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| Practicing procedures |
Residents gain experience in Critical Care Medicine during both the PL-2 and PL-3 years. PL-2 residents complete a rotation in the 29-bed Medical-Surgical Intensive Care Unit (MSICU) at Children's Hospital. In the PL-3 year, senior residents rotate as the sole resident in the 6-bed pediatric ICU (PICU) at Boston Medical Center and in the 12-bed Medical ICU (MICU) at Children's Hospital Boston.
All junior residents rotate for at least one month through the MSICU at CHB. In the MISCU, junior residents serve as the primary provider for medical patients and participate in daily rounds and family meetings. They attend morning conference four mornings per week for 45 minutes as part of a comprehensive didactic curriculum that includes formal mock code sessions delivered in the sophisticated simulator suite. Attendings present a formal debriefing after each mock code using video from the simulation. There are also four sessions weekly focused on procedures and emergency scenarios, with the assistance of simulation.
Most senior residents also have an ICU experience in either the CHB MICU or BMC PICU. As neither unit is staffed by critical care fellows, these experiences help residents develop crucial decision-making skills with the guidance of the ICU attending. Key skills developed during these rotations include: ventilator management, airway management, procedural skills (including placing central venous lines, arterial lines and chest tubes) and providing hemodynamic support. There is a series of lectures on intensive care topics by the faculty of each unit.
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