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Paediatric Emergency Medicine
Paediatric Emergency Medicine

Fellowship Program-RCPSC-accredited


Paediatric Emergency Medicine Academic Fellowship Program

Program Director: Dr. Anna Kempinska and Dr. Iwona Baran

This training program is approved by the Royal College of Physicians and Surgeons of Canada.

Sick Kids Hospital

The Paediatric Emergency Medicine fellowship at The Hospital for Sick Children (SickKids) started in 1990 and accepts graduates from both paediatric and emergency medicine residency programs. The fellowship is based within the Division of Paediatric Emergency Medicine at SickKids, a 400-bed paediatric hospital. Patients are served from downtown Toronto as well as the Greater Toronto Area. In addition, a large number of patients are transferred in from all over the province.

The majority of clinical training is provided in the emergency department. The annual ED census is approximately 65,000 visits per year with all levels of acuity. An urgent care area sees walk-in patients of lower acuity and is primarily staffed by senior fellows and paediatricians. The ED has recently undergone a major renovation with the end result of increased space, and use of state of the art equipment.

The majority of staff physicians are fellowship trained paediatric emergency physicians. There is an excellent variety of pathology and disease presentations due to the diverse ethnic population of Toronto and the referrals to SickKids from a large catchment area. SickKids offers all paediatric subspecialties. The ED is a Level I Paediatric Trauma Center with trauma patients seen on a daily basis. Trauma patients are managed by both emergency and surgical fellows and staff.

SickKids is a world-renowned centre for teaching and research, and the paediatric emergency division is very active in both areas. A large number of trainees rotate through the division for teaching including: medical students, paediatric residents, family practice and emergency medicine residents and physician assistants. Trainee supervision is the responsibility of both the staff attending and paediatric emergency medicine fellows.

The Royal College fellowship program is a two-year program with a certifying examination. Only fellows who have completed their residency training in North America are eligible to take the Royal College PEM examination. A third year of fellowship is offered to candidates who wish to develop a focus in a particular area, and for eligibility for the American Board of Pediatrics PEM examination, which requires three years of fellowship training. 

Additional fellowships offered during the third year include: 

  • Ultrasound
  • Trauma
  • Simulation

There are up to five fellowship positions per year. Successful candidates receive two years of guaranteed funding in order to meet the requirements of the RCPSC. Those looking for a third year need to apply for additional funding, the options of which can be discussed further. 

Toronto's CN Tower

Toronto is Canada’s largest city and is positioned on the north shore of Lake Ontario. It is the hub of the nation's commercial, financial and cultural life, and is the capital of the province of Ontario. With a population of 2.5 million people (five million in the Greater Toronto Area), Toronto is heralded as one of the most multicultural cities in the world. Nearly all of the world's cultures are represented in Toronto and more than 100 languages and dialects are spoken. Toronto is a great city to work and live in. We have a high quality of life and reliable services, in one of the safest urban environments in the world.

Contact Information:

For inquiries please email pem.fellowship@sickkids.ca.

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PEM Fellowship Mission Statement

The PEM fellowship is designed to produce experts in the field of Paediatric Emergency Medicine.  Fellows benefit from the rich teaching that is provided and the wealth of pathology seen in our division.  As one of the largest PEM fellowship programs in Canada, our fellows benefit from the large number of fellowship trained faculty who are enthusiastic mentors to our fellows. Our program has been designed to meet all objectives of the Royal College and to produce confident well rounded physicians who will become leaders in this field.  The curriculum is designed to ensure that fellows receive teaching in clinical medicine, research methodology, evidence based medicine and administrative issues.

PEM Fellowship Rotations

The two year fellowship program follows Royal College guidelines and is comprised of 13 rotations of four weeks per year. Vacation time is four weeks each year.

First Year


     Paediatric Emergency Medicine


     Adult Trauma


     Paediatric Anesthesia


     Paediatric Critical Care




     Paediatric Emergency Ultrasound




  Second Year


     Paediatric Emergency Medicine




     Plastic surgery


     Adult Emergency Medicine








Adult rotations are completed at St. Michael’s Hospital.

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PEM Fellowship Goals



  • To acquire subspecialty expertise in the care of an acutely ill or injured child or adolescent
  • To be able to triage and prioritize multiple patients efficiently
  • To be able to function as ED "mock" attending (under supervision) in the second or third year of training
  • To manage patient flow
  • To supervise trainees

Fellows are actively involved in simulation training throughout the fellowship, with monthly workshops at the Simulation Centre at the SickKids Learning Institute. These sessions allow the fellows to practice critical skills used in resuscitation, trauma and leadership skills. 



  • To demonstrate teaching competence in the various aspects of Paediatric Emergency Medicine
  • One on one bedside teaching
  • Academic day - instructive/puzzling cases, interesting topics
  • Critical appraisal skills
  • Knowledge of PEM literature
  • Teaching skills


Fellow Educational Activities: Academic Rounds

Academic rounds are held on Thursdays and involve a full day of fellowship teaching.

1.      Case rounds

  • Presented by a PEM staff, fellow and senior resident
  • Goal: present an interesting case with short discussion of a topic

2.      Trauma and Transport Rounds

  • Presented once every two months by a PEM fellow
  • Goal: present a case with discussion of trauma and transport issues

3.      Toxicology Rounds

  • Presented once every two months by a PEM fellow
  • Goal: present a case with discussion of decontamination/ toxicology issues

4.      Morbidity and Mortality rounds

  • Presented once per month; PEM fellow presents a case
  • Goal: present a patient case and discuss pertinent issues, facilitate discussion of case, invite relevant services etc.
  • Plan for next steps should result from discussion of case

5.      Grand Rounds

  • Presented once per month by a PEM fellow
  • Goal: review a topic of interest 
  • Core curriculum available for topic suggestions

6.      Radiology Rounds

  • Presented once per month jointly by a PEM fellow and radiology fellow
  • Paediatric radiologists review interesting cases generated by a log in the ED

7.      Journal Club

  • Held every other month
  • Article presented by a PEM fellow
  • User’s Guides to the Medical Literature is used for review

8.      Evidence based practice rounds

  • Held once per month
  • Evidence based review of a topic chosen by fellows, led by fellows

9.      Mock Code

  • Held once per month
  • PEM fellows act as code leaders

10.  Board review

  • Held every two months
  • Goal: review specific chapters and cover text material, with practice in preparation of exam questions

11.  Trauma Simulation

  • Held at patient simulation centre
  • Goal: practice trauma resuscitation using simulator

12.  Administration course

  • Held every two months
  • Goal: review administrative topics relevant to PEM

13.  Junior Mock Code

  • Held weekly
  • Facilitated by a PEM fellow with teaching to junior residents

Course Instructors:

  • PEM fellows participate as instructors in divisional resuscitation courses: Advanced Paediatric Life Support, Emergency Procedures Workshop, PEM Conference, Paediatric Update



  • To acquire expertise to become a productive investigator
  • To become familiar with various research methods and to be able to apply appropriate
    methodological principles to address various research questions
  • To be able to critique published literature correctly

All fellows are required to participate in research.  A summer research methodology course is held each year to introduce basic research concepts.  A divisional research day is held in the spring and all fellows are expected to present their research proposal and progress report once a year. 

The Department of Paediatrics annual research day is attended by all fellows: PEM fellows are expected to present a poster or oral presentation. 

Fellows are encouraged to present their research at the Paediatric Emergency Research of Canada (PERC) fellows’ research day held in January each year.


An administration course is held longitudinally throughout the year as part of the academic day.  Topics include leadership skills, quality assurance, charting, ethics, telephone advice, legal issues and public relations.

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PEM Faculty

Dr. Jason Fischer
Interim Director

Drs. Anna Kempinska and Iwona Baran
Program Director, Paediatric Emergency Medicine Fellowship (RCPSC - Academic)

Dr. Dennis Scolnik                                                                                                                                                                                       
Program Director, Paediatric Emergency Medicine Fellowship (Clinical)

Full-time staff:
Dr. Suzanne Beno
Dr. Kathy Boutis
Dr. Vicky Fera
Dr. Yaron Finkelstein
Dr. Jason Fischer
Dr. Anna Kempinska
Dr. Luba Komar
Dr. Charisse Kwan
Dr. Trent Mizzi                                                                                                                                                                                                        
Dr. Olivia Ostrow
Dr. Jonathan Pirie
Dr. Tania Principi
Dr. Savithiri Ratnapalan
Dr. Vanessa Razack
Dr. Suzan Schneeweiss
Dr. Deborah Schonfeld
Dr. Suzanne Schuh
Dr. Dennis Scolnik


First Year
Dr. Jovian Collins
Dr. Gabrielle Freire
Dr. Meghan Gilley
Dr. Devin Singh
Dr. Fathima Razik

Second Year
Dr. Michelle Lee
Dr. Sasha Litwin
Dr. Magali Gauthey
Dr. Elana Hochstadter

First Year
Dr. Tais Sao Pedro
Dr. Jabeen Fayyaz
Dr. Nir Friedman
Dr. Michael Kilian
Dr. Hasan Mohammad
Dr. Mirit Shoshani-Levy
Dr. Hsiao Ling Yap

Ultrasound Fellows:
Dr. Kate Fathi
Dr. Greg Harvey
Dr. Faisal Al-Sani

SIM Fellow:
Dr. Mireille Gharib

Trauma Fellow:
Dr. Dan Rosenfield

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Application Process


Application Materials

Academic (RCPSC) fellowship: Applications are accepted from residents in North American training programs (paediatrics and emergency medicine). Please apply through CARMS at www.carms.ca. Applications are also accepted from international candidates who have confirmed funding for two years of fellowship.

Please note that candidates applying from North America must be currently enrolled in an accredited residency program.

Clinical fellowship, Dr. Scolnik: Applications are accepted from international applicants who do not have funding. You must have completed your pediatric training in your home country.

Application Deadline

2017-18: Fellowship positions have now been filled.
2018 -19: Applications due March 31, 2017 for a July 1, 2018 start date.

Contact Information                                                                                                                                                                                            
Ritsa Iriotakis
Fellowship Program 

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Academic Fellowship Program

Please note that there are different deadlines for applicants due to differences in funding:

Fellowship start date July 1, 2018:

Canadian Applicants and Landed Immigrants:                                                                                                                                           
You must apply through CaRMS if you are a Canadian or landed immigrant.  This includes US applicants who are Canadian citizens or landed immigrants.  If you do not fall into this category, you may apply directly to our program (deadline March 14, 2017)

International applicants and Visa trainees (with sponsorship from your home institution):
You will apply separately from the Canadian match. Information about deadlines will be posted shortly.                                           
*Self funded applicants should send an application package to us and to the PGME office at the University of Toronto to confirm your funding:

Jessica Filion,
Visa Processing, International Medical Graduates
Postgraduate Medical Education Office, University of Toronto, Faculty of Medicine
500 University Avenue , 6th Floor
Toronto, ON Canada M5G 1V7
Phone: 416-946-7994   Fax: (416) 978-7144
email: jessica.filion@utoronto.ca

Upon completion of your application package including confirmation of funding, suitable candidates will be offered interviews. Please note on your application whether you would be interested in the clinical fellowship program in the event that you do not obtain a position in the academic fellowship, so that your file can be forwarded to the clinical fellowship directors. 

Clinical Departmental Fellowship Program

The Clinical Fellowship Program is a one year position which consists of 10.5 months of emergency department rotations, two weeks of an anesthesia rotation, and a one month elective rotation. Both the academic and clinical fellows participate equally in divisional educational activities such as academic rounds and workshops. Clinical fellows are required to complete a research, educational or quality improvement project during the year. There are usually four funded positions available per year. As this program does not lead to RCPSC certifications, it is not intended for physicians who plan to practice Paediatric Emergency Medicine in Canada. Most clinical fellows are  paediatricians or emergency physicians planning to practice paediatric emergency medicine outside of Canada who are interested in formal fellowship training. This program may also be suitable for Canadian emergency physicians or pediatricians who wish to improve their skills in managing pediatric emergencies and desire only one year of training. Clinical fellows receive a certificate from The Hospital for Sick Children upon completion of training.

The application deadline every year is March 31. Interviews are conducted during the month of September.

To apply:
Applicants interested in either or both fellowship programs should email pem.fellowship@sickkids.ca.

To be considered for the one-year clinical fellowship program, applicants must complete an application form and submit: a curriculum vitae, three letters of reference, and a cover letter of 1-2 pages outlining reasons for applying to a PEM fellowship program and future career plans. Applicants may apply simultaneously to both fellowship programs.

For additional information please contact  the program director for the program of interest:

Academic Fellowship:
Drs. Anna Kempinska & Iwona Baran
555 University Avenue
Toronto, ON  Canada  M5G 1X8
Fax: 416-813-5043
email: anna.kempinska@sickkids.ca
email: iwona.baran@sickkids.ca

Clinical Fellowship:
Dr. Dennis Scolnik
555 University Avenue
Toronto, ON  Canada  M5G 1X8
Fax: 416-813-5043
email: dennis.scolnik@sickkids.ca

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