iPEM Curriculum

Shared educational didactics with the other (adult) International Emergency Medicine Fellowship on campus will be conducted throughout the year. Fellows will engage in study via textbooks in wilderness medicine (ex, Wilderness Medicine, 5th ed. by Paul S. Auerbach) and international health (ex. Manson’s Tropical Diseases, 21st ed. by Robert Desowitz).

Faculty with expertise in Emergency Medical Services (EMS), public health, marine envenomation, international and domestic disasters and humanitarian response, and international medical education, will all be involved in training the Fellows. Current Pediatric EM faculty members have been involved in international outreach efforts in Peru, Pakistan, Haiti, Guyana, Honduras, and the Dominican Republic.

Numerous other international projects exist throughout campus and the Department of Pediatrics also maintains strong relationships with Norfolk based Physicians for Peace and Operation Smile. These locally based organizations will give the interested fellow the opportunity to learn the behind the scenes logistics of planning humanitarian missions with an emphasis on appropriate financial resource allocation and sustainability.

Upon fellow acceptance and matriculation, formal educational didactics on global and public health care topics are offered through Johns Hopkins University (Certificate program in Global Health) and UMass Amherst (MPH in Public Health Practice).

Fellows will gain experiential expertise into practicing in austere environments via participation in a 12 day Wilderness Medicine course. The course, which is run by an adjunct faculty member of the Division of Pediatric Emergency Medicine, is located in the Blue Ridge Mountains of Virginia and covers numerous topics including dive medicine, ballistic injuries, tick borne diseases, wound care, altitude illness, plant toxicity, envenomations, and disaster response.


Coded by ACGME core competencies: MK (medical knowledge), ICS (interpersonal/communication skills), PC (patient care), PBL (practice based learning), SBP (systems based practice), P (professionalism)

Objectives for the pediatric international emergency medicine fellow include:

  • To develop a strong knowledge base in global public health and medical practice in resource limited environments (MK, PBL, SBP)
  • To obtain a working knowledge of governmental, non-governmental, and university global health organizations (SBP)
  • To learn to develop, sustain, and fund international programs (SBP)
  • To learn to navigate the field of international medicine through experiential field experience (PC, MK, P, ICS, SBP)
  • To begin to develop the relationships necessary for a successful career in international medicine.

Clinical Component
The Pediatric International Medicine Fellow’s salary is partially covered by working in the Children’s Hospital of the King’s Daughters’ Emergency Department and Pediatric Sedation service providing Attending physician care. Fellows will receive an appointment as Clinical Instructor from Eastern Virginia Medical School and work 1100 clinical hours per year (approximately 27 hours per week when not abroad) as an employee of Children’s Specialty Group. This limited clinical workload leaves ample time to devote to International Medicine activities and advanced degree work. An exceedingly competitive salary plus benefits and travel support package is offered.

The CHKD Pediatric Emergency Department is a high volume (48,000 annual) tertiary care children’s facility allowing the iPEM fellow to keep his/her clinical skills sharp during this time of further study and training. Clinical shifts will be scheduled to allow fellows to have 2 months of continuous time annually to participate in an overseas medical experience. Fellows additionally receive 3 weeks of vacation yearly and may choose to use vacation time to extend the abroad experience(s) to up to 11 wks. The Fellowship begins on July 1 and runs for 12 or 24 months, depending on the track selected by the Fellow.

Teaching Component
Participation in departmental educational activities is required which offers the fellow the opportunity to improve their teaching, presenting, and academic skills. Involvement will include resident, fellow, and medical student education, both within the Departments of Pediatrics and Emergency Medicine. Fellows will lecture on international medicine related topics at residency and fellow’s conference within both Departments.

Research Component
The Pediatric International Emergency Medicine Fellow has protected time to develop and execute a research/child advocacy project which is based on personal interests. Fellows will be encouraged to design and implement one novel research or advocacy project prior to the completion of their training and all Fellows should begin thinking about a project prior to the start of the fellowship.

IRB and manuscript writing support is readily available within the Department of Pediatrics.