St. Louis Children’s Hospital/Washington University, St. Louis, MO

Medical School: University of Wisconsin School of Medicine and Public Health, Madison, WI

 

Jason Todd, MD

First Year Fellow

Todd Jason 20190705 5x7c

Residency: McGaw Medical Center of Northwestern University, Chicago, IL

Medical School: University of Massachusetts Medical School, Worcester, MA

 

   

Graduated PEM Fellows

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2016-2019 Graduates

David Ashby, DO, MS
Residency: Phoenix Children’s Hospital/Maricopa Medical Center; Phoenix, AZ
After Fellowship:  Texas Children’s Hospital; Houston, TX

Stephanie Schroter, MD
Residency: University of California; San Diego, CA
After Fellowship: Rady Children’s Hospital; San Diego, CA

Sarah Thill, MD
Residency: Medical College of Wisconsin; Milwaukee, WI
After Fellowship: Medical College of Wisconsin, Pediatric Emergency Medicine; Milwaukee, WI

2015-2018 Graduates

Shannon Baumer-Mouradian, MD
Residency: Medical College of Wisconsin; Milwaukee, WI
After Fellowship: Medical College of Wisconsin, Pediatric Emergency Medicine; Milwaukee, WI

Lindsey Query, MD
Residency: Phoenix Children’s Hospital; Phoenix, AZ
After Fellowship: Children’s Mercy Hospital; Kansas City, MO

Megan Schultz, MD, MA
Residency: Massachusetts General Hospital; Boston, MA
After Fellowship: Medical College of Wisconsin, Pediatric Emergency Medicine; Milwaukee, WI

2014-2017 Graduates

Nick Kuehnel, MD
Residency: Ann & Robert H. Lurie Children’s Hospital; Chicago, IL
After Fellowship: UW Hospital System; Madison, WI

Neel Subramanian, MD
Residency: Loyola University; Chicago, IL
After Fellowship: Duke University Hospital; Durham, NC

David Vyles, DO
Residency: Phoenix Children’s Hospital; Phoenix, AZ
After Fellowship: Medical College of Wisconsin, Pediatric Emergency Medicine, Milwaukee, WI

2013-2016 Graduates

John Cox, MD
Residency: Medical College of Wisconsin; Milwaukee, WI
After Fellowship: Medical College of Wisconsin; Milwaukee, WI

Daisy Ciener, MD
Residency: University Hospital Case Medical Center/Rainbow Babies and Children's Hospital; Cleveland, OH
After Fellowship: Monroe Carell Jr. Children's Hospital of Vanderbilt; Nashville, TN

Jean Pearce, MD
Residency: University of California–Davis; Sacramento, CA
After Fellowship: Medical College of Wisconsin; Milwaukee, WI

2012-2015 Graduates

Maren Lunoe, MD, MS
Residency: Medical College of Wisconsin; Milwaukee, WI
After Fellowship: Children's Hospital of Pittsburgh; Pittsburgh, PA

Nina Muhammad, DO, MS
Residency: Advocate Christ Hospital & Medical Center; Oak Lawn, IL
After Fellowship: Advocate Christ Hospital & Medical Center; Oak Lawn, IL

Michelle Pickett, MD, MS
Residency: Children's Mercy Hospital; Kansas City, MO
After Fellowship: Medical College of Wisconsin; Milwaukee, WI

2011-2014 Graduates

Matt Gray, MD, MS
Residency: Medical College of Wisconsin; Milwaukee, WI
After Fellowship: Medical College of Wisconsin, Pediatric Emergency Medicine; Milwaukee, WI

Grant Keeney, MD, MS
Residency: University of California San Diego; San Diego, CA
After Fellowship: MultiCare, Mary Bridge Children's Hospital & Health Center; Tacoma, WA

Breanne Shah, MD, MPH
Residency: University of Chicago Pediatric Residency; Chicago, IL
After Fellowship: Medical College of Wisconsin, Pediatric Emergency Medicine; Milwaukee, WI

2010-2013 Graduates
Andrea Morrison, MD
Residency: University of Michigan Health System; Ann Arbor, MI
After Fellowship: Medical College of Wisconsin, Pediatric Emergency Medicine; Milwaukee, WI
2009-2012 Graduates

Peter Di Rocco, MD
Residency: State University of New York Stony Brook Medical Center; Stony Brook, NY
After Fellowship: Kapi’olani Medical Center for Women and Children; Honolulu, HI

Jill Keyes, MD
Residency: Medical College of Wisconsin, Pediatric Emergency Medicine; Milwaukee, WI
After Fellowship: CarePoint Pediatrician in Denver, Rocky Mountain Hospital for Children; Denver, CO

Ryan Scheper, MD
Residency: Loyola University Medical Center; Maywood, IL
After Fellowship: Medical College of Wisconsin, Pediatric Emergency Medicine; Milwaukee, WI

2008-2011 Graduates

Megan Lavoie, MD
Residency: Children's Hospital of Philadelphia; Philadelphia, PA
After Fellowship: Children's Hospital of Philadelphia; Philadelphia, PA

Heather Saavedra, MD
Residency: Medical University of South Carolina; Charleston, SC
After Fellowship: Riley Hospital for Children; Indianapolis, IN

Tara Webb, MD
Residency: Medical College of Wisconsin; Milwaukee, WI
After Fellowship: Medical College of Wisconsin; Milwaukee, WI

2007-2010 Graduates

Andrew Hashikawa, MD
Residency: Mayo Clinic Graduate School of Medicine; Rochester, MN
After Fellowship: University of Michigan, C.S. Mott Children's Hospital; Ann Arbor, MI

Frank Petruzella, MD
Residency: McGaw Medical Center of Northwestern University; Chicago, IL
After Fellowship: VCU Medical Center, Children's Hospital of Richmond; Richmond, VA

Contact Information

Viday Heffner, MD

Fellowship Director

(414) 266-2625
vheffner@mcw.edu

 


Christina Hoppe

Education Program Coordinator II

(414) 337-4145
choppe@mcw.edu

Pediatric Emergency Medicine

Medical College of Wisconsin
Children's Corporate Center, Suite C550
999 N. 92nd St.
P.O. Box 1997
Milwaukee, WI 53201-1997