PICU Rotating Fellow Curriculum

PICU Rotating Fellow Curriculum

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This course is geared toward fellow-level trainees as they rotate through the pediatric intensive care unit. It is intended for those fellows who are not pursuing a pediatric critical care subspecialty certification, but for those who have a PICU requirement as part of their training program (e.g. emergency medicine, anesthesia). This is a self-paced, open-enrollment course that may be started and completed at any time.

Learning Objectives

  • Describe the basic principles of invasive mechanical ventilation, with specific focus on ARDS and lung protective strategies
  • Identify and interpret ventilator and capnography waveforms in intubated patients, based on various clinical scenarios
  • Identify strategies to use when conventional ventilation is failing in patients with refractory acute respiratory failure
  • Interpret arterial and central venous pressure waveforms as they pertain to various clinical contexts
  • Describe the pathophysiology, diagnosis, and basic ICU management for children with congenital heart disease
  • Identify and describe neuroprotective strategies for pediatric patients post-cardiac arrest and post-traumatic brain injury
  • Describe basic considerations, benefits, and challenges in providing nutrition to critically ill children
  • Identify strategies for effective sedation for intubated patients, and how to assess patients' level of sedation or withdrawal
  • Define status epilepticus, seizure pathophysiology, and mechanisms of action for medications used in status epilepticus
  • Review an algorithm for the acute management of status epilepticus, including medications and potential complications
  • Describe the pathophysiology, clinical presentation, and basic management of different etiologies of shock
  • Develop a systematic approach to evaluating a patient with a traumatic injury
  • Identify appropriate management strategies for patients with diabetic ketoacidosis and how to approach the potential development of cerebral edema in these patients

Suggested Audience

  • Physician Trainees

Curriculum Director

Lisa DelSignore, MD


Deb Morrow, RN, Gerhard Wolf, MD, Traci Wolbrink, MD, MPH, Craig Smallwood, RRT, John Arnold, MD, James DiNardo, MD, Thomas Kulik, MD, Robert Berg, MD, Nilesh Mehta, MD, Monica Kleinman, MD, Sally Vitali, MD, Lisa DelSignore, MD, Brian McAlvin, MD, Tom Shanley, MD, Christopher Weldon, MD, Celeste Wilson, MD, Michael Agus, MD

Release Date

  • Released: August 30, 2016