Curriculum Overview

Clinical Care

The University of Michigan Pediatric Intensive Care Unit (PICU) has 30 beds for critically ill children and supports about 1300 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 transplants 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, peripherally inserted central catheter placement, arterial catheterization, bronchoscopy and advanced and difficult airway management.

 

Education

Simulation

  • Intensive high-fidelity simulation is provided during the first year orientation with longitudinal skill refinement throughout fellowship
  • Access to Clinical Simulation Center, including the iSIM lab - a 24 hour independent skill lab 
  • 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
  • ER/PICU conference
  • Cardiology conference

Reading Group

Fellow coordinated group with independent reading of primary critical care textbook followed by bi-monthly review and discussion of material.

 

Research   

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. 

Presentation at national conferences are supported by the division. Recently fellows have presented at local and national conferences including SCCM, PAS, AHA meetings and CCC. 

The fellowship program has an Associate Director of Research, Mary Dahmer, PhD, who helps guide fellows through the research process in addition to their research mentor and scholarly oversight committee. 

For more information about Fellow Research, visit the Research page.

Fellows have participated in a wide range of research including basic science, translational and clinical projects. Additionally, fellows participate in quality improvement projects both within the Division of Critical Care and the Department of Pediatrics.

One hour per week is devoted to research conferences including research presentations by faculty and fellows, research methodology and statistics and journal club presentations. 

Mentor relationships for our fellows have been both within the Division of Critical Care as well as throughout the University of Michigan.

Academic Goals by Year

First Year:

  • ​Fellows are expected to identify a research project and mentor and develop a hypothesis and research plan.

Second Year

  • Fellows will begin implementation of a research project with initial data collection and analysis.

  • Presentation of preliminary data at a local or national research meeting is encouraged.

Third Year

  • Fellows are expected to complete data collection and analysis, with preparation of manuscript for publication. 

  • Presentation of data at a national conference is strongly encouraged.