PICU Resident Rotation

Nemours Pediatric Critical Care physicians supported by the multidisciplinary PICU team provide a pediatric critical care medicine exposure for:

• Thomas Jefferson University Pediatric 2nd-year residents
• Thomas Jefferson University Emergency Medicine 2nd-year residents
• Christiana Care Health System Emergency Medicine 2nd-year residents
• Christiana Care Health System 2nd- and 3rd-year Medicine-Pediatric and Internal Medicine-Emergency Medicine residents
• 4th year medical students from various programs.
• Pediatric resident elective in Transport Medicine / Airway and Intubation Skills (Combined program with Nemours Anesthesiologist)
• Pediatric Critical Care Fellows
• Pediatric Anesthesia Fellows
• Alfred I duPont Hospital for Children Emergency Medicine 1st-year Fellows
• Christiana Care Surgical Trauma Critical Care Fellows

We aim to introduce individual residents to the art of pediatric critical care in an environment where we need to balance:

• Consistent quality and safe bedside care of the critically ill child
• Residents expectations for a productive educational experience
• Residents PICU service obligations
• Residents commitment to outside-of-PICU program expectations
• Resident’s restricted duty hours
• Pediatric GME and SCCM viewpoints on time committed to resident ICU exposure
• Critical care attendings clinical, administrative, research, and other educational responsibilities
• Health care economics.

Since 1992, our PICU goals, curriculum, and future plans reflect ongoing development based on recommendations and observations from:

• American Medical Association, Graduate Medical Education Guidelines for Intensive Care Experience (NICU and PICU). Graduate Medical Education Directory, American Medical Association,  1996-1997, p 184
• SCCM Guidelines for Resident Physician Training in Critical Care Medicine
• Crit Care Med 1995; 23:1920-1923
• General Guidelines for Resident Training in Critical Care Medicine New Horizons 1998;6:255-259
• Institute of Medicine “ To Err is Human-Building a Safer Health Care System” Washington, DC: National Academies Press;1999
• Leap Frog Group for Patient Safety www.leapfroggroup.org
• The Future of Pediatric Education II: organizing pediatric education to meet the needs of infants, children, adolescents, and young adults in the 21^st century. Pediatrics.2001;105 (suppl):163-212
• Accreditation Council of Graduate Medical Education. Outcomes project 2001.www.acgme.org/Outcome
• Institute of Medicine, Crossing the Quality Chasm: A New Health System for the 21^st Century. Washington, DC: National Academy Press;2001
• Nemours Education Innovation Program (2001-2005)
• Accreditation Council for Graduate Medical Education (ACGME) Work Group on Resident Duty Hours (June 2002)
• Gainer AC, Knebel E, eds. Health Professions Education: A Bridge to Quality. Washington, DC: National Academy Press; 2003
• Nemours Foundation Drive to Excellence and Commitment to Medical Education (2003)
• The State of Pediatrics Residency Training: A Period of Transformation of Graduate Medical Education. Pediatrics 2004;114-832-841
• Guidelines for critical care medicine training and continuing medical education. Crit Care Med 2004; 32 (1):263-272
• Integrating the Institute of Medicine’s six quality aims into pediatric critical care: Relevance and applications. Pediatric Critical Care 2005;6(3):264-269
• SCCM Pediatric ICU Resident Education Committee
• Alfred I duPont Hospital for Children Graduate Medical Education Office
• Continuous Quality Improvement via PICU nursing and PICU resident questionnaires
• Survey of practicing physicians who participated in our PICU rotation as residents
• Cooperation with the Thomas Jefferson University Pediatric Residency Program, Thomas Jefferson Emergency Medicine Residency Program, Christiana Care Emergency Medicine Residency Program and the Christiana Care Medicine Pediatrics Residency Program.