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Pediatrics: Education & Training
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INFORMATION FOR

Pediatric Critical Care Medicine Fellowship

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Overview

The Pediatric Critical Care Medicine Fellowship at Yale University School of Medicine has been in existence for over 30 years with the steadfast commitment of providing trainees with high quality, comprehensive training in preparation for academic careers in Pediatric Critical Care Medicine. Graduates from this program are in academic positions as clinicians, educators, investigators, and administrative physicians. The Pediatric Critical Care Fellowship Program at Yale aims to:

  1. Provide a comprehensive curriculum to enable trainees to care for the diverse patients admitted to the PICU
  2. Develop competency in quality safety science, medical education, and research with the goal of advancing the field
  3. Train fellows for careers in academic medicine

With the field of Pediatric Critical Care Medicine in evolution, our program recognizes that individual candidates may have different career goals in academic medicine. The philosophy of the Pediatric Critical Care Program at Yale is to design a training program to achieve the specific career goals of each trainee under the mentorship of senior clinical and research faculty. Yale School of Medicine has extensive opportunities for many types of scholarship. These curricula will be adjusted to meet the needs of the individual. However, the overall goal of the program is to produce trainees who are leaders in academic pediatrics.

We recognize that opportunities are not equally available and strive to diversify our trainees and training experiences to include those who identify as underrepresented in medicine. We aim to provide an inclusive and collegial training environment.

Clinical Training

The Yale-New Haven Children's Hospital is a multi-specialty primary and tertiary care facility serving infants and children throughout Southern New England. Clinical services available at Yale include a Level I Trauma Center, solid organ and bone marrow transplant programs, an ECMO program and all pediatric and surgical subspecialties.

The Pediatric Intensive Care Unit (PICU) is currently a 19-bed unit with about 1200 admissions per year and serves as the focal point for clinical training. The PICU is a multidisciplinary facility with active programs in all aspects of pediatric medicine and surgery. The majority of the clinical training is provided during the first year of fellowship. The clinical commitments during the second and third years of fellowship are reduced so fellows have ample time for pursuit of academic development and research. As fellows progress through the program they are expected to take on an increasingly active role in supervising patient care and unit administration. In addition, they receive concentrated clinical experience in anesthesiology, cardiology, and sedation. Fellows also participate in a regional transport service and referral program. The Pediatric Critical Care Fellowship Program is fully accredited by the ACGME.

Sample Fellow Block Schedule

1st year monthly schedule:

  • 7 PICU
  • 1 Anesthesia
  • 1 PCICU
  • 3 Research
  • 4 weeks vacation (Typically taken in 2-week blocks during research month)

2nd year monthly schedule:

  • 4 PICU
  • 1 PCICU
  • 7 Research
  • 1 Elective (optional)
  • 4 weeks vacation Sedation and transport time depending on experience

3rd year monthly schedule:

  • 2 PICU (1 as pre-tending)
  • 1 PCICU
  • 9 Research
  • 1 Elective (optional) 4 weeks vacation Sedation and transport time depending on experience

Scholarly Pathways

Yale Pediatrics offers four unique scholarly pathways to provide additional training and structure for fellows interested in pursuing specific areas of scholarly focus. These pathway tracks are optional and do not eliminate the need to participate in core departmental fellow conferences but are meant to supplement and broaden exposure to a particular topic of interest.

The pathways include:
  1. Investigation (clinical, translational, and laboratory-based research)
  2. Quality Improvement and Safety Science
  3. Medical Education
  4. Global Health
Each pathway consists of several categories of activities which fellows are required to select and complete. Some of the categories include common core requirements which are similar across all pathways, pathway-specific education and coursework, pathway-specific experiences, networking or community practice, and research or scholarly activities.

Although scholarly activities begin during the first year, most fellows will enroll in a pathway in their second year of fellowship training to allow for two years to complete their experiences and scholarship in their pathway(s). Fellows are permitted to enroll in more than one pathway if their scholarly activities are relevant (for example, combining global health with quality improvement/patient safety, medical education, or investigation). Fellows should work with their mentors to select the pathway and activities that will be most beneficial when considering their individual career goals and aspirations. Physicians entering fellowship with advanced degrees or additional training ma be eligible to opt out of some of the requirements.

Curriculum

The educational program for fellows is comprised of clinical, didactic, simulation, reserve classroom and team based learning components. Fellows' clinical training will be provided through close interaction with faculty during clinical rounds and at the bedside. There are weekly rounds during which all faculty and fellows from the Section of Pediatric Critical Care participate in in-depth discussions on cases presented by the on-service fellows. Didactic sessions provided by the Critical Care faculty as well as those from other divisions focus on areas relevant to the clinical practice of pediatric critical care.

Fellows will also be provided with education in the areas of academic medicine such as scientific writing, grant preparation, presentation of scientific information, statistical analysis, peer review and ethical scientific conduct. Monthly simulation targeted to fellow level learning objectives are held in the simulation unit of The Yale New Haven SYN:APSE center. The fellow-based component of the educational program is comprised of didactic lectures and journal club articles presented by the fellows and faculty. The purpose of these lectures, through meaningful feedback from faculty, is to help develop presentation and critical thinking skills necessary for all critical care physicians. Weekly PICU topic and bi-weekly PCICU topics are taught in didactic, reverse classroom and team based learning seminars based on an established curriculum.

Additional Training

Those trainees who wish to have additional time for the development of a particular area of interest in clinical practice, clinical research, or laboratory-based research may have the opportunity for an additional year of training in that area. Fellows will also be provided with the opportunity to enter into clinical elective months in either the medical or surgical subspecialties during their 2nd or 3rd years. These opportunities require extensive planning.

Application Process

Trainees will be selected from applicants with M.D. or M.D./Ph.D. degrees who have interests in any of a number of disciplines related to intensive care. All interested applicants should submit an application through ERAS. Applications must include a personal statement, three letters of reference and USMLE scores. Applications will be reviewed when complete. All applicants that are competitive for positions will have a personal interview between August and October. The Yale Pediatric Critical Care Medicine Program participates in the National Residency Matching Program. Yale University School of Medicine is an Equal Opportunity Employer.

Address inquiries to:

John Giuliano, MD
333 Cedar Street
New Haven, CT 06520-8064
Phone: 203-785-4651