Fellowship Curriculum

Program Curriculum

The first year curriculum involves six months of clinical rotations in our combined, thirty two-bed Pediatric Intensive Care Unit (PICU) and Heart Center Intensive Care Unit (HCICU) at Children’s Memorial Hermann Hospital, one month of Pediatric Intensive Care Unit (PICU) at MD Anderson Cancer Center and six weeks of pediatric anesthesia, which includes exposure to cardiovascular anesthesia and procedural sedation, one month of combined Critical Care Patient Transport and Trauma rotation. A comprehensive two-weeks orientation is completed at the beginning of the fellowship which includes participation in the Pediatric Critical Care Medicine Annual Bootcamp.  Research time completes the curriculum in the first year, of which the goals include: identification of a research mentor, protocol writing and IRB submission. The year concludes with a presentation of the protocol to the scholarly oversight committee (SOC).

The second year curriculum includes three months of clinical rotations in the PICU and HCICU, one month of PICU at MD Anderson Cancer Center and two months of Senior Fellow rotation. During this year the fellows will have increased autonomy and responsibility in patient care.  Six  months of protected research time complete the schedule of the second year curriculum. The fellows will execute their main research project, completing their data collection and data analysis. The progress of the fellow’s research project is closely monitored by the SOC, which is expected to meet biannually with the fellow. Case reports, secondary research studies, presentations, publications and Quality Improvement projects involvement will be part of the scholarly activities presented to the SOC.

The third year curriculum is designed to prepare the trainees as future critical care attendings. They will have three months of Senior Fellow rotation where they will coordinate clinical care supervising Junior fellows in their PICU and HCICU rotations. They will finalize their clinical rotations with one month of Pre-Attending where they will lead the clinical rounds and primary decisions of patient care. At the beginning of this year a manuscript of the research needs be prepared and submitted for publication before completion of the fellowship. We expect the primary research to be submitted to a national conference. Third year fellows should present their research at the UTHealth Research Symposium. They need to finalize their QI projects and submit a Journal Club discussion in the PedsCCM.org. The fellow is expected to meet biannually with the SOC in the third year and present their final work in the division Research meeting.

Block Schedule

Throughout the three-year curriculum, fellows participate in a broad variety of educational activities.

Conferences
The Department of Pediatrics Fellows’ Core Curriculum Conference Series provides a structured curriculum for all fellows in the Department of Pediatrics and addresses topics including, but not limited to, research design, grant writing, presentation and teaching skills, quality improvement initiatives, principles of evidence-based medicine, professionalism, and an assortment of other topics.

  • Journal Clubs
  • Case Conferences
  • Research Seminars
  • PICU Fellows Lectures
  • Resident Lectures
  • Quality-improvement Conferences

Conference Sample Schedule

The conferences are all within the Division of Pediatric Critical Care Medicine, the Department of Pediatrics and Children’s Memorial Hermann Hospital and are offered on a weekly basis in the PICU.

Fellows will also attend Pediatric Fellows Core Lecture Series every 2nd Tuesday of the month in McGovern Medical School.

Simulation-based training
With emphasis in critical thinking, development of management plans and team-training are an essential part of the curriculum during the three years of fellowship in the state-of-the-art “Surgical and Clinical Skills Center” at McGovern Medical School.

Research Education
Participation in the Clinical Research Curriculum which is part of a a two-year introductory lecture series designed to promote clinical research expertise among clinical investigators.

Fellows are also expected to present their research at local, national, or international conferences and are given five days each year in order to participate in academic meetings.

Medical Teaching & Educational Requirements
Pediatric critical care medicine fellows also participate in teaching an Advanced Pediatric Life Support course, “mock codes,” and PICU nurses and respiratory therapists, and pediatric residents.

All fellows complete an extracorporeal membrane oxygenation (ECMO) certification course in their first year.

Fellows are expected to complete the AMA GME Competency Education Program Course Plan. GME CEPC Plan