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In the three-year Pediatric Critical Care Fellowship, you complete 15 four-week rotations in the Pediatric Intensive Care Unit (PICU). Throughout the fellowship, 12 four-week research rotations, free of call, are scheduled to allow you to pursue research interests.

Other rotations include:

  • Pediatric cardiac critical care unit
  • Pediatric anesthesia
  • Transport medicine
  • Cardiology
  • Bronchoscopy

Additional elective rotations can be included if desired.

Call during clinical months is every fourth night.

The Pediatric Critical Care Fellowship has a strong emphasis in developing simulation-based education. You are encouraged to participate as a learner in simulation-based education during your first year and then become a facilitator and program developer by the end of your third year of fellowship. Ample opportunity to develop educational research is available.

Pediatric critical care fellows participate in well-organized educational video sessions followed with simulation-based practice for ultrasound skills and central line placement. A full boot camp is available prior to the first rotation in the PICU.

Rotation schedule: First year

The first year of the program is devoted to nine months of clinical training in pediatric critical care, including one month of pediatric anesthesia and one month in transport medicine. Three months of research are available.

The clinical fellowship provides thorough experience in the diagnosis and management of common critical illnesses affecting the pediatric population. Topics include:

  • Electrolytes and nutrition
  • Hemodynamics
  • Respiratory physiology and pathophysiology
  • Gastrointestinal conditions
  • Solid organ transplant medicine
  • Infectious etiologies
  • Immune-mediated diseases
  • Hematology-oncology emergencies
  • Neurologic and neurosurgical disease processes
  • Sedation
  • Pain management

The first year of fellowship includes alternating responsibilities in the critical care unit with the attending consultant covering the unit.

Rotation schedule: Second and third years

Clinical opportunities

The second and third years of the Pediatric Critical Care Fellowship are designed to increase your autonomy in providing critical care to acutely ill children. Assessing admissions and arranging transport to outside institutions are included. The main goal of these two years in the fellowship is to develop independent academic clinicians.

Research responsibilities

As a second- and third-year fellow, you receive training and experience in basic research and clinical research. You develop an individualized research program. The pediatric fellowship director assists you in choosing a research mentor in your area of interest.

Training fellows to become skilled in scholarship is a priority of this fellowship program. Mayo Clinic has talented faculty conducting research in many areas applicable to pediatric critical care who enjoy mentoring fellows.

A formal curriculum is supported by the Mayo Clinic Center for Translational Science Activities to allow for basic science and clinical research experience. A complete curriculum to support research-based activities includes biostatistics, bioethics, clinical pharmacology and immunology, among others.


Licensed fellows in the second and third years of the Pediatric Critical Care Fellowship are allowed to provide moonlighting coverage in accordance with Mayo Clinic moonlighting policies. Moonlighting should not interfere with required learning and must not violate the Accreditation Council for Graduate Medical Education's work hour rules.

HIPAA/human subjects/research ethics training

Fellows must be trained and certified pursuant to Health Insurance Portability and Accountability Act (HIPAA) regulations. Clinical and research HIPAA certification is required in the first year, as are human subjects training and conduct of research training. Mayo Clinic has developed a program of lectures with associated discussion groups for fellows to meet this requirement.


The Mayo Clinic campus in Rochester, Minn., features state-of-the-art laboratory and clinical facilities. The Pediatric Intensive Care Unit has 16 dedicated beds with an external unit for cardiac surgical patients.

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  • April 17, 2014
  • ART599829