Program Overview

Welcome to the Pediatric Emergency Medicine Fellowship at Orlando Health.  Our PEM Fellowship was established in 2008, and its mission is to develop caring, proficient physicians who are leaders and educators in the field of pediatric emergency medicine.   

The program is under the Orlando Health Academic Department of Emergency Medicine and based primarily at the Arnold Palmer Hospital for Children, which is a large free standing tertiary children’s hospital in beautiful Central Florida.  Our emergency department opened its doors in 2007 and is comprised of 29 beds and 4 trauma bays.  It is the only level one trauma center for children in the Central Florida Region.   Our annual patient volume is approximately 50,000 visits per year.

The core faculty for the fellowship program includes 9 dedicated pediatric emergency physicians, who are part of the Orlando Health EM Residency Faculty which has 18 EM faculty physicians. We have a close working relationship with all the primary pediatric subspecialists, including pediatric critical care, surgery, neurosurgery, orthopedics, gastroenterology, hematology-oncology, pulmonology, cardiology, and anesthesiology.

We sponsor two PEM fellowship tracks, one for each type of resident applicant whether emergency medicine or pediatrics.  The tracks are of 2 and 3 years duration, respectively, and differ some in content, though remain essentially complimentary. 

Both tracks emphasize the role of clinician, educator, and researcher in the field of pediatric emergency medicine.  Administrative skills that are essential to be effective advocates for children in the hospital and community setting are also emphasized.

During the fellowship program, fellows rotate through a variety of services outside of our department.  Some of these services include:

  • Pediatric Surgery
  • Trauma Surgery (adult/ped)
  • Adult Emergency Medicine
  • General Pediatric
  • Pediatric Critical Care
  • EMS
  • Pediatric Cardiology
  • Neonatal Intensive Care Unit (NICU)
  • OB/Gyn
  • Anesthesia
  • Orthopedics

Orlando Health Pediatric Emergency Fellowship Program Rotation Schedule

Listed below are the rotations PEMF fellows from Pediatrics and Emergency Medicine backgrounds will do respectively. Column one lists the rotation which all occur at the Orlando Health Downtown Campus at either Arnold Palmer Hospital for Children or Orlando Regional Medical Center. Column 2 lists the average number of blocks dedicated to the rotation. On average during a full service month in the PED ED fellows complete 12 shifts of 10 hours.

Orlando Health Pediatric Emergency Fellowship Program Rotation Schedule for a Pediatric trained physician.


Academic Activities and Conference Schedules

 Fellows Conference*
 Weekly (Thurs)
 Joint Fellows Conference*
 Monthly (Thurs)
 Toxicology Review
 Monthly (Thurs)
 Administrative Meeting
 Monthly (Tues)
 Emergency Medicine Residency Conference
 Weekly (Tues/Thurs)
 Pediatric Grand Rounds
 Pediatric Residency Conference

Faculty and Administration

Coleen Scuderi, Senior Residency Coordinator

See Program Faculty


The Bert Martin's Champions for Children Emergency Department & Trauma Center includes:

  • 33-bed Children's Emergency Department
    • 4 Resuscitation / Trauma Beds
    • 29 Acute Care Beds
  • All private with television and telephone
    • 3 treatment pods with separate nursing stations
    • 2 large nursing triage suites
    • Children's play area in safe view of parents and staff
    • 23,500 square feet
    • Only Level One Pediatric Trauma Center in Central Florida
    • 4 Resuscitation / Trauma Rooms
  • Able to accommodate multiple trauma patients simultaneously
  • State of the art technology and equipment available to accommodate all types of traumatic injuries
  • Immediate access to Pediatric trauma surgeons and sub-specialists
  • Department Academic Faculty
    • 27 member faculty
  • 9 Pediatric Emergency Medicine dedicated faculty
  • 18 Emergency Medicine boarded
  • 2 Dual-boarded Emergency Medicine / Toxicology
  • 2 Subspecialized in Emergency Ultrasonography
  • 2 County EMS Director
  • 2 Sub-boarded in critical care
    • Academic appointments with the University of Florida, Florida State University, and University of Central Florida
  • Service to Central Florida
    • The Arnold Palmer Children's Emergency Department and Trauma Center treats on average 50,000 patients per year
    • Arnold Palmer Hospital serves 16 counties in and around Central Florida as well as international visitors
    • Patient satisfaction consistently ranks among the highest in the region


Jose Ramirez, MD, FAAP
Director Pediatric Emergency Medicine Fellowship
Arnold Palmer Hospital for Children