Pediatric Fellowship Clinical Education and Rotations
Fellows have weekday clinical responsibilities as well as an on-call schedule. Most call is taken from home for index level cases, with about one overnight, midweek call per month. Weekend, morning call is designed to provide trainees with off-hours supervisory experience.
Main OR (6 months*) Fellows are exposed to the full array of pediatric cases, including out-of-OR experiences. Fellows have priority for index and interesting or challenging cases. Throughout this time, fellows are scheduled for two weeks of perioperative medicine* that provide an opportunity to supervise, run the board, participate in remote anesthesia, staff the PACU and preop areas, or to focus on special techniques such as elective practice of advanced airway techniques. In addition, some vacation time* is typically taken from this block.
Cardiac Anesthesia (2 months) Fellows rotate in two cardiac OR’s, the cath lab, bedside PICU procedures, cardiac MRI, and occasionally into general OR’s for CV patients having non-CV surgery. Fellows can expect to complete about 15 cardiopulmonary bypass cases each month.
Pain Service (1 month) Fellows develop independent skills managing a comprehensive, acute, inpatient pain service. In addition, focused experience with regional blocks can be arranged. The outpatient clinic provides an introduction to chronic pain management, as well as exposure to adjuvant therapies including acupuncture, meditation, and relaxation techniques.
Pediatric Intensive Care Unit (1 month) Fellows typically rotate two weeks on the post surgical, 4th floor ICU, and two weeks on the acute cardiac, 3rd floor ICU. Fellows function as integral team members in a role equivalent to the junior pediatric fellow. There is direct patient care and on-call responsibility. PICU faculty provide a didactic curriculum and daily bedside teaching.
Electives (1 month) Typically booked as two, 2-week elective slots. The fellow may choose additional time in CV, pain service, or in neonatology critical care. Additionally, some fellows arrange for ‘away rotations’ or an international medicine experience with one of our many participating faculty. Research and other elective options are available with approval from the Program Director.