Transition from the current one-size-fits-all approach of pediatric education, towards pediatric educational formats and materials tailored to the unique needs of emergency physicians, will provide the most rapid growth in pediatric proficiency for EM residents and practicing emergency physicians.
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Movement toward closer collaboration and working alliances between the two specialties of EM and PEM will be key to improving the state of pediatric emergency care delivery in the United States.
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A community hospital emergency physician should never feel left to go it alone when faced with challenging pediatric cases. Expert PEM telehealth or phone consultants should always be available for help with diagnosis and management. PEM-trained experts are already present 24/7 in tertiary pediatric emergency departments, and could easily fill this role.
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Less than 23% of community hospital emergency departments have any PEM-trained specialists. In view of this current situation, PEPNETWORK endorses the concept and development of Emergency Medicine Pediatric Leadership (EMPL) Fellowships to prepare a select group of emergency physicians to assume pediatric leadership roles at their community hospital emergency departments.
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In the absence of adequate numbers of subspecialty trained PEM physicians within the pediatric emergency care workforce to assume pediatric leadership roles in community hospital emergency departments, this post should alternatively be filled by qualified EM-trained physicians.
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A position of Director of Pediatric Emergency Medicine Education should also be created within all academic emergency residency training programs.
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