Our Division is actively involved in the education of both
residents and medical students. Our fellows play an integral role
in educating these rotating trainees.
Fellows in our Pediatric Critical Care Medicine Program spend
three years acquiring and enhancing the skills necessary to care
for complex, critically ill children of all ages and sizes. Through
formal lectures, multidisciplinary conferences, bedside teaching,
and simulation exercises, our faculty is committed to providing a
learning infrastructure whereby fellows can become excellent
clinicians, diligent researchers, and future leaders in the field
of critical care medicine.
Residents from categorical Pediatrics, Pediatric and Adult
Emergency Medicine, and Anesthesiology will all rotate through the
PICU as part of their training. An integral part of our team, they
are responsible for helping to admit patients, perform procedures,
and manage various aspects of care, including mechanical
ventilation, sedation, and vasoactive support. Overseen by the ICU
fellows, residents are encouraged to formulate care plans and
differential diagnoses and to participate in care conferences.
Bedside and didactic teaching sessions given by pediatric critical
care attending and fellow physicians are designed to help useful,
generalizable knowledge and principles to all residents,
irrespective of their career plans and goals.
Faculty physicians in our division are active in a wide variety
of clinical research projects, which mirrors the diversity of their
individual areas of expertise. Indeed, the research interests are
captured in everything from multicenter trials to individual fellow
projects. Trainees are mentored in the art of asking the right
question and in the science of finding its answer.
Studying numerous aspects of critical illness, from optimal
glycemic control to intubation patterns, Women & Children's
Hospital of Buffalo is an active participant in multicenter trials
and international research networks. Self-sufficient
investigations, such as an evaluation of our division's use of a
novel, negative-pressure mode of ventilation in respiratory
failure, are also ongoing in our PICU.
Finally, our trainees are fully supported as they formulate
projects to pursue their own inquiries, in everything from acute
kidney injury to nutrition. In addition, they are each guided in
the development of quality improvement initiatives, which seek to
enhance the basic tenets of inter-provider communication, patient
safety, and overall care.
The Pediatric Intensive Care Unit at WCHOB is a 20-bed unit
serving approximately 1,200 patients per year. The only PICU in
Western New York, it care for children of all ages and sizes,
presenting with a wide range of medical and surgical needs.
Patients have access to such therapies as high frequency
ventilation, inhaled nitric oxide, general anesthesia for severe
asthma, and extracorporeal membrane oxygenation (ECMO).
Our multidisciplinary PICU team consists of physicians, nurses,
respiratory therapists, clinical pharmacists, social workers, and
nutritionists, all working together to provide outstanding,
family-centered care. The broad scope of pediatric subspecialties
are also readily available at WCHOB, and our team works
side-by-side with these experts to treat such conditions as
traumatic brain injury, respiratory and cardiac failure,
hematologic and oncologic emergencies, multi-organ dysfunction, and
severe sepsis. In addition, our PICU team also serves as the
critical care arm of the WCHOB Level 1 Trauma Center.