The Pediatric Critical Care Medicine fellowship at Mass General Brigham for Children provides fellows with a learning environment that will enable them to become expert practitioners in the field of Pediatric Critical Care Medicine.
Clinical training occurs primarily at the Massachusetts General Pediatric Intensive Care Unit, a 14-bed medical/surgical unit located on Bigelow 6. The PICU fellow works closely with the on-service attending physician and is given graduated responsibility in his/her management of the service. The philosophy of the PICU faculty is that responsibility should increase commensurate with the increase in knowledge and skills that are gained over the three-year fellowship.
Additional clinical training occurs in pediatric burn care at Shriners’ Hospitals for Children, and in the 32-bed cardiac intensive care unit (CICU) at Boston Children's Hospital.
The program is configured to support seven clinical fellows following the track toward certification by the sub-board of Pediatric Critical Care of the American Board of Pediatrics. The program is accredited by the Accreditation Council for Graduate Medical Education (ACGME).
To provide fellows with an understanding of the pathophysiology of life-threatening disease and injury, and the cognitive and technical skills necessary to independently diagnose and manage critically ill infants, children and adolescents.
To foster an environment of intellectual curiosity, advance the fellows’ knowledge of the basic principles of research and mentor each fellow in the pursuit of scholarly activity related to pediatric critical care.
To enable fellows to become effective educators in pediatric critical care medicine.
To help the fellows become efficient leaders, through supervised acquisition of experience in management and problem-solving in a multidisciplinary pediatric intensive care unit.
All transport calls are fielded by the PICU fellow who will assess the level of acuity of the patient and identify the patient’s transport needs. Fellows provide management advice to the referring physician, determine and coordinate the best mode of transport, and provide ongoing consultation with the transporting team en route to the PICU.
Fellows are taught monthly in difficult clinical scenarios with the aid of medical simulation. Utilizing two life-like simulation mannequins, fellows are taught together to work through difficult clinical scenarios in real-time.
Fellows learn the art of delivering procedural sedation as part of a robust inpatient/outpatient sedation program located within the MGH PICU.
The fellowship faculty work closely with each fellow throughout their three years of training to tailor their experience to meet individual career aspirations. In the past this has included the design of ABP-approved dual subspecialty training in PCCM and other pediatric subspecialties, including emergency medicine and pulmonology.