PCCM 3rd-Year Curriculum

PCCM 3rd-Year Curriculum

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This course is geared toward pediatric trainee physicians who are in the process of completing year three 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

  • Discuss how to differ patient and family responses to disclosure and why we need to practice for these conversations.
  • Describe common emotions experienced by clinicians after errors and adverse events. 
  • Review the need for, and essential features of, peer support following errors and adverse events.
  • Demonstrate how to prepare for, conduct, and debrief after Disclosure and Apology conversations. 
  • Describe patient-ventilator synchrony.
  • Review current understanding of acute lung injury. 
  • Describe the field’s current understanding of high-frequency oscillatory ventilation in pediatric patients.
  • Discuss the history of congenital diaphragmatic hernia management.
  • Review the evolution of pediatric mechanical ventilation, some of the “sacred cows” of this practice, and how research in adult medicine can help inform pediatric mechanical ventilation policy.
  • Describe the development of triage guidelines for the PICU.
  • Establish how to improve safety in the PICU.
  • Discuss how to prevent harm in the pediatric ICU and in the healthcare industry as a whole.
  • Review the historical perspective of severity of illness research in pediatric critical care medicine and a framework for evaluating outcomes research.
  • Describe the guidelines, protocols, and bundles in acute care.
  • Discuss research and development of three generations of the Pediatric Index of Mortality (PIM) and the importance of scoring acuity in order to improve quality of care within the ICU.
  • Review the history of the DNR Order.
  • Discuss how to support parental bereavement after the death of a child in the intensive care unit.  
  • Describe perspectives on fluid therapy.
  • Review the current state of hemodynamic monitoring parameters.
  • Describe hemodynamic support in pediatric septic shock.
  • Establish identification, treatment strategies, and potential areas of future research for multiple organ dysfunction syndrome. 
  • Review the history of the field of cardiac surgery. 
  • Discuss low cardiac output state and airway management.
  • Identify and manage low cardiac output.
  • Review the past, present and future of cardiac intensive care.
  • Discuss red cell storage lesion biology and the transfusion literature that supports the rethinking of transfusion practices.
  • Describe experiences on the Palliative Care Transport Team and findings from research in working with parents who decided to bring their child home from the ICU before his/her death.

Suggested Audience

  • Physician Trainees

Curriculum Director

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

Contributors

Robert Truog, MD; Jo Shapiro, MD, FACS; Elaine Meyer, PhD, RN; Bob Kacmarek, PhD, RRT; Arthur Slutsky, MD; John Arnold, MD; Jay Wilson, MD; Christopher Newth, MD, FRCPC, FRACP; Andrew Argent, MD, PhD; Allan Goldman, MD; Richard Brilli, MD, FAAP, MCCM; Murray Pollack, MD, MBA; Brian Kavanagh, MB, BSc, MRCP(I), FRCP(c), FFARCS(1), Hons.; Tony Slater, MB, BS, MD; Mitchell Rabkin, MD; Kathleen Meert, MD; Kathryn Maitland, MB, BS, PhD; Joseph Brierley, MD; Mark Peters, MB, BS, PhD, MRCP, FRCPCH; Jacques Lacroix, MD; Aldo Castañeda, MD, PhD; Peter Laussen, MBBS, FCICM; David Wessel, MD; Allan Doctor, MD; Harriett Nelson, MSN, RN, CCRN, NREMTP

Release Date

  • August 1, 2017