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. The required clinical rotations include:
Seven months of clinical service in the ICU, on both the pediatric ICU (5 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.
Second and Third Years
The educational goal of the second and third year clinical rotations is to solidify the knowledge and skills attained during the first year, and to develop their leadership, team management and supervisory skills. The expectation is that fellows will have increasing independence through these years. The required rotations during the second and third years include:
In addition to the clinical rotations, the PCCM fellows at the University of Colorado receive the following educational opportunities:
- Multi-disciplinary high-fidelity simulation experiences through the CHCO simulation center
- Ultrasound-guided point of care procedure training
- Weekly divisional educational conferences
- Monthly Evidence-Based Medicine conference
- Monthly Morbidity & Mortality and Quality, Safety and Practice Council conferences
- Departmental Fellows Core curriculum, which covers topics relevant to all pediatric fellows, including Evidence-Based Medicine, Quality Improvement and Safety, Ethics, Communication, Teaching, Mentoring, Scientific Writing and Career Development
Fellows participate in Children's Hospital Emergency Transport Service and manage, with supervision from the ICU attending, transports and admissions to the PICU. Night call is taken in-house and averages every 5-6 nights. At least one PICU attending is in-house 24 hours a day, 7 days a week, to ensure a safe balance between clinical demands and educational needs of the fellows.
PCCM fellows at the University of Colorado School of Medicine have the additional opportunity to participate in two structured clinical electives during their second or third year:
An international cardiac intensive care elective with one of our PCCM faculty, Dr. Vohwinkel, through the International Children’s Heart Foundation
An elective at Denver Health Pediatric Intensive Care Unit, affiliated with the University of Colorado, which offers the opportunity to practice in a smaller community-based PICU under the supervision of board-certified PICU faculty.