Pediatric Critical Care Medicine Training
The Fellowship Curriculum
How to Apply
Since 1990, the UAMS Department of Pediatrics, in partnership with Arkansas Children’s Hospital, has offered an ACGME-accredited fellowship training program in Pediatric Critical Care Medicine. We offer a three-year fellowship in Pediatric Critical Care Medicine leading to board eligibility for the Critical Care Medicine Sub-board of the American Board of Pediatrics. Currently, our first-time Board pass rate is 98% since the program’s inception. Before telling you a bit more about the program curriculum and how to apply, let us share with you more information about our hospital and its tremendous resources.
Arkansas Children's Hospital is a private, not for profit, free standing children's hospital with 370 beds. Established in 1910, the hospital underwent rapid growth in the 1980's and is now one of the ten largest children's hospitals in the nation. The hospital serves as the major pediatric teaching affiliate for the University of Arkansas for Medical Sciences.
The hospital is the only pediatric hospital in the state of Arkansas, and serves as a referral center for areas of Mississippi, southern Missouri, eastern Oklahoma, northern Louisiana and northeast Texas. Having the only PICU in this cachement area allows us to provide pediatric critical care fellows with abundant, thorough, and varied clinical experiences in the care of critically ill and injured children. Nationally renowned programs such as the pediatric cardiovascular surgery program and the ECMO program attract patients from other areas of the country as well. The ECMO program at Arkansas Children’s Hospital is one of the nation’s busiest.
Arkansas Children’s Hospital is the base for the pediatric residency program of UAMS. Fellows in critical care play a key role in educating pediatric housestaff in the care of critically ill children and adolescents.
The Donald W. Reynolds PICU is a 26-bed unit with approximately 1,200 admissions per year. Due to our being the only pediatric facility in the state, the PICU at Arkansas Children’s Hospital cares for children with a wide variety of critical illnesses and injuries. A separate 30 bed cardiovascular intensive care unit is in close proximity to the PICU. Arkansas Children’s Hospital is home to the state’s only Burn Center , as well as a 100-bed NICU.
The hospital operates Angel One - an extremely busy neonatal and pediatric transport service, utilizing two helicopters, three vans, and a variety of fixed-winged aircraft. Fellows in critical care medicine have ample opportunity to gain experience transporting critically ill and injured children and learning to provide medical control for a transport team. The Angel One team averages approximately 80 PICU transports per month.
Critical Care Faculty
Ten Board-certified pediatric intensivists comprise the primary teaching staff for the fellowship program. Four of these faculty members are cardiac intensivists who attend in both CVICU and PICU.
Faculty List - Critical Care
Past CCM Fellows have gone on to a variety of destinations:
Dr. Mubasheer Ahmed: Milwaukee, WI
Dr. Basem Alsaati: Kingston General Hospital, Ontario, Canada
Dr. Michael Avant: Pediatric Intensive Care, Greenville, SC
Dr. Thomas Bannister: Columbia, SC
Dr. Adnan Bhutta: Baltimore, MD
Dr. Jonathan Byrnes: CCHMC, Cincinnati, OH
Dr. Melina Chan: Manchester, NH
Dr. Katherine Clement: Chapel Hill, NC
Dr. Meredith Denton: Fayetteville, AR
Dr. Venu Devabhaktuni: Parkland, FL
Dr. Jay Duncan: Cook Children's Physician Network, Fort Worth, TX
Dr. Richard Fiser: UAMS Pediatrics at Arkansas Children's Hospital, Little Rock, AR
Dr. Katherine Irby: UAMS Pediatrics at Arkansas Children's Hospital, Little Rock, AR
Dr. Adriana Lopez: Children's Critical Care Specialists, San Antonio, TX
Dr. James Marshall: Cook Children's Physician Network, Fort Worth, TX
Dr. Katheryn Miller: UH Rainbow Babies and Children's Hospital, Cleveland, OH
Dr. Umesh Narsinghani: Macon, GA
Dr. Laura Ortmann: Children's Mercy Hospitals and Clinics, Kansas City, MO
Dr. Sanjiv Pasala: UAMS Pediatrics at Arkansas Children's Hospital, Little Rock, AR
Dr. Curtis Pickert: Pediatrix Medical Group, Santa Barbara, CA
Dr. Courtney Ranallo: Oklahoma City, OK
Dr. Ronald Sanders: UAMS Pediatrics at Arkansas Children's Hospital, Little Rock, AR
Dr. Stephen Schexnayder: UAMS Pediatrics at Arkansas Children's Hospital, Little Rock, AR
Dr. David Smith: Wilmington, NC
Dr. Michael Stroud: UAMS Pediatrics at Arkansas Children's Hospital, Little Rock, AR
Dr. Muayyad Tailounie: Aurora, CO
Dr. Patricia Wankum: University of Missouri Health Care, Columbia, MO
Dr. Patricia Webster: Children's Mercy Hospitals and Clinics, Kansas City, MO
The ACH/UAMS pediatric faculty includes over 200 faculty members representing virtually every pediatric subspecialty, including 19 cardiologists, nine pulmonologists, four nephrologists, 16 neonatologists, five gastroenterologists, four infectious disease specialists, five hematologists-oncologists, four pharmacologists, and 19 emergency medicine physicians.
Surgical specialists include two cardiovascular surgeons, five pediatric surgeons, three pediatric neurosurgeons, and five pediatric otolaryngologists. There are 30 pediatric anesthesiologists at Arkansas Children's Hospital.
Critical support physicians for the intensivists include 11 pediatric radiologists and six pediatric pathologists. The Fellowship Curriculum
The majority of the first year curriculum involves clinical rotations in the PICU, as well as a one-month experience in Pediatric Anesthesia and a one-month experience with the Procedural Sedation Service. Research months and one elective month round out the first year. The initiation of a research project completes the first year course of study. All first year fellows spend 3 days at the beginning of fellowship at the PULSE Center for an intensive simulation boot camp taught by our critical care faculty.
Further development and initiation of the fellow's research project occupies most of the second year. Clinical responsibilities are reduced to provide research time. Clinical responsibilities during the second year include PICU, CVICU (two months), and an elective.
The third year of the fellowship is largely devoted to research. Research time during this year is largely devoted to continued data collection, data analysis, and submission of a first-authored manuscript reporting the fellow's research findings. Clinical responsibilities during the third year include PICU and CVICU (2 months).
An optional fourth year of training may be arranged in either cardiovascular intensive care or clinical pharmacology with general pediatric critical care.
Throughout the three year curriculum, fellows participate in a broad variety of educational conferences, both within the Division of Pediatric Critical Care and also at the Departmental and hospital level. A Fellows’ Core Curriculum conference series provides a structured curriculum for all fellows in the Department of Pediatrics addressing such topics as: research design, grant writing, presentation skills, quality improvement initiatives, principles of evidence-based medicine, teaching skills, professionalism, and a variety of other topics. During the second year, fellows are enrolled in a Biostatistics course offered through the UAMS College of Public Health. Pediatric critical care fellows also participate in teaching a variety of courses, such as the Advanced Pediatric Life Support, Pediatric Advanced Life Support, and Pediatric Emergency Assessment, Recognition, and Stabilization courses to residents and medical students.
A unique educational resource available to our fellows is the Arkansas Children’s Hospital Pediatric Understanding and Learning through Simulation Education (P.U.L.S.E.)
Center. The PULSE Center offers a state-of-the-art, multidisciplinary, high-fidelity simulation environment. Fellows both learn and teach at the PULSE Center. They are involved in teaching “mock codes” to the pediatric housestaff. Fellows have several opportunities for learning at the PULSE Center in a high-fidelity simulation environment, including courses on delivering “bad news” to family members, workshops on management of the difficult airway, and a unique ECMO simulation training program which has gained national recognition.
We are approved by ACGME for a total of six pediatric critical care fellows.
Applicants must be board eligible in General Pediatrics by the standards of the American Board of Pediatrics, and hold either an appropriate visa or a permanent resident status if trained at an international medical school.
Sanjiv Pasala, MD
The University of Arkansas for Medical Sciences is an equal opportunity/affirmative action employer and has a Conrad 30 waiver program. Women and minorities are encouraged to apply.
GME Resident Handbook