PCCM 1st-Year Curriculum

PCCM 1st-Year Curriculum

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This course is geared toward pediatric trainee physicians who are in the process of completing year one of their pediatric critical care medicine fellowship training in pursuit of a subspecialty certification. This is a self-paced, open-enrollment course that may be started and completed at any time.

Learning Objectives

  • Describe the consequences of sleep deprivation for healthcare providers
  • Describe infection control and bundles for central line insertion, ventilator associated pneumonia, and urinary tract infection prevention
  • Demonstrate the interpretation of pediatric chest x-rays
  • Identify the principles of invasive pressure monitoring, invasive and non-invasive arterial pressure monitoring, and central venous pressure monitoring
  • Identify the clinical presentation of congestive heart failure and cyanotic congenital heart disease in the newborn
  • Describe the physiology, evaluation, and management of cyanotic congenital cardiac defects
  • Identify the physiological causes of cyanosis in the newborn, explain the pathophysiology of some of the most common cyanotic congenital cardiac defects, review diagnostic considerations for these conditions, and describe some therapeutic management strategies
  • Describe the anatomy and physiology, presentation, diagnosis, and management of atrial and ventricular septal defects
  • Describe the anatomy and pathophysiology of Tetralogy of Fallot
  • Identify the goals of therapeutic intervention, components of therapy, and prevention of morbidity and complications in cases of congestive heart failure
  • Demonstrate the modes of ventilation, how to choose the appropriate mode of ventilation and ventilator settings
  • Describe the pressure, volume, and flow of capnography waveforms and use in troubleshooting mechanical ventilation issues
  • Identify the uses of capnography, phases of carbon dioxide waveforms, and interpreting capnograms
  • Identify principles and goals of sedation and analgesics, including medication choices, and the transition to extubation.
  • Demonstrate an extubation readiness test and how to prepare for and perform an extubation
  • Describe high-frequency oscillatory ventilation (HFOV), including key concepts, practical considerations, adjusting the oscillator, and how to transition a patient from conventional mechanical ventilation to HFOV
  • Demonstrate strategies to use when conventional ventilation is failing
  • Describe the physiology and medical therapy for patients with status epilepticus
  • Demonstrate the process of making the determination of brain death in a patient
  • Identify the importance of adequate oxygen delivery and consumption for patients in the ICU
  • Describe the physics principles relevant to the airway and provide recommendations for optimal airway management
  • Demonstrate the use of nutritional therapy, how to assess the nutrition needs of critically ill patients, and the components of parenteral nutrition solution 
  • Describe pediatric trauma resuscitation
  • Establish an approach to systematically evaluate a patient with a traumatic injury

Suggested Audience

  • Physician Trainees

Curriculum Director

  • Lisa DelSignore, MD
  • Dennis Daniel, MD
  • Meredith van der Velden, MD
  • Traci Wolbrink, MD, MPH


Christopher Landrigan, MD, MPH; Debra Morrow, RN, BSN, CCRN; George Taylor, MD; James DiNardo, MD, FAAP; Michael Freed, MD; Thomas Kulik, MD; David Bailly, DO, BS, AA; Peter Lang, MD; Christina VanderPluym, MD; Traci Wolbrink, MD, MPH; Barry Grenier, RRT-NPS; Craig Smallwood, RRT; Monica Kleinman, MD; John Arnold, MD; Sally Vitali, MD; Robert Tasker, MB, BS, MD; Brian McAlvin, MD; Robert Holzman, MD; Nilesh Mehta, MD; Katelyn Ariagno, RD, LDN, CNSC; David Mooney, MD, MPH; Christopher Weldon, MD, PhD

Release Date

  • Released: July 1, 2017