Emergency Medicine Fellowship
Core Training Sites

Our PEM fellowship is affiliated with the University of Washington Emergency Department, Madigan Army Medical Emergency Department and Harborview Medical Center Emergency Department (Regional Trauma Center).  As part of our fellowship, PEM fellows spend a minimum of four months learning adult emergency medicine. Note that Emergency Medicine trained fellows will have 4 month-long rotations in pediatrics rather than adult work.

View a map of training sites, nearby hotels, and the Seattle area.

Pediatric ED Rotation

Seattle Children's Hospital Emergency Department

Seattle Children’s Hospital Emergency Department serves as the primary location to learn pediatric emergency medicine.

In April 2013, the Emergency Department (ED) moved to the new wing of the hospital called Building Hope. This state-of-the-art facility nearly doubled the size of the ED and is designed for providing the best possible experience for patients and families.

Emergency Department Facts:

• Yearly census is about 40,000 patients
• 24-hour emergency care for children ages 21 years and younger
• Rapid access to the full facilities and staff, including experts in more than 20 pediatric specialties
• Hospital services the Washington, Alaska, Montana and Idaho region.
• View a video about Building Hope.

Each fellow spends an average of 24 months learning pediatric emergency medicine in our department over 3 years.

• As a first year fellow, the first couple months are spent learning primary patient care responsibilities, perfecting suturing and splinting techniques, and learning the essentials of sedation.
• Subsequently, fellows combine primary patient responsibility and supervision of residents and medical students. Residents at Children’s include pediatric, family medicine, and emergency medicine.
• The final year of fellowship emphasizes resident supervision, management of critically ill patients, management of ED patient flow, and direction of ED codes with the guidance of ED faculty. Educational opportunities include weekly fellow and faculty led education sessions, bedside learning, and mock codes with and without Simbaby simulation.

Adult ED Rotations

Harborview Medical Center Emergency Department (HMC ED)

Harborview Medical Center provides trauma care to adults and children, and serves as the Washington’s only Level I adult and pediatric trauma center. As the only such facility in a four-state region (Washington, Alaska, Montana and Idaho), Harborview's Emergency Department sees more than 80,000 patients each year, many of these patients suffering serious trauma.

PEM fellows work exclusively in the emergency department as part of a coordinated trauma team composed of attending trauma surgeon, trauma fellow, and first and second year surgical residents. Fellows act in the role of a first year surgical resident and are responsible for evaluating and treating trauma patients, as well as patients with primary surgical complaints.

The experience allows for the development of proficiency in assessment and stabilization based on Advanced Trauma Life Support algorithms, and performing common procedures such as peripheral and central access, complex laceration repair, and thoracotomy tube placement.

University of Washington Emergency Department (UWMC ED)

The University of Washington Department of Emergency Medicine serves as an outstanding site for learning key concepts of adult emergency medicine in a state-of-the-art medical center. Our fellows work alongside adult emergency medicine providers, residents of the UW emergency medicine residency program, and UW medical students.

Fellows experience the full range of adult emergency medicine complaints in both otherwise healthy and medically-complex adult patients.  Due to the University’s many specialized diagnostic and treatment centers, the emphasis is on tertiary and quaternary care, and the care of the university community.

Madigan Army Medical Center ED

Madigan Hospital is at Fort Lewis in Tacoma, Washington, and serves as an outstanding location to learn key concepts of adult emergency medicine.  It serves the military community, including active duty, military families, and retired personnel, as well as serving as a level II trauma center for the surrounding community. 

Fellows experience the full range of adult emergency medicine complaints, participate in the care of trauma patients, and are exposed to illnesses and injuries unique to military personnel. Educational opportunities include weekly half day educational sessions, daily didactic sessions, and the opportunity to participate in bimonthly simulator mock code scenarios and skill sessions.