Overview of the Fellowship

Clinical Experience

Pediatric critical care fellows care for patients in a 38-bed pediatric intensive care unit. The care of the patients is divided between two teams: the medical team (which includes all medical and surgical subspecialty patients) and the cardiac service (which includes cardiac intensive care postoperative and medical patients). Fellows develop the knowledge and leadership skills to become independent intensivists through clinical patient care, multidisciplinary teamwork, providing procedural sedation, and leading the code team. In addition to service time in the PICU, fellows rotate in anesthesiology, cardiothoracic operating room, and cardiac interventional catheterization lab. Fellows are supervised in the PICU by critical care faculty members who provide 24/7 in-hospital coverage.

Curriculum

A comprehensive didactic curriculum guided by the specialty content specifications is provided during weekly educational sessions. Conferences address basic and case based physiology, cardiac critical care, research and statistics, administrative aspects of critical care practice, ethics, board review, neurocritical care, and morbidity and mortality. Faculty and fellows participate in regular journal clubs and research updates to evaluate emerging research and discuss new therapies and mechanisms of illness.

Research

The Critical Care Division has a strong record of successful research endeavors leading to publication and funding opportunities. Children's Hospital of Michigan PICU is one of only a few PICU's in the nation funded by the NICHD Collaborative Pediatric Critical Care Network to perform clinical trials in critically ill children. Since 2005, we have participated in numerous multi-centered trials and projects including therapeutic hypothermia after cardiac arrest, ECMO pharmacokinetics, safety and efficacy of blood transfusions in critically ill children, evaluating weaning and extubation readiness frameworks, and assessment of physician perspectives and experience with parents after a child's death in the PICU.

All fellows are provided with 12 months of research time devoted to the development of a hypothesis-driven research project with supervision by an experienced mentor. Fellows establish the foundation for academic achievement through the process of completing a scholarly project. By the end of fellowship, trainees will have an understanding of the research process including analyzing medical literature, designing and implementing a study, performing data analysis, and preparing a manuscript for publication in a peer reviewed journal. Current and past fellows have pursued clinical, translational, and basic science research. In addition, institutional funding is available to fellows through the Ashok and Ingrid Sarnaik Endowment for Resident and Fellow Research for projects and meeting travel expenses. Senior fellows are expected to present their work at a national meeting.