Essentials of PEM FellowshipEssentials of Pediatric Emergency Medicine Fellowship Part 3: Clinical Education and ExperienceMittiga, Matthew R. MD*; Nagler, Joshua MD, MHPEd†; Eldridge, Charles D. MD‡; Ishimine, Paul MD§; Zuckerbraun, Noel S. MD, MPH∥; McAneney, Constance M. MD*; On behalf of the PEM Fellowship Directors’ Writing GroupAuthor Information From the *Department of Pediatrics, University of Cincinnati College of Medicine; Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; †Harvard Medical School; Division of Emergency Medicine, Boston Children's Hospital, Boston, MA; ‡Department of Pediatrics, Washington University in St. Louis; Division of Pediatric Emergency Medicine, St. Louis Children's Hospital, St. Louis, MO; §Emergency Medicine and Pediatrics, San Diego School of Medicine, University of California; Division of Emergency Medicine, Rady Children's Hospital, San Diego, CA; Department of Emergency Medicine, UC San Diego Health System, San Diego, CA; and ∥University of Pittsburgh School of Medicine; Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA; on behalf of the PEM Fellowship Directors' Writing Group. The PEM Fellowship Directors’ Writing Group is led by Pavan Zaveri, Deborah Hsu, Matthew Mittiga, Margaret Wolff, Stacy Reynolds, In Kim, Coburn Allen, Constance McAneney, and Maybelle Kou. Disclosure: The authors declare no conflicts of interest. Reprints: Matthew R. Mittiga, MD, Clinical Pediatrics, Department of Pediatrics, University of Cincinnati College of Medicine, Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229 (e-mail: Matthew.Mittiga@cchmc.org). Pediatric Emergency Care: July 2016 - Volume 32 - Issue 7 - p 479-485 doi: 10.1097/PEC.0000000000000841 Buy Metrics Abstract This article is the third in a 7-part series that aims to comprehensively describe the current state and future directions of pediatric emergency medicine 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 focuses on the clinical aspects of fellowship training including the impact of the clinical environment, modalities for teaching and evaluation, and threats and opportunities in clinical education. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.