The Division of Pediatric Critical Care offers the Advanced Pediatric Intensive Care Medicine Fellowship Program to qualified candidates who have already completed their base Pediatric Critical Care subspecialty residency training. This additional year is geared towards developing excellence in advanced multi-organ support modalities while enhancing leadership and academic skills. In addition, this fellowship includes a formal pediatric critical care teaching program (protected academic half day), use of simulation for educational purposes, and research training. Regarding the latter, research opportunities are numerous in the fields of applied physiology, clinical trials, bioethics, psychology, quality improvement, healthcare delivery and medical education. The year will be tailored to the individual’s career goals by determining the balance between clinical and academic activities. Graduates of this program are prepared to assume leadership roles in academic institutions.
Fellows are mentored by the multidisciplinary faculty of the Division of Pediatric Critical Care Medicine. Our faculty have appointments in Pediatrics, Pediatric General Surgery, Pediatric Anesthesia, Epidemiology, Nursing, and Bioethics. Our fellows are implicated in all aspects of PICU functioning to train them in leadership, consultant and teacher roles. All trainees will be expected to share on-call duties in the PICU. Fellows will also be expected to pursue a scholarly project under the mentorship of one of the research faculty members; this project may be in the areas of clinical research, health professions education, quality improvement, knowledge translation, etc. Finally, all fellows participate in clinical conferences, multidisciplinary rounds, quality improvement activities and weekly meetings of other subspecialty services, e.g., cardiology, cardiovascular surgery, and radiology.
Program length: 1 or 2 years
Average number of trainees per year: 1-2
- Interdisciplinary, hospitallevel simulations (e.g. trauma, complex airway emergencies, mass casuality)
- Pediatric Advanced Life Support (PALS) course
- Pediatric Advanced Life Support (PALS) Instructor course for all new fellows
- Onsite ECMO wetlabs every 6 weeks
- Challenges and Controversies in Renal Support (CRRT) wetlabs
- Extracorporeal membrane oxygenation (ECMO) training courses
- Lean Sigma Six Yellow Belt Certification course
- Trauma Resuscitation in Kids (TRIK) Course
- Canadian Critical Care Forum Fellows' Day
- Canadian Critical Care Trials Group Young Investigators Day
- Canadian Child Health Clinician Scientist Program (CCHCSP)
- Department of Epidemiology, Biostatistics and Occupational Health (McGill University) – Summer courses
- We launched the Royal college’s Competency Based Medical Education program in July 2019.
- Simulation based medical education with weekly in situ, interdisciplinary simulation training, airway and ventilation simulations, hospital level simulation of airway emergencies, trauma and mass casuality and donation and ECMO simulations in development
- Each fellow is assigned an academic advisor for the length of their training
- Clinical training in critical care point of care ultrasound
- Rotational electives in neurocritical care (Montreal Neurologic Hospital)
- PICU Research Program Director who is Ph.D. Clinician Scientist and a full time member of the Division, Dr. Patricia Fontela
- PICU Research Program staffed with a research coordinator and research assistants
- Faculty with varied research focuses including clinical research, quality of care and health care processes, medical education, medical simulation, resuscitation, healthcare policy, organ donation.
- Interdiscplinary research model with weekly PICU Research Meetings and Pediatric Critical Care Journal Club
- Fellowship Research Program overseen by the PICU Research Program Director including participation in the Canadian Child Health Clinician Scientist Program, journal club curriculum, monthly presentation of fellow projects’ progress
- Complex surgical programs including airway, epilepsy, neurosurgery, craniofacial reconstruction, spine
- Complex congenital cardiac surgery program including single ventricle repairs.
- Extracorporeal membrane oxygenation (ECMO) and Ventricular Assist Device (VAD) program
- Quality and Safety Program with annual strategic plan and monitoring through a visual management system (Salle de Pilotage)
- In neurocritical care (Montreal Neurologic Hospital)
All trainees in the program participate in administrative activities to gain an exposure to this important role of the intensive care physician. This might include committees much as the CPR committee, quality/safety committee, infection control, ICU Liberation committee and improvement project teams.
Trainees receive an academic stipend each year to support participation in conference, courses or for the purchase of educational materials.