The PEM fellowship at the University of Rochester is notable for the following: - - a cohesive faculty with mixed EM and pediatric background - -level 1 pediatric trauma certification - - the ability to get a master's degree in public health, medical education, or medical management - -a diverse patient population - -availability of all subspecialties, including the only pediatric cardiac surgery and the most robust pediatric neurology service in western NY - - An on-site psychiatric emergency d