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.