The Pediatric Critical Care Fellowship provides required training in pediatric critical care, anesthesiology, cardiac critical care, pediatric transport and procedural sedation. The first year is devoted largely to clinical training. Fellows spend a total of 12 months in the Pediatric ICU at the American Family Children’s Hospital, with most of that time (7 months) in the first year. The PICU is a a comprehensive state-of-the-art 21-bed unit that cares for 800 to 900 critically-ill medical and surgical pediatric patients per year. All medical and surgical subspecialties are well-represented. Fellows take increasing responsibility for patient care each of their three years of training and also increasing independence in the performance of procedures including endotracheal intubation, central venous access, arterial access and thoracostomy. These skills are also enhanced during the one month required rotation in anesthesia that occurs during the first quarter of the first year. Fellows take call an average of every fourth night while on service in the PICU with decreased call responsibility during elective and research months. Fellows also receive training in pediatric sedation within the Pediatric Day treatment program under the tutelage of Pediatric Critical Care faculty.
PCCM fellows participate in pediatric ground and helicopter transport as well as supervise the intra-hospital transport of all critically ill patients. Fellows spend one month each year in the Pediatric Cardiac Intensive Care Unit at the Children’s Hospital of Milwaukee in Wisconsin. Here they manage patients with complex congenital heart disease, both pre- and post-operatively, as well as acquired heart disease including an active mechanical circulatory support and heart transplant program. Elective clinical rotations are available during each year of training and include experiences in in adult critical care, neurosurgical critical care, trauma, neonatal intensive care, burn care, toxicology, respiratory therapy, and other services.
A major focus of the Fellowship Program is to develop academically rigorous junior faculty members who can succeed as clinician-researchers, clinician-administrators, or clinician-educators. First-year fellows complete the University of Wisconsin Clinical Investigator Preparatory Program Short Course in Research. Two months during the first year are set aside for identifying mentors, developing a scholarly project and for preparation and submission of draft IRB and/or grant application documents. The program assists in choosing appropriate mentors and assembling the fellow’s Subspecialty Fellowship Scholarship Oversight Committee (SOC), which monitors their academic progress. Seven to eight months during the second and third years are reserved for pursuit of the fellow’s scholarly activity. Fellows are expected to present the results from their efforts at a national meeting during their third year and complete a first-authored manuscript for submission to a peer-reviewed journal. One conference per year and all manuscript submissions are supported by the Division.
Scholarly activities may focus on clinical science, translational science, basic science, medical education, quality insurance or ethics. Clinical research projects are available in the AFCH PICU, the other ICUs within UW, and other areas within the AFCH, including the pediatric sedation program. Projects in medical education, including simulation, are supported by Division faculty working within the residency. Basic science projects are available within the labs of multiple Division faculty members as well as throughout the Department of Pediatrics. Furthermore, senior investigators throughout the medical and graduate schools are available for mentors. Fellows are encouraged to apply for the Pediatric Scientist Development Program to support even more intensive research training during their second and third years of fellowship. The program is committed to supporting fellows who wish to pursue additional training for their scholarly activities including pursuit of advanced degrees and additional years of training.