Clinical Care

The University of Michigan Pediatric Intensive Care Unit (PICU) has 30 beds for critically ill children and supports about 1300 admission per year. The PICU is housed in C.S. Mott Children's Hospital which boasts 348 beds. Services offered in the PICU include non-invasive and invasive mechanical ventilation (including conventional and oscillatory ventilation), renal replacement therapy, therapeutic plasma exchange and ECMO. Michigan's PICU has a catchment area of the state of Michigan and surrounding Midwest. Additionally, it serves as a referral center for many subspecialty surgical teams nationally and internationally.
Our fellows provide care to patients admitted to the PICU while also responding to acutely deteriorating patients throughout the hospital. Our PICU fellows care for medical and surgical subspecialty patients admitted to the PICU, including patients receiving solid organ transplants and bone marrow transplants.
Our PICU fellows serve as medical command for all patients being admitted to the PICU who are transported by Michigan Survival Flight . They support referring institutions in phone consultation for critically ill patients. Fellows are trained to perform central venous catheterization, peripherally inserted central catheter placement, arterial catheterization, bronchoscopy and advanced and difficult airway management.
Education
Simulation
Intensive high-fidelity simulation is provided during the first year orientation with longitudinal skill refinement throughout fellowship
Access to Clinical Simulation Center, including the iSIM lab - a 24 hour independent skill lab
Point-of-Care ultrasound training
Didactics
Dynamic and robust curriculum of topics including:
-Weekly case conferences
-Journal clubs
-Pathology review
-Board Review
-Research conference
-ECMO conference
-Morbidity and Mortality
-Joint airway conference
-Neurocritical care conference
-ER/PICU conference
-Cardiology conference
reading group
Fellow coordinated group with independent reading of primary critical care textbook followed by bi-monthly review and discussion of material