title: A Novel Approach to Combining Pediatric Emergency Medicine and Global Health Fellowships.
abstract: OBJECTIVE
  To describe the creation of the first known combined Pediatric Emergency Medicine-Global Health (PEM-GH) fellowship for graduates of pediatric or emergency medicine residency programs.
  
  
  METHODS
  We detail the necessary infrastructure for a successfully combined PEM-GH fellowship including goals, objectives, curriculum, timeline, and funding. The fellowship is jointly supported by the department of pediatrics, section of pediatric emergency medicine (PEM), and the hospital. Fellows complete all requirements for the PEM fellowship and Global Health, the latter requiring an additional 12 months of training. Components of the Global Health fellowship include international fieldwork, scholarly activity abroad, advanced degree coursework, disaster training, and didactic curricula.
  
  
  RESULTS
  Since 2005, 9 fellows (8 pediatric-trained and 1 emergency medicine-trained) have completed or are enrolled in the PEM-GH fellowship; 3 have graduated. All fellows have completed or are working toward advanced degrees and have or will participate in the disaster management course. Fellows have had 7 presentations at national or international meetings and have published 6 articles in peer-reviewed journals. Of the three graduates, all are working in academic PEM-GH programs and work internationally in Africa and/or Latin America.
  
  
  CONCLUSIONS
  Our response to a global trend toward improvement in PEM care was the development of the first combined PEM-GH fellowship program. Recognizing the value of this program within our own institution, we now offer it as a model for building such programs in the future. This fellowship program promises to be a paradigm that can be used nationally and internationally, and it establishes a foundation for a full-fledged accredited and certified subspecialty.
authors.affiliation: From the *Department of Pediatrics, Baylor College of Medicine, Houston, TX; †Division of Emergency Medicine, Children's National Medical Center, George Washington University School of Medicine, Washington DC; and ‡Division of Pediatric Emergency Medicine, Department of Emergency Medicine, New York University School of Medicine, New York City, NY.
authors.forename: Heather L
authors.initials: HL
authors.lastname: Crouse
authors.forename: Paul C
authors.initials: PC
authors.lastname: Mullan
authors.forename: Charles G
authors.initials: CG
authors.lastname: Macias
authors.forename: Deborah C
authors.initials: DC
authors.lastname: Hsu
authors.forename: Joan E
authors.initials: JE
authors.lastname: Shook
authors.forename: Paul E
authors.initials: PE
authors.lastname: Sirbaugh
authors.forename: Gordon E
authors.initials: GE
authors.lastname: Schutze
authors.forename: Susan B
authors.initials: SB
authors.lastname: Torrey
mesh_terms: D000349:Africa; D002648:Child; D003479:Curriculum; D019468:Disease Management; D004635:Emergency Medicine / Q000193:education*; D005257:Fellowships and Scholarships; D014943:Global Health / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D000070316:Pediatric Emergency Medicine