Pediatric Critical Care Fellowship

The Division of Pediatric Critical Care at the University of Maryland Medical System includes a 19 bed multi-disciplinary Pediatric Intensive Care Unit. Over 1000 patients with various medical and surgical diagnoses are admitted each year. The UMMS PICU provides monitoring and life sustaining treatment for critically ill patients throughout Baltimore and the greater Maryland area. We provide advanced respiratory, cardiovascular, and neurologic support for our patients.  Multidisciplinary care is provided by a team including not only critical care physicians, nurse practitioners, and nurses, but also respiratory therapists, pharmacists, physical, occupational, and speech therapists, nutritionists, social workers, child life specialists, and chaplains. We provide a full complement of pediatric subspecialists to augment the care provided in the PICU.

A critical care transport team, Maryland ExpressCare for Kids, staffed by specialty trained pediatric critical care transport nurses and paramedics is designated for the transport of these critically ill infants and children.

Training Experience

The fellowship training program provides a balance between the practical experience and theoretical knowledge necessary to achieve clinical excellence in treating critically ill children as well as the research training necessary to pursue a career in academic medicine. The total duration of the fellowship program is three years, dedicating approximately half the duration to clinical medicine and half to research.

Under the direction of the attending physicians, fellows learn to care for critically ill children in the PICU through a combination of hands-on experience and supervision of residents. As members of the transport team, the fellows also learn to stabilize critically ill children and act as consultants to physicians in community hospitals. Fellows rotate with pediatric anesthesiology and the Shock Trauma Institute, as well as Johns Hopkins University for additional trauma experience. Responsibility for formulating care plans and managing the PICU is assigned to fellows in a graduated fashion commensurate with experience and ability.

Fellow Education

A series of divisional conferences occur weekly and provide didactic sessions for the fellows and ICU staff.  These conferences cover all of the major topics in pediatric critical care and are provided as lectures, case conferences, webcasts, etc. In addition, our conference series includes monthly journal clubs, core content review, white board sessions, morbidity & mortality conference, and a joint conference with nursing and our other ancillary services known as the holistic care conference.  Our fellows participate in these conferences series as both presenters and learners.

Research

Fellows are required to pursue research projects of their choosing. Projects have been done in both basic and clinical medicine under the guidance of mentors from a variety of hospital departments.  The initial goals of the research training are to expose fellows to the mechanics of research (e.g.., developing a hypothesis, designing a study, carrying out the study, analyzing data, writing and presenting an abstract, paper writing, etc.). This introduction to research allows the fellow to gain exposure to this important element of critical care and begin the process of integrating research into their career.

If an academically oriented critical care fellowship program appeals to you, please submit your curriculum vitae and a letter outlining your career goals. The University of Maryland is an equal opportunity/affirmative action employer.