Our didactic curriculum includes journal clubs, conferences, seminars and more. An educational council consisting of 12 faculty support and oversee all the following activities. The fellows and staff play an active role in both scheduling and organizing these highly valued educational activities. Two fellows assume the responsibility of organizing the lecture topics and inviting speakers for each two-month block of conferences. Our recurring didactic series includes the following:
Every other month a fellow prepares questions on a critical care topic from PREP-ICU with a supervising faculty member. This serves to prepare fellows for taking the boards after completion of their fellowship by presenting them with board type questions, as well as, explanations of the accompanying responses.
Fellows select two clinical or basic science articles every other month. The study design and results are reviewed and presented in an evidence-based format. The sessions are moderated and supervised by faculty considered experts in the topic being reviewed.
Morbidity & Mortality Conferences
M&M case presentations are performed monthly. These discussions are coordinated and led by the fellow and consist of multidisciplinary participation from sub-specialists and pathologists. There are also weekly Mortality reports presented by the Transport fellow that seek to foster discussion on opportunities for improvement in the quality and delivery of care provided.
Evidence-based Medicine Workshop
These workshops occur twice a year and provide an in-depth review of evidence-based medicine and the art of critiquing literature is taught.
Patient Care Conferences
These conferences, coordinated and led by the fellow, offer the opportunity for an in-depth review of the management of select ICU patients. Fellows select patients to be reviewed and invite sub-specialty guests, if applicable. There are also weekly presentations of admitted patients, by fellows on clinical service, that are meant to ignite collaborative discussions on diagnostic and management aspects.
Research Workshops and Conferences
As part of their fellowship training requirement, all fellows will present their scholarly activity to our division. This will allow the fellow to share their work, hone their presentation skills, and gather recommendations from a wide variety of clinicians and researchers. In addition to the Fellows’ Research Conferences, there is a series of Faculty Research Conferences for the Critical Care faculty and staff to share their academic interests with the division.
Clinical Updates from Invited Guest Speakers
Our division frequently invites guest speakers with national recognition to present at formal and informal sessions such as fellow conferences and grand rounds.
Joint Critical Care and Emergency Medicine Conferences
Twice a year, the Divisions of Critical Care Medicine and Emergency Medicine conduct a joint conference to critically evaluate the management of a group of common patients. These conferences serve as both educational sessions as well as opportunities for quality improvement.
Core and Applied Physiology Curriculum
These conferences are repeated cyclically every year. They occur twice monthly and use team- and case-based learning methodology. Faculty, fellows, and advanced practitioners attend these conferences, whereby one fellow leads the group discussion of the topic. All fellows will receive the syllabus containing objectives and questions for the year during the first week in July.
Core and Applied Physiology Curriculum (Thursday Noon)
- Pulmonary Development and Functional Anatomy
- Ventilation and Breathing
- Pulmonary Circulation
- Diffusion of Gases, Oxyhemoglobin Dissociation, Carbon Dioxide Transport
- Gas Exchange, Oxygen Transport, and Hypoxemia
- Pulmonary Edema/Lymphatics/Nerve Supply
- Applied Physiology-Transitioning to Mechanical Ventilation
- Applied Physiology-Obstructive Lung Disease
- Normal Cardiovascular Physiology
- Coronary Blood Flow and Myocardial Oxygen Demand
- Applied Physiology-Acute Respiratory Distress Syndrome
- Applied Physiology-Pulmonary Hypertension
- Normal Renal Physiology
- Acid-Base Disorders
- Applied Physiology-Acute Renal Failure and Diuretics
- Cardiopulmonary Interactions
- Applied Physiology-TBI, HIE, & Stroke
- Immunity and Inflammation
- Applied Physiology-Pathophysiology of Sepsis
- Liver Anatomy and Physiology
- Applied Physiology-Acute Liver Failure
- Hemostasis and Disseminated Intravascular Coagulation
Cardiac Core and Applied Physiology Curriculum (Thursday mornings)
- Hemodynamic monitoring
- Monitoring tissue oxygenation
- Cardiopulmonary interactions
- Interpretation of hemodynamic catheterization
- Pulmonary Hypertension
- Anatomy and function of the right and left ventricle
- Critical Heart Failure
- Mechanical circulatory devices
- Cardiac transplantation
- Pulmonary hypertension
- Cardiopulmonary Bypass (CBP), CPB-induced SIRS & management of coagulation
- Left and right sided structural heart disease
- Left Ventricular Outflow Tract Obstruction lesions
- Single ventricle physiology
- Cavopulmonary anastomosis and Fontan physiology
- Abnormalities of the origin of the great arteries
- Arrhythmias and pacing
- Ischemic Heart Disease
Heart Center Surgical Rounds
Every Thursday morning the Texas Children’s Heart Center holds lectures run by the cardiothoracic surgeons covering congenital heart disease topics from the surgeon’s perspective. The lectures are attended by cardiology and critical care fellows along with critical care advanced practice providers, and cardiothoracic advanced practice providers. The critical care fellows are required to attend these lectures during their CICU rotation.
Simulation-based Clinical Orientation for Pediatric (SCOPe) specialists Program for first year fellows
This is a simulation-based clinical orientation program specifically tailored to the needs of incoming first year pediatric subspecialty fellows. The program occurs over the course of several days and introduces the participants to topics relevant to the care of acutely and critically ill pediatric patients, as well as practice with procedures. The orientation program includes workshops on vascular access, airway management, communication, and resuscitation. The goals of this curriculum are to develop the knowledge, skills, and attitudes required by first year Pediatric Subspecialty fellows to engage in crisis resource management skills within the context of inter-professional teams in order to provide high quality, safe, and compassionate care to critically ill children and their families.
All fellows participate in quarterly simulation-based team training using high fidelity simulation. These occur in the Simulation Center where fellows practice crisis resource management skills for both common and high risk, rare events. Teams consist of nurses, trainee physicians, respiratory therapists and other ICU health care personnel. In addition, during CICU rotation fellows have weekly simulation/PBL sessions addressing common cases, complications and life threatening problems encountered in the CICU.