The Pediatric Critical Care Medicine (PCCM) Fellowship program at the University of Florida/Shands Children’s Hospital is fully accredited by the American Council of Graduate Medical Education (ACGME) as a pediatric subspecialty. The Division currently consists of six faculty, three ARNPs and one PA. All faculty members are appointed in the Department of Pediatrics.
The Pediatric Intensive Care Unit (PICU) is a 24-bed combined medical-surgical unit. We admit over 1300 patients per year with a ratio of approximately 60% medical and 40% surgical. The Division supports a very active cardiothoracic program, transplant program (heart, lung, and kidney) and ECMO which is available via general Pediatric Surgery. The PCCM team is providing concurrent care to all admissions to the PICU.
The daily clinical service team is composed of two attendings, three pediatric residents, one fellow and an ARNP. Two fellows and 3 residents are assigned to the PICU in monthly blocks and the faculty provide coverage in one-week blocks. Fourth year medical students and trainees in other disciplines (e.g., Anesthesia, Pulmonary, Emergency Medicine and Cardiology) also rotate through the unit. At the present time, we offer 3 specific fellowship tracks in Pediatric Critical Care Medicine depending upon the fellow’s previous training.
- Three-year fellowship in Critical Care Medicine: to apply for this track, the applicant must have completed three years of pediatric training in an accredited USA program and be Board eligible for pediatrics.
- Two-year fellowship in Critical Care Medicine: in order to apply for this, the trainee must have completed pediatric residency training and an approved fellowship in pediatric cardiology, pediatric pulmonary medicine, neonatology, or have completed an anesthesiology residency.
- Combined fellowship: It is possible to be accepted for fellowship for dual training in pediatric cardiology and pediatric critical care medicine over a 5 year period with eligibility for certification in both subspecialty areas. This requires approval from both divisions and pre-approval from the American Board of Pediatrics (ABP). We currently have one graduate of this combined training and one fellow pursuing this experience.
The PICU at the University of Florida provides a wide variety of patient care experience. The PCCM Division is dedicated to fellow education and both faculty and fellows regularly participate in the scheduled didactic lecture series, journal club and research conferences. There is also a dedicated point of care curriculum for ultrasound training with the goal of becoming credentialed. The responsibilities and opportunities available to the fellow vary with the individual’s background, interests and future goals. In general, the responsibilities encompass direct day-to-day patient care clinical experiences, teaching residents and occasionally medical students, research and selected administrative responsibilities. There are also opportunities for elective rotations (cardiology, pulmonology, trauma). The majority of the clinical training occurs in year one, leaving ample time for scholarly activity in year two and three. There are numerous opportunities to pursue either laboratory or clinical research within the PCCM division, including the opportunity to obtain a Masters in Clinical Research.
Fellowship Program Director
Torrey Baines, MD
Division of Pediatric Critical Care Medicine
PO Box 100296, Gainesville, FL 32610-0296