Critical Care Fellowship

Ryan Breuer MD; Erika Pineda MD.

Program director Ryan Breuer, MD, with fellow Erika Pineda, MD.

Our three-year fellowship program at Oishei Children's Hospital is designed to promote expertise in the diagnosis, management of acute, severe and life-threatening injuries and diseases in infants, children and young adults.

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.

Comprehensive Training

We train our graduates to become the next generation of leaders and innovators in the field of pediatric critical care medicine, dedicated to advocacy, education and clinical excellence.

Our program emphasizes a comprehensive understanding of physiology and pathophysiology, knowledge of advanced life-support systems and collaborative, multidisciplinary patient care.

Our fellows care for roughly 1,300 critically ill medical and surgical patients each year. They collaborate with various subspecialties to deliver expert care over a range of diagnoses and oversee a multidisciplinary ICU team grounded in humanism and evidence-based practice.

Achieve Success With Dedicated Mentors

From the start, we pair you with a dedicated faculty mentor who advises you on all aspects of your training and career.

Attending physicians the division are board-certified/eligible in pediatric care medicine. Service attendings are available 24 hours a day to supervise and assist fellows, residents and advanced practitioners.

During your training, subspecialty experts in our division will help build your clinical competence and understanding of core topics.

When you’re ready to embark on a research project, your research mentor will guide you through the investigation as well as the process of publishing and presenting.

Be Exposed to State-of-the-Art Technologies

Working in a Level 1 Pediatric Trauma Center housing the region’s only pediatric intensive care unit, you will have access to state-of-the-art technologies to aid you as you train and care for patients. Among the technologies you will be exposed to include:

  • extracorporeal membrane oxygenation
  • negative-pressure and high-frequency ventilation and
  • intracranial pressure monitoring.

Our fellowship program is the only one in the country where the apheresis team is founded, led and directed by the pediatric intensive care team. Apheresis is an extracorporeal technology that is used to treat multiple illnesses including sepsis and multiorgan failure. You will hands-on experience learning this technology, understanding the indications for use, learning the different protocols and procedures and troubleshooting any issue or potential side effects patients may experience during therapy sessions.

Oishei’s pediatric intensive care unit was the first in the nation to use negative-pressure ventilation for a patient with respiratory failure. We are currently one of only a few hospitals in the country that uses this technology to support patients with acute and chronic respiratory failure, providing you with a unique opportunity to experience firsthand this modality of support.

Live Comfortably


1001 Main Street
5th Floor
Buffalo, NY 14203

Phone: (716) 323-0200
Fax: (716) 323-0293

Program Director

Breuer, Ryan

Ryan Breuer, MD

Clinical Associate Professor

UBMD Pediatrics Division of Critical Care 1001 Main Street Buffalo, NY 14203

Phone: (716) 323-0200; Fax: (716) 323-0293


Associate Program Director

Ripal Patel.

Ripal Patel

Clinical Assistant Professor


1001 Main Street, 5th Floor Buffalo, New York 14203


ACGME Accredited

This program is accredited by the Accreditation Council for Graduate Medical Education (ACGME).