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Clinical Experience

Pediatric Critical Care Medicine Fellowship

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 and third year fellows have five calls per month during their scholarly blocks and two calls per month during their clinical blocks.

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

2

34

52


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

 

Pediatric Intensive Care Unit (PICU)


Our 41-bed pediatric intensive care unit has over 2300 admissions per year and is capable of caring for up to 55 patients. Since 1997, the pediatric critical care faculty has provided 24-hour in-house coverage. We have an active congenital heart disease program and pediatric cardiac transplant program that includes a VAD program with more than 350 cardiovascular surgeries per year. We have incorporated advanced practice nurses into the cardiac care team. The ECMO program in the pediatric intensive care unit was initiated in 2007 with 20-40 cases and 300-450 patient days annually, utilizing both VV and VA modalities. We have a busy trauma surgery service with the only Level-1 Trauma center in a free standing children’s hospital in our geographic area. We are working towards becoming an American Burn Association certified center. We co-manage all trauma and burn 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. Third year fellows spend an additional two weeks learning the skills of procedural sedation outside of the pediatric intensive care unit.

 

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 5600 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 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.