Our training curriculum is structured to provide resources and
mentorship to groom passionate young physicians for careers as
exceptional pediatric intensivists.
We foresee the graduates of our program becoming the next
generation of leaders and innovators in the field of pediatric
critical care medicine and champions of clinical, research and
Using evidence-based medicine as our guide, we seek to deliver
care of the highest order and quality to our patients. A humanistic
approach is at the very heart of our daily practice, and we
staunchly believe in supporting and treating the entire family, not
only its sickest member, with compassion and understanding. Our
practice entails a systems-based approach to solving clinical
problems, and through innovative techniques, cutting-edge
technologies and trouble-shooting philosophies, we give our
trainees the tools necessary to explore all angles of the
The aim of our program is to contribute to the global fund of
medical knowledge through the pursuit of rigorous, high-quality
clinical research. Our fellows, guided by their individual faculty
mentors, are exposed to a rich variety of patients and medical
technologies that lend themselves to the asking and answering of
essential questions in the field of pediatric critical care
Our fellows complete at least one scholarly work, in the form of
a submitted abstract or manuscript, and one quality improvement
project during their program. With over twelve months of protected
research time, a diverse and highly motivated faculty, and the
ongoing participation of WCHOB in several multicenter pediatric
trials and networks, the infrastructure is in place for all of our
fellows to not merely publish, but to excel.
Our curriculum emphasizes the importance of evidence-based
medicine and the core concepts necessary for any intensivist's
toolkit, while concurrently allowing for the flexibility to tailor
particular aspects of instruction to a given fellow's needs. We
focus on teaching our trainees how to ask the right questions, how
to think about those inquiries and how best to pursue the answers.
Using simulation, case conferences and formal bedside teaching and
didactic sessions, we expose our fellows to a breadth of learning
opportunities that instill knowledge and generate excitement.
Mock codes and ECMO simulation scenarios are multidisciplinary,
allowing our fellows to practice key skills while working alongside
the very same residents, registered nurses and respiratory
therapists that they collaborate with in real time. Case and
morbidity/mortality conferences likewise encourage participation
from all staff and subspecialties, permitting our fellows to learn
the complexities of modalities, such as ECMO and apheresis, from
experts in the field.
Our fellows give structured lectures to their residents weekly
and discuss core concepts at the bedside with the ancillary staff
daily. In this respect, they are encouraged to become teachers as
well as learners, and ultimately, leaders in the field of pediatric
critical care medicine.
Goals of the Fellowship Program
- Develop expertise in the care of critically ill children,
irrespective of their complexity.
- Master the procedural skills necessary to become experts in
pediatric airway management and resuscitation.
- Experience and practice the skills needed to design, perform
and interpret clinical research, and utilize them to complete a
mentored, scholarly work.
- Learn the proper ways to gather, analyze and prepare data for
academic discussion and interpretation.
- Develop the active listening and communication skills necessary
to excel as a multidisciplinary team leader and as a medical
- Practice humanistic, family-centered care.
- Evolve the individual strategies needed for achievement and
maintenance of a fulfilling, satisfactory work-life balance.
- Fulfill all requirements necessary to achieve certification in
pediatric critical care medicine by the American Board of Pediatrics.
- Prepare for a successful academic or clinical career in the
field of pediatric critical care medicine.
The first year of fellowship focuses mainly on the acquisition
of clinical decision-making and procedural skills. Approximately
seven months are devoted to service time in the PICU at WCHOB, with
another month dedicated to airway skills learned in operating rooms
under the guidance of certified anesthesiologists.
In addition, due to a collaborative partnership with the Children's
Hospital of Pittsburgh (CHP), first-year fellows have the
opportunity to spend a two-week rotation in their hospital learning
the intricacies of transplant medicine. Approximately two to three
months of the first year are protected for research interests.
Years Two and Three
The second year of fellowship at WCHOB emphasizes refinement of
the skills learned in the first year with approximately six months
of service time in the PICU as well as a one-month rotation at
Children's Hospital of Pittsburgh in its Cardiac ICU. Four months
are protected for research pursuits.
The third and final year of fellowship is one of transition and
actualization. Leadership and autonomy, both in the intensive care
unit and in the program at large, are key points of emphasis.
During the five months of PICU service time, the senior fellows are
encouraged to become teachers and role models. An additional month
is spent in the CHP Cardiac ICU, and five months remain protected
The postdoctoral education prerequisite is three years of
general pediatric residency training. Candidates should apply
and enter the Pediatric Critical Care Match through NRMP.
Fellowship duration: 3 years
Positions offered annually: 2
Match participation: yes
Accrediting body: Accreditation Council for Graduate Medical
Current fellows: 4
Please click here to learn more about the Division of
Pediatric Critical Care.
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