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The SCCF rotates on several surgical and critical care services during their 12-month training. A principal rotation, totaling three months, would be as a member of the Pediatric Surgery/Trauma team at UPMC Children’s Hospital of Pittsburgh (CHP). Additional electives and rotations include the CHP Anesthesia, CICU, NICU, and PICU; UPMC Magee Womans Hospital NICU; UPMC Mercy Hospital Burn Unit; UPMC Presbyterian University Hospital CITCU, Nephrology, and SICU/Trauma. The learning objectives for these rotations include:
The SCCF is responsible for providing administrative leadership and critical care service of the patients during the individual critical care rotations. They are also be responsible for the trauma service while on the Surgical/Trauma service at CHP, including conducting bedside rounds, assigning duties to fellows and physician extenders, coordinating care among multiple physician and ancillary providers. Specific patient care duties include:
During the course of the fellowship, the SCCF must attain knowledge regarding critically ill pediatric surgical and trauma patients. This includes, but is not limited to:
Practice-based learning is the basis for life-long learning habits. The SCCF must actively participate in the evaluation of their patient care skills, as well as appraise and assimilate the evidence from the surgical literature. They must also have an important role as teachers on the service.
It is imperative that the SCCF demonstrate competency in communication and in teamwork. The SCCF must work with members of the patient’s primary service to insure the smooth functioning of the patient care team. It is expected that the resident: effectively interact with colleagues in allied disciplines, demonstrate effective and compassionate communication skills with parents, and age appropriate methods of communicating with children, actively participate in the teaching and supervising of junior house staff, provide timely and accurate documentation of the plan of care through the medical record.
The surgical critical care fellow is a leader in care delivery to critically ill children with surgical disease. It is therefore imperative that the surgical critical care fellow develop strong skills in professionalism. These are manifested by a demonstration of a commitment to patient care, an adherence to the policies that regulate the medical environment, both from health care regulatory agencies and the ACGME, and sensitivity to issues of race, gender, and culture as they relate to medical practice. As the fellow progresses through the program, there is an increasing emphasis on administrative activities, such as team leadership and conference preparation.
Surgical critical care is a sub-specialty in both pediatric and adult health care systems. It is, therefore, required that the SCCF learn the tools required to effectively function in this environment. They need to be able to demonstrate effective coordination of patient care, considerations of cost-containment, risk-benefit analysis, patient advocacy, inter-professional teamwork, and develop administrative experience by participating in multi- disciplinary conferences such as Medical Advisory Committee, Trauma Conference, Tumor Board, ECMO Conference, and NICU Committee.
The length of these rotations varies from two weeks to two months.
For additional information, please visit www.chp.edu/our-services/surgery-pediatric
Children's Hospital's main campus is located in the Lawrenceville neighborhood. Our main hospital address is:
UPMC Children’s Hospital of Pittsburgh
One Children’s Hospital Way
4401 Penn Ave.
Pittsburgh, PA 15224
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