ABP Pediatric Emergency Medicine study plan
ABP Pediatric Emergency Medicine · Give each week a clear focus.
8 weeks · About 6 hours per week
Professionalism, Communication, and Advocacy & Emergency Department Systems, Administration, and Quality Improvement
Map the ABP subspecialty content outline for Professionalism/Communication/Advocacy and ED Systems into a one-page topic checklist with confidence ratings
Draft and rehearse a structured family-disclosure script for a bad-outcome conversation and a separate conflict-negotiation script
Identify three QI frameworks (e.g., PDSA, root cause analysis, run charts) and write a one-paragraph example of applying each to an ED throughput problem
List the regulatory and safety standards most likely tested (EMTALA, consent/assent, mandated reporting, handoff standards) and write the key rule for each from memory
Your checkpoint
A two-page synthesis sheet: domain 12/11 topic checklist plus four written scripts/frameworks, self-quizzed to 80% recall
Professionalism, Communication, and Advocacy & Emergency Department Systems, Administration, and Quality Improvement
Write out a complete advocacy case narrative (social determinant, ED intervention, community resource linkage) without notes
Explain shared decision-making and adolescent assent/confidentiality exceptions in a written teaching vignette
Design a mock QI project charter (aim statement, measure, intervention, balancing measure) for a pediatric ED metric
Practice 10 communication vignettes aloud, scoring each against a checklist of empathy, information framing, and next steps
Your checkpoint
Completed mock QI charter plus a scored log of 10 spoken communication vignettes with remediation notes
Pediatric Emergency Medicine content areas per ABP Subspecialty Content Outlines (weights not enumerated in source) & Resuscitation and Critical Care
Build a cross-domain concept map linking core PEM content areas to resuscitation physiology (shock states, airway, rhythm disturbances)
Recite from memory pediatric resuscitation algorithms: pulseless arrest, bradycardia with poor perfusion, tachyarrhythmia with instability, and post-arrest care targets
Calculate and verbalize weight-based drug and fluid doses for 10 simulated weights, including defibrillation energy and fluid boluses
Describe the approach to the crashing infant (differential, immediate interventions, team roles) in a timed 5-minute verbal run-through
Your checkpoint
A one-page resuscitation dose card (self-authored, verified against a current reference) plus a timed recorded run-through with self-critique
Pediatric Emergency Medicine content areas per ABP Subspecialty Content Outlines (weights not enumerated in source) & Resuscitation and Critical Care
Complete 60 mixed core-PEM and critical care practice questions under timed conditions and categorize every miss by mechanism of error
Re-derive the physiology behind each missed critical care item in writing (e.g., why a given vasoactive or ventilation strategy)
Summarize neonatal and congenital-heart resuscitation modifications in a written comparison table
Teach back the shock classification framework (hypovolemic, distributive, cardiogenic, obstructive) aloud with a pediatric example for each
Your checkpoint
An error-analysis log of 60 timed items with mechanism tags and a written remediation plan for the top three weak areas
Trauma and Injury Prevention & Toxicology and Environmental Emergencies
Outline the primary and secondary trauma survey with pediatric-specific modifications and recite thresholds for imaging and transfer
Write out management of head injury, solid-organ injury, and long-bone injury in children, including when to activate massive transfusion
Build a toxidrome table from memory (anticholinergic, cholinergic, sympathomimetic, opioid, sedative-hypnotic, serotonin) with an antidote column
List common pediatric ingestions, their lethal doses or danger thresholds, and decontamination/enhanced-elimination indications
Describe environmental emergencies (heat illness, hypothermia, drowning, envenomation) with field-to-ED priorities
Your checkpoint
A self-authored toxidrome-and-antidote table plus a trauma threshold quick-reference, each verified against a current reference
Infectious Disease Emergencies & Respiratory Emergencies
Recite empiric antimicrobial choices and isolation precautions for sepsis, meningitis, pneumonia, and neonatal fever presentations
Explain the febrile infant evaluation by age stratum, including when lumbar puncture, antibiotics, and admission are indicated
Write out asthma and bronchiolitis severity scoring plus escalation pathways from mild to impending respiratory failure
Describe recognition and initial management of upper airway obstruction (croup, epiglottitis, foreign body) and anaphylaxis
Complete 50 timed mixed infectious/respiratory items and tag each error by knowledge gap versus reading error
Your checkpoint
An age-stratified febrile-infant algorithm and an asthma/bronchiolitis escalation ladder, plus a 50-item error-tagged log
Cardiovascular Emergencies & Neurologic Emergencies
Differentiate cyanotic and acyanotic congenital lesions and describe ductal-dependent physiology and its emergency management
Write out the evaluation and acute management of myocarditis, pericarditis, and hypertensive emergency in children
Recite the pediatric stroke, seizure, and status epilepticus pathways including timed medication sequence
Describe the approach to altered mental status, headache red flags, and acute weakness including when to image
Complete 50 timed mixed cardiovascular/neurologic items and re-teach the two weakest concepts aloud
Your checkpoint
A congenital-heart emergency card and a status epilepticus timed sequence sheet, plus a 50-item error-tagged log
Gastrointestinal and Genitourinary Emergencies & Behavioral and Psychiatric Emergencies & Pediatric Emergency Medicine content areas per ABP Subspecialty Content Outlines (weights not enumerated in source) & Resuscitation and Critical Care & Professionalism, Communication, and Advocacy
Summarize acute abdominal and genitourinary emergencies (intussusception, malrotation, testicular torsion, UTI/pyelonephritis) with time-critical actions
Describe behavioral/psychiatric emergencies: agitation, suicidality risk assessment, safe restraint standards, and disposition planning
Complete two full-length timed mixed practice blocks and compare domain-level accuracy against week 1 baseline ratings
Rewrite the week 1 confidence checklist to reflect final gaps and schedule a targeted final-week review of the three lowest domains
Your checkpoint
A final domain-accuracy scorecard versus baseline, with a written last-week triage list of the three lowest-scoring domains
Milestones
Week 2: Can deliver an unscripted 3-minute bad-news disclosure and a 2-minute advocacy case narrative, scoring at least 80% on the self-checklist
Week 4: Timed 60-item mixed block completed with errors categorized by mechanism; top three weak areas identified in writing
Week 6: Toxidrome/antidote table and febrile-infant algorithm reproduced from memory with no more than one factual correction needed after verification
Week 8: Two full-length timed blocks completed; domain-level accuracy improved over week 1 baseline in at least five of twelve domains, with a written final-week remediation list