Pediatric Critical Care Medicine
Doernbecher Children's Hospital at Oregon Health & Sciences University offers a 3-year fellowship program in Pediatric Critical Care medicine with one fellow at each level. The Doernbecher PICU is a 20 bed unit with an average daily census of 13. We have a diverse patient population, including pediatric medical, general surgery, cardiovascular surgery, neurosurgery, renal transplant, cardiac and respiratory ECMO and multi-system trauma patients. Patients come primarily from Oregon, southern Washington, northern California, Idaho, and Montana. Doernbecher has an active dedicated pediatric transport team allowing the fellow to become comfortable with pediatric transports.
We are staffed by 10 board certified Pediatric Intensivists and a Nurse Practitioner, allowing adequate attending coverage to assure an excellent learning environment for the fellow. Attendings are in-house 24-7, and there are 2 attendings in-house on weekdays. There is also a wide spectrum of pediatric subspecialty consultants at Doernbecher, all of whom excel in their fields. With 1 fellow per year, there is always time for teaching.
Fellows in Pediatric Critical Care Medicine complete 15 four-week rotations in Pediatric Critical Care in the Pediatric Intensive Care Unit (PICU) at Doernbecher during their three-year fellowship. During these rotations the fellow expands his/her understanding of the pathophysiology of disease, gains experience in the management of the critically ill and injured child, performs invasive techniques necessary for the management of critically ill and injured children, and safely provides sedation/analgesia. They also develop skills critical to management of the intensive care unit such as patient triage, supervision of transport teams and cooperation with nursing leadership to ensure safe patient care. PICU fellows have 15 four-week rotations of research time, with an additional elective rotation that can be used for research if desired. In addition to the 15 four-week PICU rotations, there are clinical rotations in the adult cardiovascular ICU, on the adult trauma ICU service, and with pediatric anesthesia. Call during clinical months is 3 weeks of days, and 1 week of nights.
Training the fellows to become skilled in scholarship is a priority of the fellowship program. We have a pediatric research fellowship director who will assist the fellow in choosing a research mentor in the fellow's area of interest. OHSU/Doernbecher has talented faculty doing research in many areas applicable to pediatric critical care who enjoy mentoring fellows. The fellows participate in The Human Investigations Program (HIP) at OHSU. The curriculum may result in a Certificate in Human Investigations or Master of Clinical Research degree. Designed to meet the growing need for clinical and translational investigators, the HIP program strives to provide an educational foundation for successful, comprehensively trained clinician and translational investigators. OHSU is also home to OCTRI, the Oregon Clinical and Translational Research Institute.
OCTRI has a wide array of resources to help investigators and research staff plan and implement successful research studies. OCTRI provides funding and support for novel translational research projects and educational opportunities for faculty, fellows, students, and study coordinators. With major funding from the National Institutes of Health through the Clinical and Translational Science Awards (CTSA), and significant institutional commitment from OHSU and Kaiser Permanente, OCTRI's mission is to improve human health by enhancing clinical and translational research. OCTRI provides a coordinated infrastructure of core research tools. The OCTRI research infrastructure supports investigators with expertise, equipment, facilities, and tools in bioinformatics, biostatistics, community-engaged research, compliance and regulatory support, inpatient and outpatient clinical research, and laboratory analysis. There are many other research centers supporting trainees in research, finding funding, and writing grants.
For questions regarding the fellowship, please contact Dr. Paula Vanderford (firstname.lastname@example.org). Applications are through Electronic Residency Application Service (ERAS) and the National Resident Matching Program (NRMP): www.nrmp.org/fellow/index.html