Pediatric Critical Care Medicine Clinical Experience
Pediatric Critical Care Medicine Clinical Experience

Pediatric Intensive Care Unit (PICU)

Fellows will spend most of their clinical training in our 41-bed Pediatric Intensive Care unit. There are more than 1900 admissions annually to the PICU. 

We have an active congenital heart disease program with more than 350 cardiovascular surgeries per year. Since 1997, the pediatric critical care faculty has provided 24-hour in-house coverage. The ECMO program in the Pediatric Intensive Care Unit was initiated in 2007 with 10-12 cases annually. We have a busy trauma surgery service and co-manage all patients admitted to the PICU.

Anesthesia

Fellows will rotate in the department of anesthesiology during the first year of training. Advanced airway skills, vascular access and the physiologic response to general anesthetics will be emphasized. During the second month, fellows will spend time in the cardiovascular room becoming familiar with the anesthetic nuances of children with congenital heart disease and gain exposure to cardiopulmonary bypass.

Cardiology

Fellows will spend a month focused on the care of children with congenital and acquired heart disease. The rotation includes exposure to the cardiac catheterization lab; interpretation of cardiac waveforms; basic echocardiogram interpretation; arrhythmia classification and treatment; and surgical correction or palliation.

Transport

Fellows will participate in a one-month rotation during their first year with the transport team, participating in local and regional transports by ground transport, rotor wing and fixed wing aircraft. The in-house transport team comprised of an advance clinical nurse and respiratory therapist serves a 150-mile radius and annually transports more than 1500 patients per year with medical direction provided by the intensivist.

During the third year of training, fellows will gain experience communicating with referring physicians and guiding the transport team in the care of the children we transport.

  • Children's Mercy Hospitals and Clinics' Critical Care Transport in Kansas City, Mo. is a 24-hour a day dedicated pediatric- and neonatal-critical care transport program, and winner of the Transport Program of the Year, sponsored by the Association of Air Medical Services.
  • Children's Mercy Critical Care Transport has earned the Fixed Wing Award of Excellence and the Critical Care Ground Award of Excellence.

Competency-based objectives for the rotations are available: first yearsecond yearthird year

Overview of Curriculum

Clinical rotations occur in four-week blocks. All call is in-house with a critical care attending. First year fellows typically have six-to-seven calls per month; second year fellows have five-to-six calls per month; and third year fellows typically have four-to-five calls per month.

Requirements

 

ICU

Anesthesia

Cardiovascular Surgery/Cardiology

Transport

60 Weeks

8 Weeks

4 Weeks

4 Weeks

Total Clinical Weeks 76 weeks
Total Research Weeks 80 weeks

Year

PICU Weeks

Other Clinical Weeks

Research Weeks

Total Weeks

I

28

16

8

52

II

16

0

36

52

III

16

0

36

52

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