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Elective Rotations

PEM Fellow POCUS Elective Rotation

The PEM Emergency Point-of-Care Ultrasound (POCUS) program at The Hospital for Sick Children is pleased to offer an innovative one-month elective rotation for PEM fellows in the emerging field of PEM POCUS. 

This unique program emphasizes establishing technical expertise and a basic understanding of PEM-specific POCUS applications.

Join us and be a part of the PEM POCUS evolution.

Educational and Clinical Components 

Distinctly SickKids
Additional Information


Educational and Clinical Components

  • Required shifts (4) in the Emergency Department, scheduled by the scheduling coordinator
  • Required to attend MINIMUM 3 scanning shifts per week
  • Weekly journal club - participates in an active discussion of pivotal and cutting edge emergency ultrasound literature
  • Weekly image review -  participates in an active quality assessment of scans done within the previous week
  • Weekly didactic learning -  receives mini-lectures to cover core and select advanced POCUS applications
  • Weekly bedside instruction. Dedicated POCUS scanning sessions of active ED patients with core ultrasound faculty and/or ultrasound residents - fellow performs ultrasound exams and guided procedures
  • Required reading - selections include recent journal articles, textbook readings  (Case Studies in Pediatric Emergency and Critical Care Ultrasound by David J McLario and John L Kendall)  and online resources  Ultrasound Guide for Emergency Physicians, Ultrasound Guided Regional Nerve Blocks and Atlas of Echocardiography.
  • Required online pre- and post-test - fellow completes quizzes
  • Required 20-minute lecture - prepares and presents an evidence-based review of a selected POCUS topic
  • Required case report for submission -  prepares one written work suitable for submission to an academic publication highlighting a unique case from the month

Distinctly SickKids

  • Premier, free-standing, Level-1 trauma and tertiary-care paediatric hospital
  • Busy, inner-city referral Emergency Department
  • Formally trained faculty in EM, PEM and POCUS
  • Beta-test center for POCUS hardware and software
  • 24/7 POCUS equipment and reference access
  • Dedicated divisional research faculty and research assistants
  • Advanced multimedia technology


  • Current participation in a PEM, EM, NICU or PICU  fellowship in Canada

Additional Information

  • Up to two positions will be available at any time on a first-come first-serve basis
  • Further details available upon request


Charisse Kwan MD FRCPC RcPSC (PEM)
Director of POCUS Program
Division of Emergency Medicine
The Hospital for Sick Children
Assistant Professor 
Department of Paediatrics
University of Toronto 
email: charisse.kwan@sickkids.ca

Kelly Sobie
Administrative Assistant  
Paediatric Emergency Medicine Point-of-Care Ultrasound  Program (PEM POCUS)
Division of Emergency Medicine
The Hospital for Sick Children
email: kelly.sobie@sickkids.ca

Mailing Address

The Hospital for Sick Children 
555 University Avenue
Toronto, Ontario 
M5G 1X8