Fellowship Program

The Critical Care Division of the Department of Pediatrics is responsible for clinical care and education in our new 14-bed pediatric critical care unit (PCCU). Bedside and central station physiologic monitoring combined with a clinical information system accessed by fixed and portable computer work stations, internet access and almost real time on line access to all imaging modalities permits division members to provide "state of the art" care to critically ill children. Out new PCCU, opened in 2001 and located on the 10th floor of the Children's Hospital at Montefiore (CHAM), has commanding views of the New York metropolitan area from its bright sun lit patient rooms. Single bedded patient rooms equipped with sleep couches and internet access, two additional computers dedicated to family use and several other amenities such as snack carts and guest showers all attest to our aim of practicing patient centered care in the PCCU.

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The Pediatric Critical Care Fellowship Training Program at Montefiore Medical Center was initiated in 1986, and is fully accredited by the Accreditation Council for Graduate Medical Education. The Fellowship is a three-year program that provides the trainee with a broad based clinical and research experience. Graduates of our training program are in practice as board certified attending intensivists throughout the region and the country. Beginning July 2007, there will be four fellows, at least one in each year of the three-year training program. Fellows are selected through the NRMP fellowship match program. The five Pediatric Critical Care Sub-Board certified Pediatric Intensivists provide the core training in Pediatric Critical Care. Additional faculty members are being actively recruited. Teaching also comes from the wide range of Pediatric medical and surgical sub specialists that exist within the children's hospital.

The majority of clinical experience takes place at The Children's Hospital at Montefiore, located in the north Bronx. Montefiore, the University Hospital for the Albert Einstein College of Medicine, has a long and proud history of excellence in pediatric care and the building of CHAM is one of the latest examples of that tradition. The Pediatric Critical Care Unit is "closed" and provides collaborative multidisciplinary care to more than 900 patients per year. Critical Care Fellows gain significant experience with all forms of mechanical respiratory support, renal replacement strategies and ECMO. Approximately 40 per cent of the admissions are surgical, including open-heart surgery patients with hands on care provided by the Pediatric Critical Care Staff. Neurosurgery, renal transplant, airway reconstruction, cranio-facial, orthopedic and scoliosis, GU, general pediatric and trauma surgical patients comprise most of the balance of surgical admissions. CHAM serves large populations of children with asthma, sickle cell disease, oncologic diseases including bone-marrow transplantation, collagen-vascular disease, heart disease and other congenital disorders. The Emergency Department of Montefiore Medical Center is currently the busiest in New York City and provides the PCCU with a large number of acutely ill admissions. Patients from other hospitals in the Bronx and the region come to the CHAM PCCU via our transport team. There were be more than 1100 admissions to the PCCU in 2006.

The clinical experience of the fellowship program is complemented by a regular series of core lectures and journal clubs. The research exposure includes a twice a month fellow seminar along with an annual summer fellow retreat for research design and statistical methods. Mentors for research projects are available in the Division of Critical Care Medicine, other subspecialty divisions in the Department of Pediatrics and in all the medical and surgical departments at Montefiore and the Albert Einstein College of Medicine. Ample time is available to develop, perform, and complete a research project over the three years of fellowship.

Meghan D. Kelly, MS, CCLS