Welcome to the Pediatric Intensive Care Unit! Resident training in our PICU encompasses an intensivist-directed, collaborative team model of patient-centered care. While on this rotation, you will receive specialized lectures as a part of the Pediatric Critical Care Core Curriculum providing a pathophysiologic framework for your critically ill patients. Residents will be exposed to a vast range of diagnoses and complex conditions including but not limited to:
- Life-threatening infection and sepsis
- Multi-organ failure
- Trauma
- Post-surgical management
- Cancer and blood disease
- Solid organ/bone marrow/stem cell transplantation
- Neurological deterioration
- Complex congenital heart disease
- ECMO
Contacts
- Resident rotation director: Grace Chong, MD
Before Your Rotation
- Review the Goals and Objectives
- All oncoming team members must receive verbal patient signout from the outgoing team; you should also review the off-service notes posted in Epic by the outgoing interns
- Check out the PICU blogspot website for resident specific information about the rotation!
- Consider reviewing lecture slides/articles from Clinically Applied Pathophysiology Series (CAPS) lectures
Schedule
- Required four-week rotation during both PL2 and PL3 years
- Total of four days off, occurring on weekends when the resident is neither post call or on call
- Each resident is expected to attend continuity clinic as scheduled
Daily schedule:
- Fellow-led sign out at 6:30 AM for residents and fellows
- Didactic teaching for residents is typically led by fellows and occurs from 8:00 AM-8:30 AM every morning (PowerPoints can be found here)
- Rounds start at 8:30 AM. Patients and rounds occur on two separate teams. Each team consists of a primary attending, a primary fellow, and two primary residents.
- The Green team rounds on patients requiring post-operative cardiac and neurosurgical care and the general PICU patient population
- The Blue team rounds on patients with primary hematology/oncology diagnoses and the general PICU patient population
- Bedside teaching occurs daily
- Residents should attend noon conference daily
- Fellow-led sign out to the overnight resident/fellow/attending team at 4:30 PM (3:30 PM on Fridays)
Roles and Responsibilities
Locations
Team usually meets in the “fishbowl” conference room in the middle of the PICU on Comer 4. Patient rooms on Comer 3 and 4.
Resources
CAPS lecture series
Comer Children’s Hospital PICU webpage
Resident PICU rotation curriculum
