Clinical Care
The University of Michigan Pediatric Intensive Care Unit (PICU) has 30 beds for critically ill children and supports over 1400 admissions per year. The PICU is housed in C.S. Mott Children's Hospital which boasts 348 beds. Services offered in the PICU include non-invasive and invasive mechanical ventilation (including conventional and oscillatory ventilation), renal replacement therapy, therapeutic plasma exchange and ECMO. Michigan's PICU has a catchment area of the state of Michigan and surrounding Midwest. Additionally, it serves as a referral center for many subspecialty surgical teams nationally and internationally.
Our fellows provide care to patients admitted to the PICU while also responding to acutely deteriorating patients throughout the hospital. Our PICU fellows care for medical and surgical subspecialty patients admitted to the PICU, including patients receiving solid organ and bone marrow transplants.
Our PICU fellows serve as medical command for all patients being admitted to the PICU who are transported by Michigan Survival Flight. They support referring institutions in phone consultation for critically ill patients. Fellows are trained to perform central venous catheterization, arterial catheterization, bronchoscopy and advanced and difficult airway management.
Education
The fellowship has an Associate Director of Education, Stephen Gorga, MD, MSc, who helps modify the educational curriculum month-to-month, if need be, to address the needs and wants of the PICU fellows. The curriculum is designed as a robust but versatile way to teach core critical care topics to all types of learners.
Simulation
- Intensive high-fidelity simulation is provided during the first year orientation with longitudinal skill refinement throughout fellowship
- Monthly case-based simulation education
- Access to the Clinical Simulation Center, including the iSIM lab - a 24 hour independent skill lab
- Monthly Point-of-Care ultrasound training
Didactics
Dynamic and robust curriculum of topics including:
- Weekly case conferences
- Journal clubs
- Pathology review
- Board Review
- Research conference
- ECMO conference
- Morbidity and Mortality
- Joint airway conference
- Neurocritical care conference
- EM/PICU conference
- Cardiology conference
Fellow Book Club
Fellow coordinated group with independent reading of primary critical care textbook and landmark articles followed by bi-monthly review and discussion of material.
Research
The fellowship program has an Associate Director of Research, Erin Carlton, MD, MSc, who helps guide fellows through the research process in addition to their research mentor and scholarly oversight committee.
Fellows are expected to choose a research project that aligns with their own interests. Fellows have engaged in clinical, translational, basic science and educational research projects, quality improvement and patient safety.
Presentations at national conferences are supported by the division. Recently fellows have presented at local and national conferences including Society of Critical Care Medicine (SCCM), Pediatric Academic Society (PAS), American Heart Association (AHA), American Thoracic Society (ATS), and the Critical Care Colloquium (CCC).
For more information about Fellow Research, visit Research Overview.
