Clinical Training

Clinical Training

Our goal in training physicians in Critical Care Medicine is to provide them with the clinical experience and research skills necessary for their continued productivity in the area of academic pediatrics.

As such, our program is structured so that each fellow gains the clinical expertise needed to run a large pediatric intensive care unit (PICU); the ability to teach medical students and residents effectively using a variety of modalities; and the skills necessary to develop and carry out a complete and meaningful clinical or basic science research program.

Our 20-bed PICU has approximately 1,700 admissions per year and is located in a nationally-ranked pediatric hospital that serves as the quaternary referral center for the region as well as serving national and international patients with diseases that require highly specialized care. University Hospitals Rainbow Babies & Children's Hospital has the only accredited pediatric trauma center in the region.

A full range of pediatric medical and surgical cases will be cared for by the fellow and the ICU team, including cardiothoracic surgery, neurosurgery, trauma, bone marrow transplant, and patients requiring technologies such as extra-corporeal life support, bedside ultrasound, continuous veno-venous hemofiltration and other renal replacement therapies and state-of-the-art ventilator strategies.

The Division of Pediatric Critical Care also staffs a busy sedation unit which provides sedation services to approximately 2,200 children per year. The pediatric pain and palliative care teams provide additional services within the division.

Research Training

The conduct of biomedical research and clinical research is a cornerstone of the Division of Pediatric Pharmacology and Critical Care and UH Rainbow Babies & Children's Hospital is one of the most well-funded research institutions in the country, having ranked #10 in 2018 among medical-school-based pediatrics departments. Likewise, training in basic science and clinical research is a large part of the trainee's experience while in the division.

Fellows develop a research focus from a broad range of scholarly activities including clinical, basic or translational science, administration and advocacy, medical education, international health/disaster management and medical ethics. Fellows are encouraged to identify an area of genuine interest in order to develop an area of expertise within the field of critical care.

A generous amount of call-free time is allocated for the fellows' scholarly pursuits as necessary for the individual fellow's training needs. All fellows commit to scholarly activity in our program and all enter the program with some interest in pursuing a career in academic medicine. Some have had extensive research experience prior to entering the fellowship program, but for many this will be a new focus of training. Our current group of fellows is conducting research in sepsis, acute respiratory failure, ECMO, procedural sedation, health care disparities, infectious disease and medical education. Past graduates have completed highly successful research in basic science, translation science, clinical research, quality assurance, respiratory failure physiology, cellular mechanisms of heart failure and others. Fellows are highly encouraged to complete a research project in an area of significant personal interest to them that can be carried forward after fellowship training if they so choose.

The full resources of Case Western Reserve University, a leading research university, are made available to the fellow. Many research topics are covered in both the basic statistics course offered by the Department of Pediatrics as well as participation in the divisional and departmental didactic conferences. The Case Western University School of Medicine and the Department of Pediatrics at University Hospitals Rainbow Babies & Children's Hospital have ample basic science research space. Historic collaboration with faculty both within and outside the School of Medicine has led to some very productive and nuanced experiences.

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