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Pediatric Emergency Medicine Fellowship Program

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Thank you for taking the time to consider the Akron Children’s Hospital pediatric emergency medicine (PEM) fellowship.  We offer a 3-year ACGME accredited fellowship to pediatric trained candidates and a 2-year ACGME accredited fellowship to emergency medicine trained candidates.  Our fellowship is designed to prepare trainees to become experts and leaders in the field of clinical pediatric emergency medicine, learn to critically appraise research, evolve their skills as educators and develop tools to assist in promoting child health and advocacy. 

Fellows receive robust clinical experience in our free-standing pediatric emergency room with total ED volumes of approximately 100,000 visits per year.  We have a unique implementation of graded clinical responsibility that allows each fellow to be confident in independent practice at the time of fellowship completion. 

In addition to diverse clinical experience, the PEM fellowship offers a dedicated didactic series that includes subspecialty board preparation, quality improvement, research methodologies, and a curriculum including simulation, procedures, bedside ultrasound and physician wellness.

Due to the diverse nature of pediatric emergency medicine, fellows will have the opportunity to participate and focus on EMS liaison services, global health electives and research, advanced ultrasound procedures, Lean Six Sigma program, and administrative responsibilities.

For further information, please contact:

Carole Holliday
Fellowship Coordinator
Phone:  330-543-8452



Choosing a career in Pediatric Emergency Medicine (PEM) is beginning a journey to endless opportunity. Providing care for children during critical life-threatening emergencies requires a combination of compassion, mental agility, and an extensive knowledge base.  Your mind must be able to sort and prioritize many variables within a limited time frame while leading a team of care providers through implementing life-saving measures to ensure an optimal outcome.

At Akron Children’s Hospital, we strive to create an environment where physicians can develop the skills and expertise necessary to become leaders in this dynamic field of medicine. We offer a 3-year, ACGME-accredited pediatric emergency medicine fellowship program to physicians who are board certified or board eligible in pediatrics or pediatrics/internal medicine. In addition, we offer a 2-year, ACGME-accredited pediatric emergency medicine fellowship program to physicians who are board certified or board eligible in emergency medicine.

Individuals who are attracted to PEM frequently have a strong personal drive that leads them on amazing and varied career paths. Members of our faculty are distinguished in a variety of fields including simulation medicine, global health, bedside ultrasound, medical education, child advocacy and abuse, pre-hospital care, and hospital administration.

Because of this diversity, PEM fellows at Akron Children’s have the opportunity to explore many areas that complement the care provided in the ED.

Education remains a priority, with faculty and fellows providing direct supervision of our pediatric, family practice, and emergency medicine residents as well as 3rd and 4th-year medical students from Northeast Ohio Medical University. Our fellows also have the opportunity to be appointed as faculty at the medical school during their training years.

In addition, our group has protected weekly education days for didactics. The curriculum includes faculty lectures, board preparation, procedure workshops, wellness activities and monthly simulation, both in-situ and at our 5,000 square foot simulation center. Our PEM fellows are considered to be an integral part of our division and we consider it an honor to be a part of their PEM journey.

If you would like to come for a visit, we would enjoy meeting you and discussing your goals for this profession.


Nirali H. Patel, MD, FAAP
Program Director
R. Esther Lutes, MD, FAAP, UZIT, RM
Associate Program Director

Akron Children’s Hospital is home to one of the busiest pediatric emergency departments in Northeast Ohio. In the summer of 2015, a $200 million critical care building was completed and includes our 30,000 square foot pediatric emergency department. The emergency room consists of 39 total patient rooms, including a dedicated 5-bed behavior health unit, 8 fast track rooms and 3 trauma bays. 

We are a free-standing tertiary care children’s hospital with a Level II Pediatric Trauma Center that serves as a referral center for 26 counties. Our total ED volume exceeds 100,000 patients per year, including approximately 3,000 patient transports per year.  We have an array of support staff, including pediatric nurses, a dedicated suture team, a behavioral health unit with specialty-trained psychiatric intake workers, child life, and in-house pediatric hospitalists, intensivists, orthopedics and general surgery.

We also have 24-hour faculty coverage of 2 emergency departments,  a 23-bed PICU, and a Level I NICU. Akron Children’s Hospital is the only pediatric hospital in northeast Ohio that has its own helicopter and pediatric critical care transport team to assist in pediatric and neonatal transports from regional community hospitals.


PEM Curriculum for Pediatrics

In addition to practicing in a diverse clinical environment, the Pediatric Emergency Medicine fellowship at Akron Children’s Hospital provides a robust scholarly experience. 

Fellows have protected time to participate in the following activities:

  • Weekly didactics
  • Board prep series including Challenger and PREP E-med accounts
  • Structured research curriculum including online education for Biostatistics & Epidemiology
  • Weekly in situ simulation
  • Lean six sigma course including an ED-based project
  • Procedural, ultrasound and simulation boot camps
  • Multidisciplinary workshops for legal, advocacy, EMS experience
  • Fellow-led wellness activities


  • Intro/Scholarly
  • Supervised PEM x2
  • PEM X 2
  • Trauma
  • General Emergency Medicine
  • Anesth/Suture
  • Pharm/Tox
  • Child Abuse
  • Ultrasound  
  • Scholarly


  • Epi/Bio
  • PEM X 4      
  • Scholarly X 4
  • PICU
  • General Emergency Medicine
  • Elective


  • PEM X 5
  • Scholarly X 4
  • General Emergency Medicine

PEM Curriculum for Emergency Medicine 


  • Intro/Scholarly
  • Supervised PEM x 2
  • PEM X 2
  • General Peds
  • Anesthesia/Suture
  • Pharm/Tox
  • Child Abuse
  • Ultrasound
  • Scholarly


  • Epi/Bio
  • PEM X4
  • Scholarly X4
  • PICU
  • General Pediatrics
  • Elective



(Effective July 1, 2020)

PL-4 – $67,000

PL-5 – $68,594

PL-6 -- $70,451



House offices are granted 3 weeks of vacation or 15 customary working days.


Conference Time

Fellows are entitled to 5 days of conference time each year for medical conventions and courses outside the hospital.


Educational Allowance

Fellows are provided $1,500 annually for use toward medical-related journals or books, conferences, and license renewals.


Research and Scholarship Travel

We encourage and support investigator-initiated research by subspecialty fellows. Therefore, we support research-related travel when the fellow is in good academic and professional standing, and when prior written approval of the program director is documented. All hospital policies relating to travel must be followed.


Professional Liability

Professional liability insurance is provided by the hospital.


Health Benefits

Fellows and their dependents are eligible to enroll in the hospital’s health, dental, and vision insurance programs. Costs are shared between the fellow and the hospital. Benefits are available immediately.


Retirement Benefits

Fellows may participate in the Hospital’s 403(b) Plan from their date of hire. Match dollars are not available to fellows.


Medical License & DEA

Fellows are required to obtain an Ohio State Medical License and DEA certificate prior to beginning training.



A key access card for convenient parking is provided at no charge.


Lab Coats

One embroidered lab coat is provided if desired.



Fellows are given $60 every week for use in the hospital cafeteria.


Relocation expenses

The hospital provides reimbursement for initial relocation expenses, up to $1,000, subject to current tax laws.


Smoke, Electronic Cigarette and Tobacco-Free Campus

Akron Children’s is a tobacco-free healthcare system. Prospective employees who test positive for nicotine will have their offer of employment rescinded and will not be permitted to start work.

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