The First Year
The first year is designed to provide the fellow trainee with the necessary experience to become an excellent clinician and teacher in the field of critical care medicine. The year is fully structured and almost entirely clinical. Responsibilities include:
- Eight months of clinical service in the PICU, on both the medical ICU (6 months) and cardiac ICU (2 months) services. Fellows are primarily responsible for all medical patients in the PICU, and they co-manage all surgical patients.
- One month of pediatric anesthesiology in the first half of the year; this is designed to teach airway management, intubation, vascular access, and sedation skills.
- One month on the pediatric pulmonary medicine service at Children's Colorado. Fellows gain bronchoscopy experience during this month, as well as a broader view of pediatric pulmonary disease.
- One month of research time, to be used to develop an academic project for the remainder of the fellowship program, as well as to participate in University of Colorado mini-courses including clinical trial design, COMIRB, budget management, recruitment, and clinical trial conduct and practicum.
- Night call is taken in-house, and averages and averages every 5-6 nights.
Fellows participate in Children's Hospital Emergency Transport Service and manage, with supervision from the ICU attending, transports and admissions to the PICU.
Fellows participate in the weekly Critical Care educational conferences and journal clubs. All other pediatric, anesthesia, pulmonary, and other specialty conferences are open to fellows.
The fellows participate in a Departmental Fellows Core Curriculum and an annual First-Year Fellows Retreat designed by the Pediatric Committee for Fellowship Education for all first-year fellows. These forums cover topics relevant to fellows in all subspecialties, including Evidence-Based Medicine, Quality Improvement and Safety, Ethics, Communication, Teaching, and Mentoring.
In addition, the fellows review assigned charts for complications and/or deaths, present the cases for an ICU Morbidity and Mortality Review Team, and participate in the monthly M&M Conference.
The Second and Third Years
The second and third years of the training program are primarily devoted to a research experience with the assistance of a specific mentor. Research work can be performed at Children's Colorado, the Pediatric Critical Care/ Developmental Lung Biology Laboratory at UCSOM, the Cardiovascular Pulmonary Research Laboratory at UCSOM, or at National Jewish Health
(NJH). Research mentors are experienced principal investigators with ongoing studies in either clinical or basic science research. Academic experiences are also available in physiology, cell and molecular biology, biochemistry, immunology, pharmacology, neuro-trauma, biomechanical engineering, outcomes research, and quality improvement.
Second- and third-year fellows also participate in the Departmental Core Curriculum statistics course and the annual Departmental Fellows Retreat, which is geared to address issues facing senior fellows including grant opportunities, job negotiations, and life-work balance.
Although most applicants complete their fellowship training in three years, an optional fourth year of training is available to those interested in seriously pursuing a career as a physician-scientist or those who desire greater experience or possible dual-boarding in pulmonary or cardiac medicine.