Department of Pediatrics

Pediatric Critical Care Training


Three Year Curriculum

  • Total Service = 84 weeks = ~21 months
  • Total Vacation = 9 weeks (3 weeks per year)
  • Total Research = 63 weeks = ~15 months

PICU: Four cohorts covered over three years: pulmonary, hematology/oncology, surgical, and neurology/neurosurgical

Transitional ICU: Six to eight weeks during both first and second year of fellowship

CICU: Four to six weeks per year

Transport: Transport: Two to four weeks per year. Transportation of patients with Texas Children's Hospital Kangaroo Crew; triage transport calls with Mission Control attending

Anesthesia: One week at the start of fellowship and an additional four weeks during the first year of fellowship working with pediatric anesthesiologists

Sedation: Two weeks during the first year of fellowship working with Texas Children's Sedation Service.

During the final year of training, fellows assume the role of “Junior Attending” in the PICU. The goal of this role is to facilitate the transition of a senior fellow to junior faculty by permitting the senior fellow to function as an attending physician in the PICU under the supervision of a Pediatric Critical Care Medicine faculty.


Call Assignments/On-Call Duties


We currently have a night float system with a maximum of five nights in a row during a clinical service month. There are also intermittent night shifts and day shifts that are considered "calls" on one-two weekends during each research month. Otherwise, all research time during the week is protected and call-free.




Fellows have an opportunity to individualize their educational experience by participating in structured electives during their allotted research time in their second or third year of fellowship.  The amount of time spent on an elective varies and may depend on the selected elective.  Options for electives include additional research time, additional exposure in the CICU or PICU, community-based PICU, Palliative Care, ECMO, Pulmonary Hypertension, Adult Congenital Heart Disease (ACHD) Inpatient Unit and Adult Surgical Critical Care/Trauma at Ben Taub Hospital, a level one trauma center located within the Texas Medical Center (TMC). The TMC is the largest medical city in the world, which allows for endless possibilities in creating and coordinating additional electives that may fit your needs and/or align with your training/career goals.