Surgical Critical Care Fellowship

The Children's National Health System offers a one year fellowship in pediatric surgical critical care for residents who have completed a minimum of three years of training in general surgery. This fellowship accepts one resident annually and has been accredited by the Residency Review Committee (RRC) of the Accreditation Council for Graduate Medical Education (ACGME) in 2012.

The Pediatric Surgical Critical Care Fellow (PSCCF) is responsible for the management and coordination of all pediatric surgical critical care patients in each rotation. The fellow will spend 8 weeks on the pediatric surgery/trauma service, 12 weeks in the NICU, 8 weeks in the PICU and 4 weeks in the CICU at Children’s National. In addition, the fellow will spend 12 weeks at the Surgery and Trauma Critical Care Unit at the Washington Hospital Center. Each PSCCF will also be permitted a 4 week elective period.

The objective of the program is to expose the PSCCF to educational activities focused on pediatric and adult general surgical conditions, trauma, burns, surgical-oncology and cardiothoracic surgery.  The PSCCF will be expected to sit for the American Board of Surgery Critical Care Boards.

Research

Research

The Pediatric Surgical Critical Care Fellow (PSCCF) will be exposed to the various research activities in the Division and will be encouraged to actively participate in them. Research methodology and statistics will be covered in journal clubs, didactic lectures, monthly clinical research conferences as well as through direct involvement in research activities. While the one year time frame of the training program does not allow for a formal research rotation, provisions will be made to provide additional training should the PSCCF desire. In addition, resources are provided for the PSCCF to attend one national academic meeting related to pediatric surgical critical care during the training period. Additional resources are available for the resident to present the results of research that was performed during the residency program.

Education

Education

The goal of the Pediatric Surgical Critical Care Fellowship program is to provide advanced proficiency in the care and management of critically ill surgical patients ranging in age from extreme prematurity to adolescence. 

At the conclusion of the training program, the PSCCR will demonstrate:

1. Thorough understanding of the pathophysiology of critically ill or injured premature infants, neonates, toddlers, school-aged children, and adolescents with emphasis on the unique features of each age group.

2. Proficiency in pediatric cardiopulmonary resuscitation. It is expected that the resident will achieve Pediatric Advanced Life Support (PALS) certification shortly after arrival.

3. Proficiency in the resuscitation of trauma patients. It is expected that the resident will be certified in the American College of Surgeons Advanced Trauma Life Support (ATLS), and will pursue the additional qualifications to become an ATLS instructor.

4. Thorough understanding of the principles of care of the critically ill pediatric surgical patient, including, but not limited to:

  • Hemodynamic monitoring, including the use of noninvasive and invasive monitoring devices.
  • Hemodynamic support, including the appropriate use of fluids and pharmacologic agents. 
  • Recognition of patients who are suffering from shock.
  • Management of the injured child from initial emergency department resuscitation to ultimate discharge, including ICU care and post-discharge planning.
  • Evaluation of the airway and initiation of respiratory support, including the use of noninvasive devices (oxygen, CPAP, BIPAP) and various modes of mechanical ventilation (pressure and volume cycled, high frequency oscillatory ventilation, pressure support, etc.), as needed.
  • Evaluation and management of infants and children who require extracorporeal membrane oxygenation (ECMO).
  • Management of pediatric patients with elevated intracranial pressure, including those who sustain severe traumatic brain injury (TBI).
  • Management of patients who have undergone major surgery, including general surgical, cardiac, thoracic, neurosurgical, head and neck, orthopedic, plastic and urologic procedures.
  • Management of patients who require or who have undergone organ transplantation.
  • Understanding the principles of nutritional support and becoming facile with the prescribing of total parenteral nutrition solutions and the various enteral nutritional formulas and delivery systems. 
  • Understanding the role of infection in critical illness as well as its diagnosis and management in both immunocompetent and immunocompromised hosts.
  • Understanding the role that endocrine and metabolic abnormalities play in the host response to illness, and effective diagnosis and management of these disorders.
  • Understanding the indications for transfusion of blood and blood components and application of this knowledge to effectively treat patients with primary or secondary hematologic and coagulation disorders.
  • Understanding the diagnostic and therapeutic interventions used to diagnose and treat illness of multiple organ system failure or dysfunction.

5. Develop the technical skills necessary to practice pediatric surgical critical care, including, but not limited to: endotracheal intubation, establishment of central venous access, arterial access, ECMO cannulation and tube thoracostomy. The PSCCF should demonstrate proficiency in these procedures across the age spectrum encompassed by the program.

How to Apply

How to Apply

Contact Information

Program Coordinator
Mildred Williams
Call: 202-476-2151
Fax: 202-476-4174
MwWillia@childrensnational.org

Program Director
Faisal G. Qureshi MD
fqureshi@childrensnational.org

To Apply
Send your CV and letters of recommendation to Dr. Faisal Qureshi

AGME Accredited: Yes
Fellows per year: One
Application Deadline: Oct. 31
Duration: One year
Postgraduate Training Required: Yes, American Board of Surgery eligible

Frequently Asked Questions

Frequently Asked Questions

Q: What are the benefits?

  • Health, Dental, Vision
  • Flexible Spending Accounts
  • Life Insurance
  • Annual & Sick Leave
  • Disability Insurance
  • Employee Assistance Program
  • Backup Child and Elder Care

A detailed summary of all benefits can be found in our Benefits Guide.

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