Per ACGME Program Requirements for Pediatric Emergency Medicine “Fellows must acquire the necessary procedural and resuscitation skills, and develop an understanding of their indications, risks, and limitations for pediatric patients of all ages.” Fellows are expected to achieve competency in the procedures listed below.  This list is composed of all procedures specifically included in the current ACGME Program Requirements for Graduate Medical Education in Pediatric Emergency Medicine.

Required Procedure List

Abscess incision and drainage (5)

Airway and assisted ventilation

• Bag-Valve-Mask ventilation (10)
• Endotracheal intubation (20)
• Rapid Sequence Induction (5)
• Supraglottic Device Insertion (5)
• Mechanical Ventilation (5)
• Non-invasive Ventilation (5)

Burn management (5)

Cardiac pacing, external (2)

Cardioversion/defibrillation (3)

Central venous access (5)

Conversion of SVT (3)

Cricothyrotomy- translaryngeal ventilation (2)

Foreign body removal (5)

Fracture care, Reduction and/or Splinting (5)

Gastrostomy tube replacement (2)

Intraosseous access (3)

Joint dislocation, Reduction (5)

Laceration Repair (20)

Lumbar puncture (10)

Nasal packing (2)

Pericardiocentesis (2)

Procedural Sedation, Deep (6)

Procedural Sedation, Moderate (6)

Regional nerve block (5)

Medical Resuscitation, newborn to young adult (20)

Trauma Resuscitation, newborn to young adult (20)

Slit lamp examination (5)

Tracheostomy tube replacement (3)

Tube thoracostomy (3)

Needle decompression of pneumothorax (2)

Umbilical vessel catheterization (2)

Vaginal delivery (5)

Point of care Ultrasound:

• Biliary/RUQ (25)
• Cardiac (25)
• FAST (25)
• Pelvic (5)
• Renal (25)
• Soft Tissue/Musculoskeletal (10)
• Thoracic (10)