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Essentials of PEM Fellowship Part 2: The Profession in Entrustable Professional Activities

Hsu, Deborah MD, MEd; Nypaver, Michele MD; Fein, Daniel M. MD; McAneney, Constance MD; Santen, Sally MD, PhD; Nagler, Joshua MD, MHPEd; Zuckerbraun, Noel MD, MPH; Roskind, Cindy Ganis MD; Reynolds, Stacy MD; Zaveri, Pavan MD, MEd; Stankovic, Curt MD; House, Joseph B. MD; Langhan, Melissa MD, MHS; Titus, M. Olivia MD; Dahl-Grove, Deanna MD; Klasner, Ann E. MD, MPH; Ramirez, Jose MD; Chang, Todd MD, MAcM; Jacobs, Elizabeth MD; Chapman, Jennifer MD; Lumba-Brown, Angela MD; Thompson, Tonya MD, MA; Mittiga, Matthew MD; Eldridge, Charles MD; Heffner, Viday MD; Herman, Bruce E. MD; Kennedy, Christopher MD; Madhok, Manu MD, MPH; Kou, Maybelle MD

doi: 10.1097/PEC.0000000000000827
Essentials of PEM Fellowship

This article is the second in a 7-part series that aims to comprehensively describe the current state and future directions of pediatric emergency medicine (PEM) fellowship training from the essential requirements to considerations for successfully administering and managing a program to the careers that may be anticipated upon program completion. This article describes the development of PEM entrustable professional activities (EPAs) and the relationship of these EPAs with existing taxonomies of assessment and learning within PEM fellowship. It summarizes the field in concepts that can be taught and assessed, packaging the PEM subspecialty into EPAs.

From the *Baylor College of Medicine, Texas Children's Hospital, Houston, TX; †University of Michigan, Ann Arbor, MI; ‡Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, NY; §University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; ∥Harvard Medical School, Boston Children's Hospital, Boston, MA; ¶University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh, Pittsburgh, PA; #Columbia University Medical Center, New York, NY; **Carolinas Medical Center, Levine Children's Hospital, Charlotte, NC; ††Children's National Medical Center, Washington, DC; ‡‡Children's Hospital of Michigan, Detroit, MI; §§Yale University School of Medicine, New Haven, CT; ∥∥Medical University of South Carolina, Charleston, SC; ¶¶Rainbow Babies and Children's Hospital, UH Case Medical Center, Cleveland, OH; ##University of Alabama, Children's Hospital of Alabama, Birmingham, AL; ***Orlando Health, Arnold Palmer Hospital for Children, Orlando, FL; †††University of Southern California, Children's Hospital of Los Angeles, Los Angeles, CA; ‡‡‡Rhode Island Hospital/Hasbro Children's Hospital, Alpert Medical School of Brown University, Providence, RI; §§§Washington University in St Louis, St Louis Children's Hospital, St Louis, MO; ∥∥∥University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR; ¶¶¶Children's Hospital of Wisconsin, Wauwatosa, WI; ###University of Utah, Primary Children's Hospital, Salt Lake City, UT; ****Children's Mercy Hospital, Kansas City, MO; ††††Children's Hospitals and Clinics of Minnesota/Health Partners, Institute of Education and Research, Minneapolis, MN; and ‡‡‡‡Inova Children's Hospital, Falls Church, VA.

Disclosure: The authors declare no conflict of interest.

Reprints: Deborah Hsu, MD, MEd, Baylor College of Medicine, Texas Children's Hospital, 6621 Fannin St, Ste A2210 Houston, TX 77030 (e-mail:

This manuscript was written by the authors on behalf of the PEM Fellowship Directors' Writing Group.

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