Clinical training

Clinical TrainingOur goal in training physicians in Critical Care Medicine is to provide them with the clinical experience and research skills necessary for their continued productivity in the area of academic pediatrics.

As such, our program is structured so that each Fellow gains the clinical expertise to run a large Pediatric Intensive Care Unit, the ability to teach medical students and residents effectively using a variety of modalities, and the skills necessary to develop and carry out a complete and meaningful clinical or basic science research program.

Our 20-bed PICU has approximately 1700 admissions/year and is located in a nationally ranked pediatric hospital that serves as the quaternary referral center for the region as well as serving national and international patients with diseases requiring highly specialized care. University Hospitals Rainbow Babies & Children's Hospital has the only accredited Pediatric Trauma Center in the region.

A full range of pediatric medical and surgical cases will be cared for by the Fellow and ICU team, including cardiothoracic surgery, neurosurgery, trauma, bone marrow transplant, and patients requiring technologies such as extra-corporeal life support, bedside ultrasound, continuous veno-venous hemofiltration and other renal replacement therapies and state of the art ventilator strategies.

The Division of Pediatric Critical Care also staffs a busy sedation unit which provides sedation services to approximately 2200 children per year. The pediatric pain team and palliative care services are additional activities of the division.

Clinical Curriculum

During the first year of Fellowship, you can expect spend approximately 18 weeks in the PICU. This time will be split between the Surgical Team, which includes cardiothoracic surgery, neurosurgical and general surgery patients, and the Medical Team. Your day will start at 06:30 and end at approximately 18:30. An additional 7 weeks are spent in the PICU as the night Fellow. You will start your shift on Monday at 17:00 and end the following morning by 07:30. You will complete 6 nights in a row during these weeks. 6 weeks are spent in the Pediatric Sedation Unit, 4 weeks with our Anesthesia colleagues in the OR, and 6 weekends will complete your clinical duties for the year. The remainder of your time is devoted to your academic pursuits.

During your senior years of Fellowship, as your time in the Rainbow PICU decreases, you will have the opportunity to spend time on elective rotations, and you will have additional time to complete the research and quality improvement projects of your choice.