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Paediatric Emergency Medicine
Paediatric Emergency Medicine

Fellowship Program: Non-RCPSC Accredited

This program provides opportunities for training in Paediatric Emergency Medicine.  It is suitable for candidates whose medical training was completed outside North America or those with pediatric or emergency medicine specialty training who desire additional training in PEM.  Applicants must hold specialty certification in Paediatrics or Emergency Medicine from their country of training.

This fellowship training is not accreditable toward Royal College of Physicians and Surgeons of Canada (RCPSC) certification, however the training is comparable to that of all RCPSC trainees at a similar level in our institution. Certificates of completion of training are offered by both The Hospital for Sick Children and the University of Toronto at the end of the training period. A limited number of trainees may be offered a second year of training in a subspecialty area of PEM. Preference will be given to trainees who have indicated this interest in their initial application and to those who can provide evidence of support for this additional training from their home institution.

Program Director:  Dr. Dennis Scolnik


To allow a fully trained paediatrician or emergency physician the opportunity to experience Paediatric Emergency Medicine at a cutting edge academic institution and acquire the skills necessary to function efficiently in a busy paediatric emergency department. The training program also provides an opportunity to develop the teaching and evaluation skills necessary to facilitate adult learning in trainees.


The period of appointment will be for one year.  Clinical Fellows wishing to apply for a second year of subspecialty training will need to submit a completed application by September 10 of their first year, consisting of:  

  • A completed application form
  • Updated CV
  • Letter of Reference from the Director of the Clinical Fellowship Program
  • Letter outlining the reasons for, and expectations from, the second year (one page maximum)

Second-year positions will be offered based on applicants' application, performance and qualifications.

Clinical Commitment

The clinical commitment is three to four shifts per week in the emergency department with a mix of day, evening and night shifts. Approximately two weekend shifts per month are also expected.

Educational Component Activities

Participation at weekly paediatric emergency medicine academic rounds which include case conferences, grand rounds, Fellows’ rounds, journal club, radiology rounds, procedure workshops, an on-line administrative course, and 4 weeks of an elective training. Completion of an in-house course in paediatric sedation is required of all clinical fellows.  Fellows will be scheduled to take this course when they begin their fellowship. Advanced Trauma Life Support and Advanced Paediatric Life Support Training is required for all clinical fellows prior to their start. 

Teaching Responsibilities:

  1. Orientation and mentorship of medical students and junior trainees to the ED.
  2. Teaching of clinical clerk and junior resident mock codes and seminars.
  3. Clinical teaching in suturing, casting and other skills.
  4. Participation in Pediatric Life Support Teaching and other Divisional Education Programs, Paediatric Emergency Medicine Conference, and various training courses or workshops relating to pediatric procedures and advanced life support skills.

Educational Opportunities Outside of Paediatric Emergency Medicine

  1. Department of Paediatrics Grand Rounds.
  2. Trauma Rounds.
  3. Other Divisional and University of Toronto Emergency Medicine Continuing Education events.
  4. The Hospital for Sick Children Fellows lecture series.
  5. The University of Toronto (Adult) Emergency Medicine Training Program.


Clinical fellows will be given an opportunity to spend 4 weeks of elective time in other specialties such as Radiology, General Surgery, Orthopedics, Otolaryngology, Ophthalmology, Child Abuse, Trauma or Ultrasound. All electives will be approved by the program director or program administrator in advance.


All fellows at The Hospital for Sick Children are expected to complete a research project during their fellowship.  It is recognized that time for research in the clinical fellowship is limited.  Therefore, each fellow will select a research mentor early in their fellowship and will be assisted in selecting an appropriate project.  Research projects should be submitted for presentation at the annual Department of Paediatrics Research Day which occurs each year in May. Topics for research can be very wide-ranging and include quality improvement or systems-based projects investigating operational challenges in the ED.


Four weeks vacation time is allotted.  In addition, each fellow will be reimbursed for attendance at one conference during the year to a total of $500 if attending only or $1,000 if presenting (upon approval). The timing of vacation and conferences is to be negotiated and is dependent on departmental staffing requirements.


The candidate must have a paediatric or emergency medicine specialty or equivalent training and must meet the qualifications for an educational licence through the Ontario College of Physicians and Surgeons. As required by the College of Physicians and Surgeons of Ontario, most foreign-trained fellows must successfully complete all Pre-Entry Assessment Program (PEAP) requirements no later than the 12th week of the Clinical Fellowship in order for their educational license to be extended for the full year.  This is facilitated by the Division. Failure to meet these requirements will result in termination of the Fellowship.


To apply, please click on the link: Clinical Fellowship Application
You will need to upload the following documents for your application:

  1. Letter of Intent – explaining your interest in the fellowship program and your future career goals (max. one page)
  2. Current CV
  3. Copy of your Medical Degree (and translation if applicable)
  4. Copy of your Specialty Certificate (and translation if applicable)
  5. Copy of your Passport
  6. A test of English proficiency (either the TOEFL or IELTS) will be a requirement
  7. Three (3) Reference letters, to be sent to the Program Administrator via email

    Application Deadline:
    March 31, 2019
    Academic Year:
    July 1, 2020 - June 30, 2021


Please send all inquiries for the Paediatric Emergency Medicine Clinical Fellowship at The Hospital For Sick Children to pem.fellowship@sickkids.ca.