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Pediatric Emergency Medicine Fellowship

The Pediatric Emergency Medicine fellowship training program prepares physicians to be future leaders in the field of pediatric emergency medicine. The curriculum provides the skills to excel in clinical care, teaching, administration, and research.

The Emergency Department has 45 part- and full-time faculty who are active in research and teaching. The Department receives over 100,000 visits per year. In fall 2010, we added a second emergency department in the most medically underserved part of Washington, DC. Children's National Emergency Department is a level 1 Trauma Center with active trauma services and an integrated Division of Transport Medicine. The PEM faculty members conduct multi-institutional research as one of 20 national members of PECARN (Pediatric Emergency Care Applied Research Network).



The PEM fellowship research curriculum at Children's National Health System is a novel approach to fellow research training. It is based on an NIH model of clinical researcher development that has been shown to be successful in multiple fields of medicine. We have adapted it to your (fellow) level of expected research expertise and further individualize it as you refine your career goals. Though there may be a de-emphasis on research as a part of PEM fellowships nationally, we feel strongly that this is an important part of your training, regardless of whether you choose an academic career. Clearly a fellow with aspirations for NIH funding will be trained differently than one with aspirations for a purely clinical career. That said, at minimum fellowship graduates from this program will be competent at understanding published research and conducting their own research. The scholarly rigor and attention to logistical detail required to complete a research project will provide valuable training that will carry over into other areas of professional development.

Importantly, this curriculum is an interactive model of training, which means that your input and participation are a must for its success and your success. In reality only two things are required of you: active participation in all outlined activities and active support of your peers' efforts.

Recent fellow projects include:

  • Analysis and Outcomes of Abnormal ECGs in the ED
  • Identifying Predictors of Surgical Outcomes in Children with Abdominal Pain
  • Simulation as a Model for Medical Debriefing
  • A cost analysis of admitting vs. discharge for 30-60 day old babies with febrile UTIs
  • Screening for post-partum depression in mothers visiting the ED for non-urgent diagnoses
  • Secondary imaging for suspected appendicitis with equivocal ultrasound: time to use of MRI instead of CT

Faculty have a wide variety of areas of interest. Some are as follows:

  • James Chamberlain: Quality/Performance Assessment and Improvement
  • Kathleen Brown: Prehospital Medicine
  • Stephen Teach: Asthma Management
  • Dewesh Agrawal: Education, Sedation
  • Shireen Atabaki: Traumatic Brain Injury
  • Monika Goyal: ED-based screening and treatment strategies for STIs, implicit bias in healthcare
  • Joanna Cohen: Ultrasound
  • Robert Freishtat: Asthma, Sepsis
  • Karen O'Connell: Trauma Management, Gastroenteritis, Family presence
  • Shilpa Patel: predicting disease patterns using geospatial mapping
  • Jennifer Chapman: Immigrant health, education
  • Joelle Simpson: Pediatric disaster preparedness
  • Pavan Zaveri: Simulation, Education



Thirteen months are devoted to patient care in the Emergency Department. Pediatric fellows work side by side with pediatric emergency medicine sub-specialists managing acute patients, supervising residents from seven different pediatric and emergency medicine training programs, and learning management skills to oversee a busy ED.

Additional rotations for Pediatric-trained PEM fellows:

  • 2 months Pediatric Intensive Care Unit
  • 1 month Adult Emergency Medicine
  • 1 month Adult Trauma
  • 1 month Toxicology
  • 1 month Wound Management
  • 1 month Anesthesiology
  • 1 month Emergency Medical Services
  • 1 month Ultrasound

The program welcomes applicants who are Emergency Medicine-trained. The fellowship is 2 years and requires a research project. 

Additional rotations for Emergency Medicine-trained PEM fellows:

  • 1 month Pediatric Intensive Care Unit
  • 1 month Neonatal Intensive Care Unit
  • 1 month Pediatric Hospital Medicine
  • 1 month Pediatric Cardiology
  •  ½ month Pediatric Neurology
  • ½ month Outpatient Pediatrics
  • 1 month Wound Management
  • 1 month Anesthesiology

Remaining months are devoted to clinical electives such as child protection, and to the completion of an individual research project.


The academic program includes 4 hours of protected clinical conference time every week. The PEM Fellows’ Conference is presented by the fellows, PEM faculty, and speakers who are invited from other divisions to discuss a broad range of medical topics. Journal club, journal watch, simulation work, code review and professional development talks are incorporated into the clinical conferences. All fellows have an opportunity to attend major national scientific meetings.

How to Apply

How to Apply

Jennifer Chapman, M.D.
Fellowship Director

Christina Lindgren (on maternity leave) and Sabrina Guse, M.D.
Associate Fellowship Director

The Pediatric Emergency Medicine Fellowship uses the ERAS system for applications. Visit the ERAS website to submit your application. Deadline for submission of all application material (through ERAS) is August 25.

The required documents for application are the minimum documents requested by ERAS, including three to four letters of recommendation, with preferably one from your residency program director. Our interviews are on Thursdays from mid-September to late October from 8 am to 3 pm. We will send out invitations for interviews in the first week of September.

This fellowship program considers applicants who are completing or who have completed a pediatrics or emergency medicine residency.

For questions, please contact our administrative secretary, Ms. Hilda Rojas.

Fax: 202-476-3573

Faculty and Staff

Faculty and Staff

James Chamberlain, MD - Division Chief
Robert J Freishtat, MD, MPHDivision Chief
Kathleen M Brown, MD - Associate Division Chief, Medical Director of Quality
Sephora Morrison, MD, MSCI, MBA - Assistant Division Chief; Director of Operations
Michael Quinn, MD - Assistant Division Chief; Director of Transport Medicine

Alyssa Abo, MD - Emergency Ultrasound Co-Director
Dewesh Agrawal, MD - Pediatric Residency Program Director
Shireen Atabaki, MD, MPH -  Vice Chair, Institutional Review Board; Medical Director, Informatics

Deena Berkowitz, MD, MPH -  Urgent Care Medical Director
Kristen A Breslin, MD -  PEM Fellowship Research Director
Jennifer Chapman, MD - PEM Fellowship Director
Joanna S Cohen, MD - Emergency Ultrasound Director
Katie Donnelly, MD - Resident Education Co-Director; Medical Student Clerkship Co-Director
Monika Goyal, MD, MSCE- Director of Research
Sabrina Guse, MD - Resident Education Co-Director; Medical Student Clerkship Co-Director
Christina Lindgren, MD - PEM Fellowship Associate Director
Jamil Madati, MD -  Satellite ED @UMC Medical Director
Karen O’Connell, MD, MEd - Patient Safety Director; SZ Assistant Medical Director
Asha S. Payne, MD - SZ Assistant Medical Director
Alexandra Rucker, MD - Clinical Associates Director; UMC Assistant Medical Director
Joelle Simpson, MD, MPH - Medical Director for Emergency Preparedness
Stephen Teach, MD, MPH - Chair of Pediatrics
Pavan Zaveri, MD, MEd - Director of Education

Eiman Abdulrahman, MD
Katharine Button, MD
Sarah Combs, MD
Dafina Good, MD
Lenore Jarvis, MD
Sadiqa Kendi, MD
Jaclyn Kline, MD
Ioannis Koutroulis, MD
Mandisa McIver, MD
Carrie Ng, MD
Amit Patel, MD
Shilpa Patel, MD, MPH
Rosemary Thomas-Mohtat, MD
Emily Willner, MD

Frequently Asked Questions

Frequently Asked Questions

Q: What are the benefits?

  • Health, Dental, Vision
  • Flexible Spending Accounts
  • Life Insurance
  • Annual & Sick Leave
  • Disability Insurance
  • Employee Assistance Program
  • Backup Child and Elder Care

A detailed summary of all benefits can be found in our Benefits Guide.

In addition, a yearly stipend is provided for purchase of books and journals. Also, there is an opportunity to complete the Masters Program in Public Health or the Masters Program in Business. Administration at the George Washington University with significantly reduced tuition.

Isaiah's Story

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A young boy and his family confront and manage asthma successfully through Dr. Stephen Teach's IMPACT DC asthma clinic.

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