UCSF

1. UCSF/CHO Pediatric Critical CareFellowship Program

2. Overview Goals Training program Clinical Career development Mentoring Alumni Work environment Life in the Bay area

3. In a nutshell… The UCSF/CHO Pediatric Critical Care Program is a: Moderately sized Academically oriented fellowship Located in San Francisco and Oakland CA

4. Goals/Philosophy To train top notch competent, compassionate clinicians destined for success in academic environments Trainees will be well prepared to engage in meaningful research in a variety of fields related to critical care medicine To achieve this, we will provide: A strong clinical training program Exposure to basic, translational, and clinical research Opportunities to develop superior teaching skills Strong mentorship and career development

5. Overview of Training Program Fellow as Clinician Fellow as Investigator Fellow as Educator

6. Fellowship Overview 1st Year Master clinical critical care medicine Identify a career focus 2nd and 3rd Years (and…) Build a career focus Solidify clinical skills

7. Developing Fellows as Clinicians Nuts and bolts of year 1 (13: 4-week-rotations) Anesthesia (CHO) 1 ICU Service 8 Research 3 Vacation 1

8. Developing Fellows as Clinicians Nuts and bolts of year 2 ICU Service 5 Adult ICU 1 Research 6 Vacation 1 Nuts and bolts of year 3 ICU Service 2 Elective 1 Research 9 Vacation 1

9. Developing Fellows as Clinicians Formal clinical learning opportunities Fellow’s Conference Journal Club PICU & CICU M&M Conference Pre-Surgery Cardiac Cath Conference ECLS Conference Pediatric Grand Rounds Adult ICU Lecture Series Joint Pediatric, Adult, & Neonatal ICU Lectures

10. Developing Fellows as Clinicians Clinical Resources UCSF Children’s Hospital: 120 in-patient beds, 6,300 annual discharges, 50,000 clinic visits PICU: 14 beds; CICU: 8 beds, 9 intermediate beds ~1,200 annual ICU admissions, ~250 open cardiac cases Transplant - bone marrow, kidney, liver, small bowel Rapid deployment ECLS

11. Developing Fellows as Clinicians Clinical Resources Children’s Hospital Oakland: 170 in-patient beds, 9,200 annual discharges, 100,000 clinic visits, 26,000 annual ED visits PICU: 23 beds 1,800 annual ICU admissions, ~150 open cardiac cases Pediatric Trauma Center of Northern California

12. Developing Fellows as Clinicians: Night Call CHO: every 4th night UCSF: 2 week 12 hr PM shifts 2 weekends off per rotation Non-clinical months are call free except: 12 Saturdays (24 hr shifts) in 2nd and 3rd year

13. Building Your Career Goal: Train top notch clinicians for academically-focused careers What does it take to get a great academic job? Excellent clinician Tangible scholarly work: Clinical, translational, or basic research; Master Educator Board certification

14. Developing Fellows as Investigators Goals Help fellows develop academic focus and area of expertise Prepare fellows to secure K08 or K23 funding Enable graduates to launch successful academic careers as independent investigators

15. Developing Fellows as Investigators Options: Basic/Bench Research Translational Research Clinical Research Master Educator Finding a lab/mentor Not restricted to Division/Department Investigators at Parnassus, Mission Bay, CHORI, Berkeley, Lawrence Livermore, etc. are all potential choices

16. Developing Fellows as Investigators Research Resources UCSF: >1,200 active basic/translational science labs Cardiovascular Research Institute The Gladstone Institute Biomedical Sciences Training Program Program in Biological Sciences Children’s Hospital Oakland Research Institute (CHORI)

17. Developing Fellows as Investigators Research Resources (Clinical Science) Pediatric Clinical Research Center Department of Epidemiology and Biostatistics Training in Clinical Research Program (TICR) The Master’s Degree Program

18. Developing Fellows as Investigators Opportunities for all fellows Molecular Biology and Clinical Research Workshops (AACR/ASCO) Biomedical Sciences (BMS) Graduate Program Basic science courses Seminars CVRI Courses and seminars Biostatistics Science Writing Art of Lecturing TICR (Training in Clinical Research - 6 weeks) ATCR (Advanced Training in Clinical Research - 1 year) Molecular Medicine Weekly Conference

19. NIH T32: Research Training in Pediatric Critical Care Medicine 4 year program which includes 2.5 years of protected research training Both laboratory and clinical-translational tracks Diverse mentored research opportunities

20. NIH T32: Research Training: “The Perks” Multiple layers of supervision and mentorship Integrated with UCSF Fellow’s College Educational stipend Flexible clinical commitment Funds for TICR and Masters in Clinical Research

21. Developing Fellows as Educators Opportunities for teaching Resident Lectures Fellow’s Conference Division Meetings Chairman’s Rounds Noon Conference Bench to Bedside Teachable moments with residents and medical students

22. Developing Fellows as Educators Opportunities for the Master Educator career track Haile Debas Institute of Medical Education Development of exportable learning materials

23. Mentoring Program “Mentors don’t just give advice; they make things happen for your career” -Art Weiss School of Medicine Programs Graduate Program Seminar Series Departmental Fellows’ College Divisional Mentoring: Formal and informal Frequent feedback Division Scholarship Oversight Committee (SOC)

24. Fellows’ College Half-day workshop for all fellows, 3x per year Prepare fellows for successful academic careers Develop camaraderie Topics: Fellow as Clinician: How to do a consult; How to be an effective supervisor; Transition from 3rd year to Fellow Fellow as Investigator: Choosing a mentor/how to be a mentee; How to choose a lab; How to write a grant; How to give a research talk Fellow as educator: How to give a talk; Teachable moments Life after fellowship: Inside the NIH; Developing a CV; Managing Life; Job searches; Negotiating

25. UCSF/CHO Pediatric Fellowship Alumni-Track Record In past 10 years, 60% Academic University Appointments (18/30) 7 Directors of Critical Care Medicine; 2 Vice-Chairs Pediatrics; Director of PALISI 13 current NIH-funded graduates (2 of 5 PCCM K12 awards)

26. Environment The Hospital The People The Patients San Francisco

27. Work Environment: The Hospital UCSF Children’s Hospital Hospital within a hospital Tertiary to quaternary care facility in a University setting Educational focus Full ancillary pediatric trained support staff Intensive care PICU (31 beds) ICN (55 beds) Pediatric Clinical Research Center (PCRC) NIH-sponsored research center for diverse clinical trials Dedicated nurses, biostatistician, core laboratory Ambulatory Care Center Includes all specialty clinics

28. Work Environment: The Hospital Children’s Hospital Oakland Free-standing Children’s Hospital Pediatric trauma center of Northern California Very busy emergency department Intensive care PICU (23 beds) ICN (55 beds) CHORI NIH-sponsored research center for diverse clinical trials Dedicated nurses, biostatistician, core laboratory Ambulatory Care Center Includes all specialty clinics

29. Work Environment: The People Team-oriented approach to care Diverse ICU faculty doctors 9-11 fellows Nurse practitioners Clinical nurse specialists Palliative care coordinator Discharge planners Social workers Dedicated pharmacist Dedicated nutritionist Pediatric PT/OT/speech therapists Child-life specialists Spiritual care specialists Educational liaison

30. Work Environment: The People

31. Strengths of clinical service Integration/collaboration of laboratory scientists and clinicians Great Housestaff Awesome Fellows Exceptional Ancillary Support

32. Work Environment: The Patients Families from many different cultures with diverse socioeconomic status Large referral base

33. Environment: Life in the Bay Area Benefits: MANY! Culturally, extremely diverse Geographically small (a “walk-around” city) Unique weather (subtropical, never snows or freezes) (But driving distance to snow!) Food and fun capital of the U.S. “Outdoors Unlimited”—land, sea, sky Just a cool place to be!

34. Environment: Life in the Bay Area Challenges: Cost of housing--$$ Unique weather--cool, fog Earthquakes (only occasionally!) Solutions: Modest housing in a good neigh- borhood Public transportation savings NEW!!--$500/month housingallowance Many on-line rental agencies Local landlords prefer residents and fellows

35. Environment: Life in the Bay Area

36. Special Learning Opportunities NIH T32 - Research Training International Health Masters In Public Health - UC Berkeley Masters in Clinical Research (TICR) Sponsored International Conferences

37. UCSF/CHO Pediatric Fellowship Training Program Fellows who thrive (not just survive) in our program: Embrace diversity Desire an environment small enough for personalized attention but big enough to achieve the critical mass necessary for an excellent education Like to work hard and play hard and HAVE FUN!!!