Pediatrics Emergency Medicine Fellowship Program

• The pediatric emergency medicine fellowship program is categorized as one of the post-graduate training programs under the department of emergency medicine in KAMC.
• This program was established through the Saudi commission for health specialties (SCHS) to provide trainees with excellent clinical experience in managing critical pediatric patients of all ages with various types of illnesses and injuries.
• It also aims to train the fellows skills of immediate recognition and treatment of life-threatening illnesses in the emergency setting and do all critical care procedures for pediatric patients.
• This two-year program provides complete training in Pediatric Emergency Medicine, encompassing the comprehensive acute health care of children of all ages and developmental levels, including triage, stabilization, diagnosis, treatment, and follow-up care.
• All fellows will undertake core training in Pediatric Emergency Medicine at KAMC-Riyadh NGHA Emergency Department. The department is located in the tertiary-care facility that serves the national guard community and involves treating most emergency cases in the eastern part of Riyadh city. PEM division has 3-Fast tracing beds, a 6-bed observation unit, two isolation rooms, a 3-bed resuscitation room, four step-down monitor beds, and big nebulization and holding areas. The annual census is approximately 60,000 patients. A Fast Track clinic operates daily for 24 hours and accepts less urgent (Triage levels 4&5) ambulatory patients arriving at the Emergency Department for assessment.
• Graduates of this program will have achieved the main competencies of the Pediatric Emergency Specialist in the areas of medical expert/clinical decision-maker, communicator, collaborator, manager, health advocate, scholar, and professional.
• PEM Fellowship completion certificate will be issued to all fellows who will finish his\her program rotations successfully and pass the final SCHS written and clinical exams.

• Overview of Training Levels in PEM Fellowship Training Program

  Academic Activities in the PEM Fellowship training program

  • The curriculum includes formal instruction in the basic and clinical sciences of Pediatric Emergency Medicine (mandatory weekly PEM Fellow Teaching) and assigned readings to be completed throughout the fellowship to ensure that all fellows achieve the program's general and rotation-specific goals and objectives.
  • A two-year comprehensive curriculum is based on the content outline of a main PEM textbook. The PEM Fellow Teaching sessions and Assigned Readings closely follow this outline.
  • PEM Fellow Teaching (every Mondays, 08:00-12:00) will include:

  PEM Subspecialty Teaching: These interactive sessions with invited subspecialists/fellows cover major PEM topics throughout the fellowship.

  PEM Procedures and Skills: These are hands-on practical sessions using equipment and/or models. Some require advance reading assignments, and most involve invited specialists and allied health professionals (nurse clinicians, respiratory and cardiology technicians, OT/PT). Topics include IVs, suturing, intubation, chest tubes, central lines, non-invasive and invasive monitoring, shunts, GT tubes, reductions, casting/splinting, etc. Other sessions include specialized clinical skills teaching (e.g., communication skills, ENT examination), radiology rounds, and/or mock codes.

  Fellow Case/Topic Presentation: The fellows prepare these sessions and complement the topics covered in PEM Subspecialty Teaching.

  PBL: new methods to organize the chapter reading where we follow the problem-based learning concepts with submission of one or more cases to the fellows and ask them to write their objectives and review them with the instructor and plan three hours discussion set to solve the problems of the patient.

  • These teaching sessions are tailored to the needs of PEM fellows; however, attendance is open for junior house staff rotating through PEM and to nursing staff and staff physicians as part of their continuing education. Staff physicians and the Program Director will supervise and teach selected sessions on a rotating schedule.
  • The Saudi Council PEM Scientific Committee prepares those activities and will be rotated weekly between the four teaching centers.
  • Assigned Readings will complement the weekly fellow teaching sessions and ensure that the PEM spectrum is covered. These will include major PEM texts and supporting research/academic literature. The assigned reading schedule is based on the outline of a major PEM text and ensures that the text is covered over two years.
  • Additional educational opportunities include the rotation-specific academic opportunities (rounds, seminars provided by off-service rotations), courses such as PALS, APLS, ATLS, ACLS, and NRP, and university courses in Biostatistics and Epidemiology. Attendance at PEM Rounds and PEM Fellow Teaching will be mandatory during all rotations.

  The following organized educational activities are recommended to the fellows:

  • Rounds: Pediatric Grand Rounds, Pediatric Research Rounds
  • Adult emergency residency academic half-days weekly
  • EBM courses
  • Courses: PALS, APLS, ACLS, ATLS, NRP, Biostatistics/Epidemiology
  • Specialized Teaching Sessions: Triage Orientation
  • Journal club: PEM journal club (monthly)
  • Journal club: AEM journal club (monthly)

Dr. Mohammed Al Mutairi

Program Director

Pediatric Emergency Medicine

King Abdulaziz Medical City-MNGHA

Riyadh, Kingdom of Saudi Arabia

• Office No:# 116.02.13/ room # 11

• P.O. BOX: 22490

• Email: MutairiM5@ngha.med.sa , mkmutairi@yahoo.com

Susan S. Nool

Program Coordinator

Pediatric Emergency Medicine

King Abdulaziz Medical City-MNGHA

Riyadh, Kingdom of Saudi Arabia

Office No:# 116.02.58

• P.O. BOX: 22490

• Phone No: +966-11-8011111 Ext. 19990

• Fax:19311

• Email: noolsu@ngha.med.sa, PEM1@ngha.med.sa

Dr. Abdullah Dhafian

Deputy Prog. Director

Pediatric Emergency Medicine

King Abdulaziz Medical City-MNGHA

Riyadh, Kingdom of Saudi Arabia

• Office No:# 116.02.15/ room # 13

• P.O. BOX: 22490

• Email: DhafianA@ngha.med.sa , aaldhafian@hotmail.com