Combined training in emergency medicine and paediatrics should foster the development of fully qualified physicians in both specialties. Physicians completing this training should be competent emergency physicians and pediatricians who are able to work professionally in both disciplines. Your emergency medicine skills should include all adult components of emergency medicine as well as the pediatric component. Doctors must also be qualified in all the skills of a general pediatrician. The strengths of emergency medicine and pediatric residencies should complement each other to provide trainees with an optimal training experience. This document is intended to provide educational advice to program directors in emergency medicine and pediatrics. All program requirements in both specialties, as defined in the Directory of Advanced Medical Education published by the Accreditation Council for Graduate Medical Education (ACGME), apply to combined training stays, unless expressly modified in this document. Any program that seeks to offer this combined education must be approved by ABEM and ABP before residents are recruited. In addition, boards of directors and, where appropriate, RCs will regularly review these training requirements.
Both boards must adhere to these guidelines when managing combined programs and may not change the guidelines without the written consent of both boards. After meeting all the requirements of the combined training program, a resident meets the training criteria for initial certification from ABEM and ABP. Each board will certify the candidate after meeting its certification requirements. Certification in one specialty does not depend on certification in the other. It is the responsibility of the candidate to complete the certification process in each specialty. Unless otherwise specified, all program and curriculum requirements as described in the ACGME Program Requirements for Advanced Medical Education in Emergency Medicine must be met, including those related to the training and assessment of residents in accordance with THE ACGME Emergency Medicine Milestones. The emergency room experience should give the resident the opportunity to treat an appropriate number of patients of all ages and both sexes with various clinical problems. Residents should participate in a combined program at the LFA-1 level. A resident may only participate in a combined program at the PGY-2 level if the first year of residency has been spent in an accredited category residency in emergency medicine or pediatrics at the same facility. Residents are not permitted to participate in a combined education beyond the PGY-1 level or to move from a combined training program to one institution to another, unless prospectively approved by both boards. When moving from one combined training program to another, residents must be offered and follow a fully integrated curriculum. Transfer between combined stays means a transfer from an emergency/pediatric medicine residency in one facility to an emergency medicine/pediatric residency in another facility.
A year of training transition will not be taken into account in the requirements of either board. There is a special agreement with the American Board of Emergency Medicine (ABEM) under which a candidate can meet the training requirements for certification in pediatrics and emergency medicine through a five-year combined training diploma. A candidate cannot take the ABP certification exam until all the training requirements of both programs have been met. There should be a reasonable number of faculty members who devote sufficient time to leading the combined residency program and supervising residents. It is recommended that some faculty members have completed their training in these two areas. Since each component of the residency must be accredited by its particular discipline, the faculty must meet the requirements of its area of expertise. Residents of a combined training program in emergency medicine and pediatrics must satisfactorily meet the specific requirements of ABEM and ABP in order to be eligible for the examination of each panel. Clinical competence must be reviewed by the program director and the associate director of the combined program. In the absence of this examination, the resident must satisfactorily complete a fully ACGME accredited residency program in emergency medicine or pediatrics to qualify specifically for the appropriate examination. Combined training in pediatrics and emergency medicine must include at least five years of consistent training, which is an integral part of residencies in both disciplines and meets the program requirements for accreditation by the RC for emergency medicine and the CR for pediatrics.
The Program Director is responsible for ensuring that all aspects of program requirements are met. This person, together with the Deputy Program Director, must submit the application for the program to ABEM and ABP. Once the combined program is approved, these individuals must notify both boards if significant changes occur in any of the associated categorical residency programs. The Program Director and the Assistant Program Director are responsible for completing the evaluation forms for all trainees in the combined program, as required by their respective counsels, and both must verify that the training program has completed successfully completed the resident`s final assessment form. A clearly described written program must be available for junior physicians, faculties, ABEM, ABP, and RCs in Emergency Medicine and Pediatrics. Components of the program of study must meet the requirements of the Emergency Medicine and Pediatrics Accreditation Program. This should include both general and program-specific requirements for the six general competencies of the CMEA, the inclusion of CMEA milestones for each specialty, and hours of service and supervisory standards. The curriculum must ensure a coherent and planned pedagogical experience and continuum of education, rather than offering an uncoordinated series of rotations in the curriculum requirements of each subject.
The training requirements for each board`s certification process eligibility can be met by satisfactorily completing 60 months of approved combined training. A reduction of 12 months from the months required for the two separate residencies is possible due to the overlap of the program and experience inherent in the training of each discipline. The 36-month emergency medicine training is complemented by 30 months of emergency medicine training plus six credit months for emergency medicine training acquired during the 30-month pediatric training. Similarly, the 36-month pediatric training requirement is met by 30 months of pediatric training plus six months of credit for pediatric training during the 30-month training in emergency medicine. Six months of training in the first year must be spent under the direction of each specialty. During the next 48 months of training, each resident must spend at least three and a maximum of six consecutive months under the direction of a specialty. This ensures an adequate distribution of rotations in emergency medicine and pediatrics. The working relationships developed between the trainees in categorical and combined residence will facilitate communication between the two specialties and increase the exposure of categorical residents to the other discipline. Basically, the training of junior physicians in emergency medicine is the responsibility of the Faculty of Emergency Medicine, and the training of junior physicians in pediatrics is the responsibility of the Faculty of Pediatrics.
The Faculty of Emergency Medicine must be certified by ABEM or have equivalent qualifications in emergency medicine. Updated applications for new programs have been published for most specialties and subspecialties to meet updated program requirements. If you are viewing an application and the date in the footer of the document is earlier than 2019, please contact the review committee staff for more information. .