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Pediatric Critical Care Fellowship

Pediatric Critical Care Fellowship

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The Pediatric Critical Care Fellowship at Penn State Health Milton S. Hershey Medical Center is a three-year, ACGME-accredited program that admits one fellow per year.

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Program Details

The Pediatric Critical Care Medicine Fellowship Program at Penn State Children’s Hospital is a leader in providing excellent, high-quality care to the children of central Pennsylvania. Penn State Children’s Hospital has active programs in all aspects of pediatric medicine and surgery, including trauma, transplantation, and cardiothoracic surgery. In addition to being the region’s only pediatric Level I trauma center, our Children’s Hospital offers invasive and non-invasive cardiorespiratory monitoring, conventional and non-conventional mechanical ventilation, renal replacement therapies, and extracorporeal membrane oxygenation. Comparisons to pediatric intensive care units nationwide, demonstrate that our pediatric intensive care unit has a severity-of-illness adjusted mortality that ranks among the highest in the nation, allowing for an expansive clinical experience for physicians in training. Our pediatric congenital heart surgery program has been repeatedly nationally recognized for outstanding surgical results, receiving a 3-star rating (the highest possible) from the Society of Thoracic Surgeons (STS). We boast a busy and established Adult Congenital Heart Disease (ACHD) program.

Our pediatric intensive care unit (PICU) moved to a new, state-of-the-art physical space in 2013 with 18 bed capacity. In Fall, 2020, expansion will be complete to provide a much needed increase in inpatient beds, including a planned expansion of the PICU to 22 beds.

Of note, our Pediatric Intensive Care unit bed capacity can be deceiving, as Penn State Children’s Hospital also has a separate Pediatric Intermediate Care Unit (PIMCU), staffed by non-PICU physicians, which cares for less acute patients that are often cared for in other larger intensive care units, thus the average acuity of the patients admitted to the PICU is higher than would be expected.

We currently accept one fellow each year into our program so fellows are able to enjoy a patient to fellow ratio comparable to larger training programs while allows development of closer working relationships with our faculty.

The Pediatric Critical Care Medicine fellowship is structured to prepare trainees for careers in either academic medicine or private practice.

Learn more about the Fellowship

Program Director’s Welcome Expand answer
Adrian Zurca, MD, Program Director, Pediatric Critical Care Fellowship Program

Adrian Zurca, MD, Assistant Professor of Pediatrics

Dear potential future fellow,

Thank you for your interest in our program and congratulations on choosing a career in pediatric critical care. While we are a relatively young training program (founded in 2009), our fellowship provides fellows with a combination of diverse clinical opportunities and world-class scholarly mentorship that prepares them for careers as academic pediatric intensivists. Penn State Children’s Hospital is one of very few hospitals in the country (and per our understanding, the only one in the northeastern United States) with a pediatric intermediate care unit that is not managed by intensivists. Thus, while we are a medium-sized unit, fellows in our PICU are exposed to a highly acute patient population that yields a very rich learning experience.

Being a small fellowship, our fellows are looked to as integral members of the clinical team from the beginning of their fellowships and so our program tends to attract fellows that are comfortable taking ownership of all aspects of patient care. The faculty pride themselves on getting to know each of our fellows very well so that each fellow gets a personalized experience that takes advantage of their individual strengths and helps them shore up any weaknesses they may have. I am proud to say that we maintain a 100% board-pass rate and that our graduates have all progressed to successful academic careers of their own.

I invite you to explore the information we have included below to learn more about our program. Please do not hesitate to contact me with any questions.

Adrian D. Zurca, MD, MEd
Program Director, Pediatric Critical Care Fellowship Program

To Apply Expand answer

General Application Information

Penn State College of Medicine participates with ERAS and the NRMP Match. All application material must be submitted through ERAS.

Applicants with suitable qualifications will be invited to interview and visit with the department.

COVID-19 Update for the 2020 Interview Season – In accordance with national recommendations and in fairness to all fellowship candidates, many of whom are under travel restrictions, in-person visits and interviews will be suspended for the 2020 interview season. All fellowship interviews will be conducted virtually via conferencing software. Fellowship candidates are encouraged to pay close attention to ERAS and NRMP calendars for this season, which may be different than prior years, and adhere to all deadlines to ensure a successful match.

To allow sufficient time for applications to be reviewed and decisions made regarding interview offers, the application deadline is September 15th.

Application Details

All applications will be reviewed in their entirety, and an invitation to interview is based on the entire application and not simply exam scores. However, the program has the following preferences and requirements:

  • USMLE is not required for those who have taken COMLEX; however, osteopathic graduates are encouraged to take USMLE Step 1 as it will add to their qualifications.
  • Applications must include at least three and no more than four letters of recommendation (including at least one letter from a pediatric intensivist), medical school transcripts, curriculum vitae and personal statement.
  • The institution accepts residents on J-1 visas only. The visa application process and applicable fees are the applicant’s responsibility.
  • The recruitment team prefers to see completion of pediatric residency within three years of submitting the ERAS application. However, this is dependent upon what clinical/research experience the applicant has had since completing their residency. Please reach out to program director with any specific questions.

Couples Matching

If someone who is invited to interview is couples-matching with an applicant interviewing with another department at Penn State Health Milton S. Hershey Medical Center, the Division of Pediatric Critical Care will be happy to help coordinate with the other departments/divisions as much as possible. Applicants in this situation should contact the program office about their partner’s interview, as the program may not have the information.

Interview Process

The program’s typical interview season begins in late August and continues through October. The interview process is designed to put the applicant at ease and provide each candidate with detailed information about the program. The program uses a single-day interview process (with lunch during the day with the current pediatric critical care fellows).

Although the program cannot reimburse interviewees for travel costs incurred, it does pay for one night’s lodging to assist with travel expenses, and will provide appropriate lunch during the visit. Interviewees may be able to make arrangements to extend their hotel stay at a discounted rate.

Faculty Expand answer

A Commitment to Teaching

Over the years, Pediatric Critical Care Medicine has attracted and cultivated an outstanding faculty team, each with academic and clinical interests that serve as a focus for their teaching and research endeavors. A number hold or are seeking additional graduate degrees, which is evidence of their commitment to advancing the field of pediatric critical care medicine.

Research interests are wide ranging, from basic science to clinical investigation, as well as in the areas of education, simulation, pharmacology, ultrasound, medical informatics and safety/quality improvement. The department has achieved a nationwide reputation for academic excellence. We are privileged to have Neal Thomas, MD, MSc in our division. Dr. Thomas is not only the Associate Dean for Clinical Research at Penn State College of Medicine, but also an internationally known pediatric critical care clinical researcher who serves as a primary research mentor for all of our fellows.

Meet the Faculty

Academic Achievement Expand answer

Scholarly Achievement and Research

Training in scholarly and research skills is provided by combination of didactic lectures by the Department of Pediatrics fellow core curriculum and oversight by each fellow’s Scholarly Oversight Committee and research mentor. Fellows are free to choose their own scholarly projects based on their own academic interests, with guidance given as needed to ensure fellows each find interested and relevant research mentor(s).

Our fellows have had tremendous success at achieving our program’s stated goal, which is the completion of a project that results in a manuscript submitted for publication by the end of their fellowships. Our third year fellows are expected to present their research at the Society of Critical Care Medicine Annual Congress. Fellows have also presented at the Pediatric Academic Societies conferences, as well as other national conferences.

Interested fellows have also attended the Pediatric Acute Lung Injury and Sepsis Investigators conferences, which offer fellow-specific workshops in clinical research.

Finally, fellows can choose to take advantage of other opportunities via Penn State University, including (but not limited to) graduate coursework, additional training in medical education and/or certification as a simulation instructor via our Clinical Simulation Center (https://sites.psu.edu/hersheysimulation/simulation-courses/simulation-instructor-course/).

Current Fellows Expand answer
Past Fellows Expand answer

Past Fellow Listing

Local Opportunities for Research Presentations Expand answer

In addition to presentation at national meetings, fellows have the opportunity to present their work locally, including at the annual Resident/Fellow Research Day which is held each summer on and around the Penn State Health Milton S. Medical Center campus in Hershey, PA.

The intent of the event is to provide an opportunity for residents and fellows to showcase their research accomplishments to their peers in other clinical departments, as well as their colleagues in the basic sciences.

Learn more about Resident/Fellow Research Day here.

Fellows interested in educational scholarship also have the opportunity to participate and present at events sponsored by the Woodward Center for Excellence in Health Sciences Education including at their annual EdVenture celebration of teaching and learning.

About Hershey: Benefits, Stipends and More Expand answer

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Welcome to Hershey

A new-for-2020 guide to the Hershey, Pa., area showcases the highlights of life in central Pennsylvania.

Learn more about the Hershey area


More About Hershey

Interested in learning more about living and working in Hershey, Pa.? See details here:

Pediatric Critical Care Social Time Expand answer

The pediatric critical care, including the pediatric intensive care unit nursing staff, plan regular group outings and celebrations throughout the year that include fellows. Fellows are also eligible to compete against other specialty teams on the PICU’s kickball team. Some of the social venues over the years have included Troegs Brewing Company, Spring Gate Winery and social gatherings at faculty member homes.

Contact Us Expand answer

Mailing Address

Penn State Children’s Hospital
Pediatric Critical Care Fellowship
600 University Dr., H085
Hershey, PA 17033

General Contact Info

Phone: 717-531-5458
Email: jgebhart1@pennstatehealth.psu.edu

Curriculum Details

Curriculum Overview Expand answer

The 36-month fellowship training program is divided into 4-week blocks (13 blocks per year), as follows:

  • One 4-week block of pediatric anesthesia during first-year
  • 15 blocks of clinical service in the pediatric intensive care unit
  • Two blocks of pediatric cardiothoracic surgery (1 each in first and second years)
  • 21 blocks of research

There is some flexibility that can be applied to accommodate special interests during clinical months (such as outside clinical rotations, participating in the CT Surgery trip to Ecuador), that will be considered and arranged on a case-by-case basis.

Four weeks per year of vacation may be divided during the research rotations.

Didactic Opportunities Expand answer

Dedicated Education Time

The clinical schedule is designed so that fellows are (with few exceptions) never post-call on conference days to allow them to all attend these sessions. Weekly pediatric critical care fellow-specific educational sessions are scheduled on Tuesday afternoons. The Department of Pediatrics also hosts monthly fellow core curriculum sessions for all pediatric fellows across the institution to cover aspects of academic medicine that are shared across the sub-specialties (scholarship, biostatistics, medical education, ethics, job search, etc). Divisional conferences, including morbidity and mortality conferences, research conference, ethics conferences, case conference, and journal club, occur on Thursday afternoons. Fellows are key participants and presenters in these sessions as well. Finally, simulation sessions are regularly conducted both in situ and in the simulation center (link to Sim Center website) to further augment fellows’ educational experiences.

Additionally, our first-year fellows attend the regional pediatric critical care first year fellow boot camp at Children’s Hospital of Philadelphia every July. Second and third-year fellows attend the senior pediatric critical care fellow boot camp at Johns Hopkins University every other year. We also regularly integrate web-based educational material into our curriculum.

Pediatric Grand Rounds

Grand Rounds are held every Tuesday morning from 7:30-8:30 a.m. Presenters include faculty (both within and outside the department and institution), fellows and residents. These programs are designed to be of interest to the entire department, as well as pediatricians from regional hospitals.

PCCM Case Conference

PCCM Case Conference is held approximately six times per year. Fellows will take turns leading a case discussion for the entire Pediatric Critical Care.

PCCM Ethics Conference

PCCM Case Conference is held approximately four times per year. Fellows take turns leading discussions regarding ethically challenging cases or scenarios.

PCCM Journal Club

Journal Club is typically held once or twice a month. Members of Pediatric Critical Care, including fellows, take turns choosing and moderating discussions of recent articles from one of the major critical care publications.

PCCM Division Meeting

Division meeting are held approximately once a month. This is an opportunity for the division leadership to update the division on clinical, educational, and academic changes, and elicit discussion of proposed patient care protocols, equipment changes, staffing models, etc.

PCCM Research Conference

Research conference is typically held four times per year. Updates are made regarding division participation in larger multi-center trials. Members of the division take turns briefly and informally discussing active and potential clinical research projects. The purpose of these discussions is to elicit broad comment on research proposals in the early stage of planning and facilitate submission of proposals for approval/funding.

PCCM Morbidity and Mortality Conference

M&M is typically held once a month. Members of the division take turns reviewing cases and presenting them to the division, with the goal of identifying opportunities for practice improvement.

In Situ PICU Simulation

Fellows participate in monthly simulation sessions conducted in a patient room in the PICU, along with residents, APPs, PICU nurses and respiratory therapists.

Pediatric CT Surgery Case Conference

Pediatric Critical Care participates in case discussions with the Children’s Heart Group.

Children’s Hospital Mock Code

Mock codes are typically held once a month. Sessions are designed to:

  1. Evaluate for system issues within the Children’s Hospital
  2. Provide educational experiences for responding fellows, residents, nurses, and respiratory therapists. On service pediatric critical care fellows are expected to respond to these as part of the pediatric code team and lead the resuscitation.

PCCM Unit Hand-off Educational Rounds

Attending physicians transition service on Tuesday afternoons. The entire division attends to hear the patient hand-off, with the goal of fostering discussion regarding patient management decisions. Beginning their second year of fellowship on service, fellows are responsible for leading these discussions.

Trauma Case Review and Child Protection Team Case Review

Pediatric Trauma and Child Protection teams review specific cases, many of which were patients admitted to the PICU.

Sample Block Schedule Expand answer

Fellow Year One

  • PICU: 6 blocks
  • Research: 5 blocks
  • CT Surgery: 1 block
  • Anesthesia:1 block

Fellow Year Two

  • Research: 7 blocks
  • PICU: 5 blocks
  • CT Surgery: 1 block

Fellow Year Three

  • Research: 9 blocks
  • PICU: 4 blocks
Sample Conference Schedule Expand answer

Weekly Conference Schedule

Fellow Honors and Recognitions

Resident/Fellow Research Day Presentations Expand answer

The annual Resident/Fellow Research Day is held each summer on and around the Penn State Health Milton S. Medical Center campus in Hershey, PA.

The intent of the event is to provide an opportunity for residents and fellows to showcase their research accomplishments to their peers in other clinical departments, as well as their colleagues in the basic sciences.

Learn more about Resident/Fellow Research Day here.

Pediatric Research Day Expand answer

Pediatric Research Day is an annual event that celebrates the promise of today’s research becoming tomorrow’s medical advances. This event also is an opportunity for researchers and caregivers at Penn State College of Medicine, other Penn State campuses and in the community to discover new applications for their work or to talk about potential areas for collaboration.

Click here to learn more about Pediatric Research Day.

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