At a Glance
Programme Snapshot
Duration
3 Years
Training Sites
6+ centres
Rotations
10 specialised rotations
Accreditation
MOH Malaysia
This subspecialty fellowship runs for 3 years, divided into three progressive phases. Year 1 (Foundation) builds your paediatric baseline across General Paediatrics, Neonatology, and Trauma. Year 2 (Consolidation) takes you into PICU, Anaesthesia, Orthopaedics, and senior PEM rotations where you start leading resus teams. Year 3 is a mandatory overseas fellowship at a recognised international PEM centre — because learning from the best globally is non-negotiable. Trainees rotate through 10 specialised clinical attachments across 6+ accredited training centres nationwide.
Every Thursday is Academic Day — a protected space where clinical duties take a back seat and learning takes centre stage. Think self-directed study, case-based discussions that will make you rethink everything, and hands-on workshops tackling the high-acuity, low-frequency scenarios that keep you up at night. Weekly PEM topic reviews, journal clubs that actually challenge your thinking, and access to advanced simulation labs with high-fidelity mannequins round out the picture. You’ll also join interdisciplinary ward rounds with PICU, Surgery, and Orthopaedics — because the best PEM doctors understand the full journey of care, not just the front door.
Assessment is continuous and competency-based — no cramming for a single exam at the end and hoping for the best. You’ll be assessed through workplace-based evaluations (think real-time feedback on actual patient encounters), structured clinical examinations, procedural logbook completion, and regular progress reviews with your supervising faculty. Each rotation has clear milestones, and by Year 2 you’re expected to be leading resuscitation teams with increasing independence. The goal isn’t just to pass — it’s to be genuinely ready to function as a consultant the day you finish.
Yes, there’s a research component — and honestly, it’s one of the most rewarding parts. Trainees are expected to lead clinical audits and quality improvement projects, and to contribute to publishable research. You’ll get proper mentorship for this (not just a supervisor who signs off), with opportunities for multicentre research, conference presentations, and the full academic experience from ethics submission to data analysis. Our fellows have already earned the PED at Hospital Tunku Azizah recognition as the most research-friendly department — multiple posters at local and international conferences. We don’t just want skilled clinicians; we want people who push the field forward.
Each rotation builds a specific domain of expertise. Together, they produce a complete PEM subspecialist.
Four months building your paediatric foundations — common disorders, developmental stages, fluid management, and learning to communicate with tiny humans (and their worried parents). Based at HTA, HTJS, or HRPB.
Three months of neonatal resuscitation, umbilical catheterisation, neonatal intubation, and ventilation strategies. Because the tiniest patients need the most precise care.
Four months managing multi-organ failure and the sickest kids in the hospital. Advanced resuscitation, invasive monitoring, central lines, chest tubes — the works. Rotations across HTA, Sarawak, and Penang.
From a junior month at HTJS recognising the “sick child” and learning rapid triage, to five senior months at HTA/HTJS leading resus teams, coordinating flow, and making consultant-level decisions.
Two months mastering the paediatric airway, intubation, and peri-operative physiology. Plus dedicated trauma and orthopaedic rotations for fracture management, X-ray interpretation, and growth plate injuries.
Transport medicine at HTAR Klang, paediatric surgery at HTA, elective subspecialty exposure — and the crown jewel: a full 12-month overseas attachment at an approved international PEM centre.
The curriculum is structured around core competency domains that define a PEM subspecialist.
Master the assessment, diagnosis, and management of paediatric emergencies across all age groups.
Perform advanced paediatric procedures with confidence — from difficult airways to procedural sedation.
Lead trauma teams, coordinate multi-disciplinary care, and manage department-level operations.
Teach effectively at the bedside, in simulation, and in academic settings.
Design, conduct, and publish research that advances paediatric emergency care.
Advocate for child-friendly emergency systems, policy, and quality improvement.
By completion, you will independently: