The Division of Pediatric Emergency Medicine, and Brown Emergency Medicine, are committed to building diverse and inclusive training programs. We understand that diversity gives all healthcare providers the opportunity to explore different cultures. This in turn enriches the educational experience and, more importantly, provides a framework for each provider to better understand their patients and deliver excellent patient care. The City of Providence is racially, ethnically, socioeconomically, and spiritually diverse which makes the Pediatric Emergency Department at Hasbro Children’s Hospital a wonderful place to work.
The Pediatric Emergency Department (ED) at Hasbro Children’s Hospital is the only ED in the region dedicated to the emergent and urgent medical needs of children and adolescents, caring for children and adolescents from birth to age 18 and beyond. With more than 58,000 visits per year, the Hasbro ED provides a significant proportion of the emergency and pediatric referral care to families in Rhode Island and surrounding regions.
As the regional tertiary care children’s hospital and Level 1 Pediatric Trauma Center, the Hasbro Children's ED is staffed 24 hours a day by board-certified pediatric emergency medicine physicians and pediatric emergency nurses with access to pediatric surgeons and other pediatric medical and surgical subspecialists.
The Hasbro Children's Hospital ED comprises 18,700 square feet and is staffed by 29 pediatric emergency physicians, one pediatrician, eight pediatric advanced practice providers, and pediatric emergency certified nurses.
The facility includes:
The Hasbro Children’s Hospital ED provides pediatric emergency care, acute critical care, and stabilization, as well as:
For many families in the region, the pediatric emergency department is the gateway to Hasbro Children’s Hospital, Bradley Hospital, and other services in the region. More than 75 percent of the patients who are admitted to Hasbro Children’s Hospital arrive through its emergency department.
Faculty members and Fellows in the Section of Emergency Medicine are actively involved in quality initiatives in pediatric emergency medicine. The Hasbro Emergency Department and Hasbro Children’s Hospital Inpatient Services are members of the Children’s Hospital Association (CHA) Sepsis Collaborative (LINK to CHA Sepsis Collaborative), the American Academy of Pediatrics Section on Emergency Medicine Committee on Quality Transformation and Clinical guidelines committee and lead the Hasbro Children’s Hospital ED clinical guidelines initiative. Faculty are also represented on the American College of Emergency Physicians (ACEP) PEM Clinical Guidelines committee.
Additionally, PEM Faculty are involved in collaborative research and community projects with partners at the Lifespan Injury Prevention Center.
Summer Research Assistantship in Emergency Medicine (SRA-EM) are available annually to undergraduate students enrolled in Brown's Program in Liberal Medical Education (PLME) program and first year medical students enrolled in the Alpert Medical School.
Faculty members and Fellows in the Section of Pediatric Emergency Medicine (PEM) are productive in a wide breadth of clinical and basic science research, from internal quality improvement to multicentered trials. Brown Emergency Medicine, the academic practice group of the Department of Emergency Medicine for The Alpert Medical School of Brown University, supports faculty with a research team including a full-time Clinical Research Coordinator, a Research Administrator, Research Assistants, and a Biostatistician. The Section has research space within the Hasbro Children’s Hospital Emergency Department, fully equipped basic science laboratories at Brown University, and co-directs the Lifespan Medical Simulation Center.
Brown University/Hasbro Children’s Hospital has been an active contributor to the Pediatric Emergency Care Applied Research Network (PECARN) since 2011, currently leading the SPARC node (San Francisco-Oakland, Providence, Atlanta Research Collaborative). Faculty are also actively involved in collaborative research with the American Academy of Pediatrics Section of Emergency Medicine’s Pediatric Emergency Medicine Collaborative Research Committee (PEM-CRC), the IDeA States Pediatric Clinical Trials Network (ISPCTN), part of NIH’s ECHO Program), and the Hassenfield Child Health Innovation Institute at Brown University.
The medical education track within the PEM fellowship at Brown provides fellows with the skills and support to become education leaders and scholars while developing their clinical skills in pediatric emergency medicine. Our individualized curriculum provides foundational knowledge, professional development, and myriad opportunities to develop teaching, research and leadership skills across the medical education spectrum. With key faculty in leadership positions throughout the Brown community and beyond, the Med Ed track situates graduates to become scholarly educator-leaders.
Brown Emergency Medicine is affiliated with the Lifespan Medical Simulation Center (LMSC). Pediatric simulation comprises a large part of the activity of the LMSC. Robyn Wing, MD, MPH, PEM faculty member, is the Director of Pediatric Simulation. The Pediatric Simulation Team at the LMSC has developed international recognition in the world of pediatric medical simulation. Course offerings specific to children include advanced airway management, mobile critical care simulation, PALS certification, office preparedness, in situ resuscitation training and interprofessional teamwork training.
PEM faculty are given the opportunity to maintain procedural skills through the Pediatric Emergency Medicine Faculty Interactive Training on Necessary Emergency Skills & Simulation (PEM FITNESS). This is a skills maintenance curriculum that focuses on infrequently performed, high-risk, yet essential procedural skills for practicing pediatric emergency physicians.
PEM fellows participate in monthly educational simulation sessions including both case-based learning and procedural skills teaching as well as in situ trainings in our trauma bay with the rest of our staff. Beyond simulation training for Lifespan staff, trainees and faculty, the Pediatric Simulation Team orchestrates regular outreach programs for the community, executes rigorous research, and are regular faculty at national and international conferences. We welcome fellow involvement!
Point-of-care ultrasound (POCUS) is an essential tool for providing cutting edge care to our pediatric patients. Although all of our PEM fellows receive training in the use and application of POCUS in the emergency department setting, our ultrasound track allows for a more advanced training in image acquisition, interpretation and clinical application of bedside ultrasound. PEM fellows on a POCUS track at Brown can expect to complete over 1000 scans and a POCUS-related research project during their fellowship.
Our division of emergency ultrasound runs weekly academic rounds which include journal club, image review sessions and scanning shifts in both the pediatric and adult emergency departments. Opportunities to get involved in POCUS research and education at a national or international level, and in POCUS-related global health projects also exist. We officially launched a new PEM POCUS fellowship and are recruiting our first PEM ultrasound fellow to start in July 2023. For more information on our PEM POCUS fellowship, please visit the Brown University Pediatric POCUS fellowship program listing here.
Hasbro PEM faculty are actively involved in the prehospital care of Rhode Island’s children and pediatric prehospital education and advocacy are priorities in our division.
Our faculty (Linda Brown, Lynne Palmisciano and Tanya Sutcliffe) serve as pediatric representatives and advocates on the state level and are active in developing and reviewing state EMS protocols and policies. The EMS related activities of the section of PEM contributes to EMS activities of the Division of EM which has an active EMS fellowship. PEM faculty regularly partner with State EMS and local fire departments to provide pediatric educational opportunities for EMS including curriculum review, didactics, simulation activities and clinical experiences in the Hasbro Children’s Emergency Department. Our division is also active in the Hasbro Children’s critical care LifePACT team which provides inter-hospital transports of critically ill children within RI and surrounding states.
Pediatric emergency medicine faculty and fellows are actively involved in quality initiatives. The Hasbro Emergency Department and Hasbro Children’s Hospital Inpatient Services are members of the Children’s Hospital Association (CHA) Sepsis Collaborative, the American Academy of Pediatrics Section of Emergency Medicine Committee on Quality Transformation and Clinical guidelines committee and lead the Hasbro Children’s Hospital ED clinical guidelines initiative. Faculty are also represented on the ACEP PEM Clinical Guidelines committee. In addition, Hasbro Children's Hospital is also an active participant in Solutions for Patient Safety (SPS) which is a collaboration of over 135 children's hospitals with several initiatives to decrease hospital acquired infections.
Both faculty and fellows have the opportunity to participate in global health education and service trips. Our faculty and fellows have engaged in international educational initiatives across many countries including Haiti, Belize, Ethiopia, Rwanda and Kenya. The global health education track provides fellows with the skills and support to become clinical, research and policy leaders in global health. The curriculum is individualized to the needs of each fellow and provides fundamental knowledge, professional development, and ample opportunity to develop clinical, research and leadership skills. Through the Brown Emergency Medicine’s Division of Global Emergency Medicine, our fellows can participate in clinical rotations and develop collaborative research projects worldwide.
