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About Us |
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Pediatric Critical Care Medicine at Children's Hospital Boston, like the growth of the discipline itself, can be viewed as entering its third generation.
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The first generation, led by anesthesiologist Robert Crone, MD, began in 1981 and consolidated resourses and personnel into one intensive care unit, known at that time as the Multidisciplinary Intensive Care Unit. This allowed for effective multidisciplinary collaboration with consistent approaches to the treatment of critically ill children. It also introduced sophisticated modalities such as extracorporeal membrane oxygenation (ECMO).
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The second generation was led by Robert Truog, MD from 1993 to 2004. This period was marked by the increased reliance, across the institution, on the intensivist-led team in guiding the care of critically ill surgical and medical patients. Dr. Truog built a diverse and talented staff in the Division of Critical Care Medicine while raising clinical care and academic productivity to the highest levels.
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Now, the Division of Critical Care Medicine at Children's is in its third generation. In 2005, following a national search, Jeffrey Burns, MD, MPH was appointed Chief of the Division of Critical Care Medicine and was the first incumbent of the Edward & Barbara Shapiro Chair of Critical Care Medicine.
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The accomplishments of the Division of Critical Care Medicine are of the highest excellence across the three core missions: clinical care, research and teaching.
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- The MSICU at Children's has consistently had excellent outcomes, with more than 2,000 admissions per year and a survival rate of 98 percent, providing care for a broad class of critically ill children. The MSICU, which spans all medical disciplines, includes one of the largest pediatric ECMO programs in the United States.
The September 2003 introduction of the "closed-unit" intensivist-attending model concept, and the November 2004 implementation of in-house attending coverage, have strengthened the faculty's ability to meet the dual challenges of increasingly complex patient care and the supervision of trainees -- the next generation of critical care medicine experts.
- The division is academically productive, with its faculty presently including one professor, five associate professors, one clinical associate professor, four assistant professors and eight instructors.
National Institutes of Health grant activity among the faculty includes two RO1 awards, a K-O8 award, one R21 award, one K-23 award, and one K-12 award.
- Excellence in teaching is an especially strong feature of the division. In the past four years alone, two faculty were awarded the Department of Medicine's Janeway Award, and one the Anesthesia Department's Teacher of the Year Award.
The critical care medicine fellows have won the Department of Medicine's Fellow Teaching Award for the past two years. In addition, the Fellowship has consistently matched its top prospects for each of the seven years that the MATCH has been in existence, while the housestaff have consistently ranked the MSICU as the best, or among the best, educational rotations in the entire Boston Combined Residency Program.
- The division's faculty hold important leadership positions in national and international organizations.
Adrienne Randolph, MD, MSc, is chair and founder of Pediatric Acute Lung Injury and Sepsis Investigators (PALISI), the largest collaborative of pediatric intensive care units in North America, which is united to perform clinical trials in pediatric critical care.
Dr. Burns is chair of the Society of Critical Care Medicine's Fellowship Director's Committee and vice chair of IPOKRaTES International, the largest European-American pediatric teaching consortium.
Monica Kleinman, MD, is a member of the American Heart Association's Pediatric Advanced Life Support national faculty, and serves as Chair on the Pediatric Subcommittee of the National Emergency Cardiovascular Care Committee. She has also been named as co-chair of the Pediatric Task Force for the International Liaison Committee on Resuscitation (ILCOR), the international consortium that develops consensus statements on resuscitation science and treatment recommendations.
Dr. Truog is the Director of Medical Ethics at Harvard Medical School. He also serves as chair of the newly created Harvard Embryonic Stem Cell Research Oversight Committee (ESCRO), which will have a leadership role in developing standards for the development and banking of stem cells, as well as for their use in controversial research such as the creation of human/animal chimeras.
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The Division's leadership responsibilities at Children's Hospital Boston are extensive, and include a broad range of programs vital to the functioning of the institution, including:
- MSICU
- Transport Program
- Simulator Program
- Respiratory Care & ECMO Program
- Code Team & CPR Committee
- PALS (Pediatric Advanced Life Support) Program
- Program for Patient Safety & Quality
- Institute for Professionalism & Ethical Practice (IPEP)
- Program to Enhance Relational & Communication Skills (PERCS)
- Ethics Committee
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Furthermore, the division's responsibilities extend beyond the walls of Children's Hospital Boston, to include leadership roles in the following:
- The Pediatric Intensive Care Unit at Boston Medical Center
- The Department of Pediatrics at South Shore Hospital.
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