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Medical College of Wisconsin Pediatric Cardiac Critical Care Senior Instructorship

Our Pediatric Cardiac Critical Care Senior Instructorship allows an advanced training opportunity that is designed to prepare physicians who have completed a three-year fellowship in pediatric critical care medicine for a career in pediatric cardiac intensive care. The 12-month curriculum is divided into blocks of clinical work as shown below. You are appointed as a clinical instructor, which allows for full physician staff privileges. In addition, you are provided the additional opportunity to work as an ICU attending in our other ICU units. Although there are no formal research requirements, you are encouraged to notify us of your particular interests. Mentorships and research opportunities will be available during your additional training.

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A Message from Our Director

As Director of the Pediatric Cardiac Critical Care Senior Fellowship, I am dedicated to the training of future providers in this complex and ever-changing specialty. I have designed our training program with the goal of providing a customized curriculum based on the background of the trainee while meeting and exceeding the proposed national guidelines for the fellowship. Our program offers a unique opportunity to develop leadership skills and continue providing general pediatric critical care (as an attending in the PICU) during the advanced fellowship year.

The senior fellows are also supported by the Herma Heart Institute, Cardiac Surgery, Cardiology, and Cardiac anesthesia teams. The trainees will encounter a wide variety of cases including advanced mechanical device support, complex heart transplants, and advanced interventional strategies for complex congenital heart diseases. Our goal is the ensure that each learning experience is challenging, educational, and rewarding. The faculty strives to provide support and professional guidance at every stage.

At this time, we plan to have 1 available instructor position per year and are not accepting cardiology fellowship-trained applications at this time. The critical care faculty and staff at MCW/CW thank you for your interest in our program and welcome you to reach out for more information.

SzadkowskiAdamOAdam Szadkowski, MD
Director, Pediatric Cardiac Critical Care Senior Instructorship




About Our Program

Program Structure
  • Blocks consisting of 1-4 weeks duration for one year
  • Cardiac ICU service (22 weeks)
    • 4 weeks acting as ICU fellow
    • 8 weeks senior fellow
    • 10 weeks CICU attending
    • Overnight call frequency – 6 calls/month
  • REQUIRED Cardiology and Operating Room (OR)/Anesthesia subspecialty rotations (16 weeks)
    • 4 weeks OR/Anesthesia
    • 4 weeks Echocardiography
    • 4 weeks Catheterization
    • 2 weeks Electrophysiology
    • 2 weeks Transplant/Heart Failure
    • Responsibilities/experiences vary based on rotation (see below)
  • Additional ELECTIVE rotations based on interests (10 weeks)
    • General PICU attending time (total 4 weeks)
    • 2 weeks of Adult Congenital Heart Disease
    • Elective time to do any cardiology rotation (not required)
  • Vacation (4 weeks)
  • Research – optional although encouraged if there are any particular interests
  • Physician supported transport call moonlighting opportunity (optional)
Mentorship during fellowship is very important. Mentors offer unique guidance because they have been in your position and are sharing their experience for your benefit. Throughout the pediatric cardiac critical care fellowship training you will work closely with our core group of 9 CICU faculty members who will offer advice, guidance and feedback along the way. Fellows are also encouraged to be involved or attend regional, national, and international conferences when possible. 
Our Institutions

The Critical Care Division provides clinical care at Children’s Wisconsin, a 306-bed free standing, pediatric hospital that provides comprehensive care for neonates, infants, children, and adolescents as well as adults with congenital diseases. Children's has 73 NICU beds, 72 PICU beds (including a 24 bed dedicated CICU unit), 24,000 annual admissions and more than 20,000 surgical procedures annually. We are the region’s only level 1 pediatric trauma center.

Children's is home to the internationally renowned Herma Heart Institute – one of the top programs in the United States for the medical and surgical treatment of heart disease and congenital heart defects in children and adults. The Herma Heart Institute conducts 15,000 outpatient visits throughout the state each year, and we continue to be a high volume congenital heart surgery program in the nation with 300 open-heart surgeries and 700 total heart procedures per year. The institute is nationally recognized for its accredited pulmonary hypertension program, echocardiography, and adult congenital heart disease programs. The Herma Heart Institute’s robust innovation infrastructure additionally offers faculty the opportunity for internal pilot and seed funding for cardiac research, quality improvement, novel biomedical devices, or clinical innovation projects.

Learn about the Herma Heart Institute

Living and Learning in Milwaukee
Milwaukee is one of the Midwest’s best-kept secrets and a prime location for the Medical College of Wisconsin’s main campus. A one-of-a-kind city with a vibrant and diverse culture, this charming, yet metropolitan must-see is just 90 minutes north of Chicago and nestled on the coast of Lake Michigan. Whether you’re catching a show at Summerfest, the world’s largest music festival, immersing yourself in the old world charm of the Historic Third Ward or taking in the sights and sounds of one of the many cafés, beer gardens or restaurants that line the city’s riverbank and shoreline, Milwaukee never disappoints. Find out why MCW students, faculty and employees take pride in calling Milwaukee home.

More about Milwaukee

How to Apply

We are currently part of the universal 4th year fellowship common application process.

The Medical College of Wisconsin also requires a formal application through the MCW Careers website. Typically, interviews are offered between August and September of the year preceding the fellowship (July 1 start date). We will offer a position starting October 1st until the position is filled.