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1. UCSF/CHO Pediatric Critical CareFellowship Program
2. Overview Goals
Training program
Clinical
Career development
Mentoring
Alumni
Work environment
Life in the Bay area
3. In a nutshell… The UCSF/CHO Pediatric Critical Care Program is a:
Moderately sized
Academically oriented fellowship
Located in San Francisco and Oakland CA
4. Goals/Philosophy To train top notch competent, compassionate clinicians destined for success in academic environments
Trainees will be well prepared to engage in meaningful research in a variety of fields related to critical care medicine
To achieve this, we will provide:
A strong clinical training program
Exposure to basic, translational, and clinical research
Opportunities to develop superior teaching skills
Strong mentorship and career development
5. Overview of Training Program Fellow as Clinician
Fellow as Investigator
Fellow as Educator
6. Fellowship Overview 1st Year
Master clinical critical care medicine
Identify a career focus
2nd and 3rd Years (and…)
Build a career focus
Solidify clinical skills
7. Developing Fellows as Clinicians Nuts and bolts of year 1
(13: 4-week-rotations)
Anesthesia (CHO) 1
ICU Service 8
Research 3
Vacation 1
8. Developing Fellows as Clinicians Nuts and bolts of year 2
ICU Service 5
Adult ICU 1
Research 6
Vacation 1 Nuts and bolts of year 3
ICU Service 2
Elective 1
Research 9
Vacation 1
9. Developing Fellows as Clinicians Formal clinical learning opportunities
Fellow’s Conference
Journal Club
PICU & CICU M&M Conference
Pre-Surgery Cardiac Cath Conference
ECLS Conference
Pediatric Grand Rounds
Adult ICU Lecture Series
Joint Pediatric, Adult, & Neonatal ICU Lectures
10. Developing Fellows as Clinicians Clinical Resources
UCSF Children’s Hospital: 120 in-patient beds, 6,300 annual discharges, 50,000 clinic visits
PICU: 14 beds; CICU: 8 beds, 9 intermediate beds
~1,200 annual ICU admissions, ~250 open cardiac cases
Transplant - bone marrow, kidney, liver, small bowel
Rapid deployment ECLS
11. Developing Fellows as Clinicians Clinical Resources
Children’s Hospital Oakland: 170 in-patient beds, 9,200 annual discharges, 100,000 clinic visits, 26,000 annual ED visits
PICU: 23 beds
1,800 annual ICU admissions, ~150 open cardiac cases
Pediatric Trauma Center of Northern California
12. Developing Fellows as Clinicians: Night Call CHO:
every 4th night
UCSF:
2 week 12 hr PM shifts
2 weekends off
per rotation
Non-clinical months
are call free except:
12 Saturdays (24 hr shifts)
in 2nd and 3rd year
13. Building Your Career Goal: Train top notch clinicians for academically-focused careers
What does it take to get a great academic job?
Excellent clinician
Tangible scholarly work: Clinical, translational, or basic research; Master Educator
Board certification
14. Developing Fellows as Investigators Goals
Help fellows develop academic focus and area of expertise
Prepare fellows to secure K08 or K23 funding
Enable graduates to launch successful academic careers as independent investigators
15. Developing Fellows as Investigators Options:
Basic/Bench Research
Translational Research
Clinical Research
Master Educator
Finding a lab/mentor
Not restricted to Division/Department
Investigators at Parnassus, Mission Bay, CHORI, Berkeley, Lawrence Livermore, etc. are all potential choices
16. Developing Fellows as Investigators Research Resources
UCSF: >1,200 active basic/translational science labs
Cardiovascular Research Institute
The Gladstone Institute
Biomedical Sciences Training Program
Program in Biological Sciences
Children’s Hospital Oakland Research Institute (CHORI)
17. Developing Fellows as Investigators Research Resources (Clinical Science)
Pediatric Clinical Research Center
Department of Epidemiology and Biostatistics
Training in Clinical Research Program (TICR)
The Master’s Degree Program
18. Developing Fellows as Investigators Opportunities for all fellows
Molecular Biology and Clinical Research Workshops (AACR/ASCO)
Biomedical Sciences (BMS) Graduate Program
Basic science courses
Seminars
CVRI Courses and seminars
Biostatistics
Science Writing
Art of Lecturing
TICR (Training in Clinical Research - 6 weeks)
ATCR (Advanced Training in Clinical Research - 1 year)
Molecular Medicine Weekly Conference
19. NIH T32: Research Training in Pediatric Critical Care Medicine 4 year program which includes 2.5 years of protected research training
Both laboratory and clinical-translational tracks
Diverse mentored research opportunities
20. NIH T32: Research Training: “The Perks” Multiple layers of supervision and mentorship
Integrated with UCSF Fellow’s College
Educational stipend
Flexible clinical commitment
Funds for TICR and Masters in Clinical Research
21. Developing Fellows as Educators Opportunities for teaching
Resident Lectures
Fellow’s Conference
Division Meetings
Chairman’s Rounds
Noon Conference
Bench to Bedside
Teachable moments with residents and medical students
22. Developing Fellows as Educators Opportunities for the Master Educator career track
Haile Debas Institute of Medical Education
Development of exportable learning materials
23. Mentoring Program “Mentors don’t just give advice; they make things happen for your career”
-Art Weiss
School of Medicine Programs
Graduate Program Seminar Series
Departmental Fellows’ College
Divisional Mentoring: Formal and informal
Frequent feedback
Division
Scholarship Oversight Committee (SOC)
24. Fellows’ College Half-day workshop for all fellows, 3x per year
Prepare fellows for successful academic careers
Develop camaraderie
Topics:
Fellow as Clinician: How to do a consult; How to be an effective supervisor; Transition from 3rd year to Fellow
Fellow as Investigator: Choosing a mentor/how to be a mentee; How to choose a lab; How to write a grant; How to give a research talk
Fellow as educator: How to give a talk; Teachable moments
Life after fellowship: Inside the NIH; Developing a CV; Managing Life; Job searches; Negotiating
25. UCSF/CHO Pediatric Fellowship Alumni-Track Record
In past 10 years, 60% Academic University Appointments (18/30)
7 Directors of Critical Care Medicine; 2 Vice-Chairs Pediatrics; Director of PALISI
13 current NIH-funded graduates (2 of 5 PCCM K12 awards)
26. Environment The Hospital
The People
The Patients
San Francisco
27. Work Environment: The Hospital UCSF Children’s Hospital
Hospital within a hospital
Tertiary to quaternary care facility in a University setting
Educational focus
Full ancillary pediatric trained support staff
Intensive care
PICU (31 beds)
ICN (55 beds)
Pediatric Clinical Research Center (PCRC)
NIH-sponsored research center for diverse clinical trials
Dedicated nurses, biostatistician, core laboratory
Ambulatory Care Center
Includes all specialty clinics
28. Work Environment: The Hospital Children’s Hospital Oakland
Free-standing Children’s Hospital
Pediatric trauma center of Northern California
Very busy emergency department
Intensive care
PICU (23 beds)
ICN (55 beds)
CHORI
NIH-sponsored research center for diverse clinical trials
Dedicated nurses, biostatistician, core laboratory
Ambulatory Care Center
Includes all specialty clinics
29. Work Environment: The People Team-oriented approach to care
Diverse ICU faculty doctors
9-11 fellows
Nurse practitioners
Clinical nurse specialists
Palliative care coordinator
Discharge planners
Social workers
Dedicated pharmacist
Dedicated nutritionist
Pediatric PT/OT/speech therapists
Child-life specialists
Spiritual care specialists
Educational liaison
30. Work Environment: The People
31. Strengths of clinical service Integration/collaboration of laboratory scientists and clinicians
Great Housestaff
Awesome Fellows
Exceptional Ancillary Support
32. Work Environment: The Patients Families from many different cultures with diverse socioeconomic status
Large referral base
33. Environment: Life in the Bay Area Benefits: MANY!
Culturally, extremely diverse
Geographically small (a “walk-around” city)
Unique weather (subtropical, never snows or freezes) (But driving distance to snow!)
Food and fun capital of the U.S.
“Outdoors Unlimited”—land, sea, sky
Just a cool place to be!
34. Environment: Life in the Bay Area Challenges:
Cost of housing--$$
Unique weather--cool, fog
Earthquakes (only occasionally!)
Solutions:
Modest housing in a good neigh-
borhood
Public transportation savings
NEW!!--$500/month housingallowance
Many on-line rental agencies
Local landlords prefer residents
and fellows
35. Environment: Life in the Bay Area
36. Special Learning Opportunities NIH T32 - Research Training
International Health
Masters In Public Health - UC Berkeley
Masters in Clinical Research (TICR)
Sponsored International Conferences
37. UCSF/CHO Pediatric Fellowship Training Program
Fellows who thrive (not just survive) in our program:
Embrace diversity
Desire an environment small enough for personalized attention but big enough to achieve the critical mass necessary for an excellent education
Like to work hard and play hard and HAVE FUN!!!