Timeline for PICU Resident Rotation - Nemours



Timeline for PICU Resident Rotation

|1984 |  |A. I. duPont Institute, new Hospital Building Opens |

|  |  |  |

|1988 |January |A. I. duPont Institute PICU Opens with four beds |

|  |  |Robert Kettrick MD, Chairman, Department of Pediatric Anesthesiology and |

| | |Critical Care, Director PICU |

|  |  |  |

|1991 |  |Steve Lawless MD, new Medical Director, PICU |

|  |  |  |

|1992 |  |Thomas Jefferson Pediatric Residency Program moves to A. I. duPont |

| | |Institute under the direction of Residency Director, Dr. Weiss |

|  |  |2nd-year pediatric residents start in the 16-bed PICU |

|  |  |Medical Center of Delaware Emergency Medicine 2nd-year residents start in |

| | |PICU |

|  |  |  |

|1993 |  |Rob Walter, MD, named new Residency Director Thomas Jefferson Pediatric |

| | |Residency Program |

|  |  |Thomas Jefferson Emergency Medicine 2nd-year residents begin in PICU |

|  |  |Abstract: |

|  |  |  |

| | |Lawless S, Kettrick R, Donar-Reale M, David Corddry, John McCloskey: |

| | |Utilizing a program of continuing quality improvement to evaluate |

| | |residents impact on a pediatric ICU (PICU). Abstr.Pediatric Research 1993;|

| | |33: 700A |

|  |  |  |

|1994 |March |First Education Focus Group Meeting of Division of Critical Care Medicine,|

| | |Alfred I. duPont Institute, Thomas Jefferson University and Medical Center|

| | |of Delaware, chaired by Robert Kettrick, MD |

|  |  |  |

|  |September |Formalized PICU Educational Program begins at A. I duPont Institute PICU |

|  |  |PICU Resident Rotation Coordinator Edward J. Cullen, Jr., DO |

|  |  |Multidisciplinary instructors involved in PICU Resident Education |

|  |  |  |

| | |Maryann Cunningham, Nursing Bad News Sept. 1994 - June, 1996 |

|  |  |  |

| | |Mary Jo Rose, RN - Mock Codes 1994 -1997 |

|  |  |  |

|1995 |June |University of Pennsylvania Pediatric Critical Care Nurse Practitioner |

| | |Student |

|  |  |  |

|  |July |Mission, Vision, Values statement from Nemours |

|  |  |  |

|  |August |Second Education Focus Group of Division of Critical Care Medicine, Alfred|

| | |I. duPont Institute, Thomas Jefferson University and Medical Center of |

| | |Delaware , Chaired by Robert Kettrick, MD |

|  |  |Multidisciplinary instructors involved in PICU Resident Education |

|  |  |  |

| | |Mary Donar-Reale, RN, MSN Care of Children with Chronic Trach / Vent Care |

| | |Needs, 12/95 - present |

|  |  |  |

| | |Shamin Tejani, PharmD Inotropes & Vasodilators; TPN in the PICU, 3/95 - |

| | |present |

|  |  |  |

| | |Radiologists - bimonthly X-ray Rounds, 4/95 7/96 |

|  |  |  |

|1996 |January |Dave Corddry, MD, new Chairman, Department of Pediatric Anesthesiology and|

| | |Critical Care |

|  |  |  |

|  |April |Vinay Nadkarni, MD, new Medical Director, PICU |

|  |  |  |

|  |May |Abstract and Poster Presentation |

|  |  |  |

| | |Cullen E, Lawless, ST, Nadkarni VM, McCloskey JJ, Corddry DH, Kettrick RG |

| | |(sponsored by Alan Spitzer) Department of Anesthesia/Critical Care, A. I. |

| | |duPont Institute, Wilmington, DE: Assessing Resident (RES) Education in |

| | |the Pediatric ICU (PICU). Abstr. Pediatric Res 1996; 39: 777A |

|  |  |  |

| | |American Pediatric Society, the Society for Pediatric Research, |

| | |Washington, DC, May, 1996 |

|  |  |  |

|  |June |Our PICU Resident Program becomes involved with the SCCM Pediatric |

| | |Resident Education Committee |

|  |  |  |

|  |July |PICU Residents are asked by Pediatric Residency Program and Neonatology to|

| | |cover SNICU on nights and weekends. Neonatologists provide weekly |

| | |Interactive NICU Rounds and NICU Mock Codes during PICU rotation |

|  |  |Multidisciplinary Instructors involved in PICU Resident Education |

|  |  |  |

| | |Diane Necastro, Social Service Bad News / Loss, Grief, Mourning, 7/96 - 98|

|  |  |  |

| | |Radiology - Monthly PICU Radiology Rounds, Case Conferences, 7/96 7/97 |

|  |  |  |

| | |Erin McCloskey, RN Mock Codes and Transport, 1996 -97 |

|  |  |  |

| | |Cindy Harris, Computer Training - Jeffline Access in PICU Intro to |

| | |residents, 7/96 - 6/97 |

|  |  |  |

|1997 |February |Vinay Nadkarni, MD, presents information about our PICU Resident Rotation |

| | |efforts to the SCCM Pediatric Resident Education Committee at its annual |

| | |meeting, 2/9/97 |

|  |  |  |

|  |March |Dave Berger begins designing and creating our Access PICU Resident |

| | |Education Data Base |

|  |  |  |

|  |May |Abstract and Poster Presentation |

|  |  |  |

| | |Cullen E, Lawless ST, Corrdry DH (Spon. by John Stefano) Pediatric |

| | |Anes/Critical Care, duPont Hospital for Children, Wilmington, DE: The |

| | |Mismatch Between Attending (Attnd)and Resident (Res) Desired Education |

| | |Delivery Styles in Pediatric Intensive Care (PICU). Abstr. Pediatr Res |

| | |1997; 41: 1774A |

|  |  |  |

| | |American Pediatric Society/The Society for Pediatric Research, Washington,|

| | |DC, May 1997 |

|  |  |  |

|  |July |Monthly Individualized Resident Reports Pre- and Post-rotation block |

| | |distributed to the Critical Care Physicians to help acquaint them with the|

| | |new residents and give immediate resident feedback about the PICU rotation|

| | |experience |

|  |  |Interactive PICU Teaching Rounds replace formal lectures by the Critical |

| | |Care Physicians |

|  |  |Residents given choice of PICU Rotation Exit Test: Oral Interview, |

| | |Presentation or Essay Response to two pediatric critical care scenarios |

|  |  |Multidisciplinary Instructors involved in PICU Resident Education |

|  |  |  |

| | |Radiology - Daily PICU X-ray Reviews with radiologist, 7/97 6/98 |

|  |  |  |

| | |Donna Corddry, RN, Mock Codes 1997 - present |

|  |  |  |

| | |Nancy Blackburn, RN, Mock Codes 1997 - present |

|  |  |Intranet PICU Resident Education Web Page initial development with Karen |

| | |Hartis and Dan Hart |

|  |  |  |

|  |September |Poster Presentation |

|  |  |  |

| | |Cullen E, Lawless ST, Corrdry DH, Pediatric Anes/Critical Care, duPont |

| | |Hospital for Children, Wilmington, DE: The Mismatch Between Attending and |

| | |Resident Desired Education Delivery Styles in Pediatric Intensive Care |

|  |  |  |

| | |Tenth Annual Pediatric Critical Care Colloquium, Sept 19, 1997, Hot |

| | |Springs, Arkansas |

|  |  |  |

|  |November |Original Article |

|  |  |  |

| | |Edward J. Cullen, DO; Stephen T. Lawless, MD, MBA, FCCM; Vinay M. |

| | |Nadkarni, MD; John J. McCloskey, MD; David H. Corddry, MD; Robert G. |

| | |Kettrick, MD. Evaluation of a pediatric intensive care residency |

| | |curriculum. Crit Care Med 1997; 25: 1898-1903 |

|  |  |Editorial Response |

|  |  |  |

| | |Timothy S. Yeh. Give a little, take a little: Resident education in the |

| | |evolving healthcare environment. Crit Care Med 1997; 25:1782 |

|1998 |July |SCCM Pediatric Resident Education Committee distributes first national Pre- and |

| | |Post-tests for PICU rotation residents. This replaces our optional PICU Exit Tests|

| | |and compliments our PICU pre-test (Edward J. Cullen, Jr., DO, a contributor to |

| | |test) |

|  |  |Residents have time in the operating room with John McCloskey, MD, in order to |

| | |practice pediatric intubations under controlled situations |

|  |  |Multidisciplinary instructors involved in PICU Resident Education |

|  |  |  |

| | |Julie Harrison, RT, and Dawn Selhorst, RT - Introduction to Ventilators, BiPAP |

| | |Negative Pressure Ventilator July, 1998 ? present |

|  |  |Converting monthly PICU resident individualized files to a monthly updated menu |

| | |page that critical care attendings can access in order to learn about new |

| | |residents and get immediate feedback about the previous months rotation (menu page|

| | |developed by Dave Berger) |

|  |  |Dave Berger designing menu page for our Intranet Web page that will allow access |

| | |to PICU Resident Education facts from 1994 to present |

|  |  |Re-evaluating our available time / resources and clinical ? research - |

| | |administration commitments and their impact on maintaining the one month PICU |

| | |Resident Rotation |

|  |  |Steve Selbst, MD, becomes new Residency Director for the Thomas Jefferson |

| | |Pediatric Residency Program |

|  |  |  |

|  |November |Increased clinical load / night call due to loss of one critical care physician |

|  |  |Increased clinical load for critical care physicians leads to: |

|  |  |Interactive rounds changed to occur during clinical rounds |

| | |Initially oral interviews continued at end of month as a teaching tool to |

| | |compensate for less formal interactive rounds; dropped soon thereafter due to lack|

| | |of time with increased clinical needs |

| | |OR time less consistent for residents |

| | |Weekly resident status updates initiated but becomes harder to accomplish on |

| | |routine basis |

|1999 |January |Abstract |

|  |  |  |

| | |Vinay Nadkarni, Edward Cullen, Stephen Lawless, John McCloskey, David Corddry. |

| | |Jefferson Medical College, AI duPont Hospital for Children, Wilmington, DE. |

| | |Resident Pediatric Specific Cardiopulmonary Resuscitation Experience Prior To |

| | |Entering A Second Year PICU Rotation. Abstr. Crit Care Med 1999 Vol 27, No 1 |

| | |(Supple) A102 |

|  |February |Meeting with Pediatric Residency Program to discuss concerns about PICU Rotation: |

|  |  |Autonomy issues: residents are not enough of a part of decision making process |

| | |Very few "dedicated" teaching rounds |

| | |Few or no didactic lectures |

| | |Residents not allowed to do procedures even when they are available |

|  |  |SCCM, Pediatric Resident Education Committee meeting |

|  |  |  |

| | |Informal consensus that what we are actually teaching during the PICU rotation is |

| | |acute care pediatrics. Nuances (modes of ventilation, NO, ECMO, etc) should be |

| | |left to fellow level training. It was felt that we need to train pediatric |

| | |residents to recognize and stabilize critically ill children. We need to teach the|

| | |"basics" |

|  |  |Critical Care Attendings from Wilmington and Florida sites PICUs met and discussed|

| | |ways to interact between sites including resident education |

|  |  |  |

| | |  |

|  |April |Abstracts |

|  |  |  |

| | |Edward J Cullen, Stephen T Lawless, Vinay M Nadkarni, John J McCloskey, David |

| | |Corddry. Pediatric Anesthesia and Critical Care, Alfred I. duPont Hospital for |

| | |Children, Wilmington, DE (Sponsored By: John L Stefano). Adjusting to Resident |

| | |Learner (RL) Needs During Pediatric (PICU) Rotation. Abstr. Pediatr Res 1999; 45: |

| | |76A |

|  |  |  |

| | |Edward J Cullen, Stephen T Lawless, Vinay M Nadkarni, John J McCloskey, David |

| | |Corddry, Pediatric Anesthesiology and Critical Care Medicine, Alfred I. duPont |

| | |Hospital for Children, Wilmington, DE. (Sponsored By: John L Stefano). Does |

| | |Pediatric ICU (PICU) Residency Curriculum Match General Pediatric Practice (GP) |

| | |Needs? Abstr. Pediatr Res 1999; 45: 76A |

|  |  |  |

| | |Edward J Cullen, Stephen T Lawless, Vinay M Nadkarni, John J McCloskey, David |

| | |Corddry. Pediatric Anesthesiology and Critical Care, Alfred I. duPont Hospital for|

| | |Children, Wilmington, DE. (Sponsored By: John L Stefano). PICU Resident Learner |

| | |(RL), Resident Educator (RE) and Utility Scores. Abstr. Pediatr Res 1999; 45: 76A |

|  |  |Our Web page will interact with other sites that are already involved in resident |

| | |educational activities including the PedsCCM Web site which is developing a |

| | |pediatric critical care medicine on-line lecture series |

|  |  |Continuous Quality Improvement issues that require ongoing attention: |

|  |  |How Do We Know That Information We are Teaching Is Correct and Updated? |

| | |How Best to Present the Above Info During a PICU Rotation? |

| | |Do Residents Who Come Through Our PICU Need the PICU Experience for Their Future |

| | |Practice Settings? |

| | |How Do We Evaluate if the PICU Rotation Provides Residents With the Skills to |

| | |Recognize and Stabilize a Critically Ill Child/ Adolescent? |

|  |July |Scott Penfil, MD, joins Pediatric Critical Care staff |

|  |  |Weekly interactive teaching rounds and oral interviews re-introduced into PICU |

| | |rotation |

|  |  |  |

|  |August |Jim Hertzog, MD, joins Pediatric Critical Care staff |

|  |  |  |

|  |September |Monthly Pediatric Chief Resident directed PICU Resident Evidence Based Medicine |

| | |Clinical Practice Journal Club begins (ran through December 1999) |

|  |  |  |

|  |October |Begin introduction of evidence based clinical practice principles during PICU |

| | |rounds through the educational prescription technique. Residents will be |

| | |introduced to the EBCP principles for asking focused clinical questions on patient|

| | |problems, searching for information, evaluating the validity / results / and |

| | |applicability to patient care |

|  |  |Cerner computer system introduced |

|  |  |  |

|2000 |February |Jeanette Murphy, computer instructor, spends one hour during the first rotation |

| | |week with new PICU residents on specific PICU Cerner computer ordering |

|  |  |  |

|  |April |Critical Care Journal Club resumes: Basic Science Article and Clinical Article |

| | |with Evidence Based Clinical Practice review |

|  |  |  |

|  |May |David Corddry, MD, relinquishes Anesthesiology & Critical Care Chairman position |

|  |  |Steve Lawless, MD, Interim Chairman, Department of Anesthesiology & Critical Care |

|  |  |  |

|  |July |Oral interviews discontinued |

|  |  |  |

|  |August |Nemours Education Innovation Program Application: Promoting PICU Evidence-Based |

| | |Clinical Practice |

|  |  |  |

|  |September |Kathleen Bradford, MD, joins Pediatric Critical Care staff |

|  |  |  |

|  |October |PICU Resident Rotation Goals updated to meet Thomas Jefferson Pediatric Residency |

| | |needs |

|  |  |  |

|2001 |January |PICU Resident Rotation information initiated through Nemours Intranet under a |

| | |developing Anesthesiology & Critical Care Web site |

|  |  |  |

|  |February |Edward J Cullen, Stephen T Lawless, Vinay M Nadkarni, Scott Penfil, James H |

| | |Hertzog David E Corddry. GME Reimbursement for PICU Resident Training, Is It |

| | |Enough? |

|  |  |Crit Care Med 2000; 28 (12) Suppl 424/T11, A146 |

|  |  |  |

|  |March |Nemours Education Innovative Program project entitled Promoting PICU Evidence |

| | |based Clinical Practice begins March 1 for a one year period |

|  |  |  |

|  |July |Kathleen Bradford, MD, new Associate Director, Thomas Jefferson Pediatric |

| | |Residency Program |

|  |  |Andrew T. Costarino, Jr., new Chairman, Department of Anesthesiology and Critical |

| | |Care |

|  |  |  |

|  |August |PICU Resident Rotation web site opens on the Nemours Foundation Internet site |

|  |  |  |

|  |October |Vinay Nadkarni, MD, departs Alfred I. duPont Hospital for Children |

| | | |

| |December |Clinical Research Project, Accidental Extubation in the PICU |

|2002 |January |University of Pennsylvania Pediatric Critical Care Nurse Practitioner Student |

| |March |Begin second year grant from Nemours Education Innovation Project: Promoting PICU |

| | |Evidence Based Clinical Practice |

| |June |University of Pennsylvania Pediatric Critical Care Nurse Practitioner Student |

| |July |Glenn Stryjewski, MD and John McCloskey, MD join Critical Care. |

| | | |

| | |PICU residents receive an hour introduction to Evidence Based Clinical Practice. |

| | |They use these skills to address a focused clinical question during two |

| | |interactive sessions on ARDS and Sepsis. |

| | | |

| | |A Critical Care attending mentor is assigned to each PICU resident for the month |

| | |rotation. |

| | |Mock Codes at Christiana Care are briefly reduced to once a month then to twice a |

| | |month. |

| | |Journal Club reinstituted. |

| | | |

| | |PICU residents requested to present a PICU patient to hospital resident morning |

| | |report on 2nd Tuesday and 3rd Thursday of rotation block. |

| | | |

| | |Neonatology interactive rounds discontinued. |

| | | |

| | |Transport/OR-Intubation/Sedation Elective for residents - coordinated by Jim |

| | |Hertzog, MD. |

| | | |

| | |Shamin Tejani, Clinical Pharmacist, offers monthly lecture on Immunosuppressive |

| | |Medications for Patients with Organ Transplants. |

| | | |

| | |Alfred I duPont Hospital for Children GME office discussion about resident |

| | |restricted duty work hours due to take effect in July 2003. |

| | | |

| | |All desktop computers in the PICU have access to PICU Vividesk, an Internet |

| | |resource for Evidence Based Clinical Practice and Search engines. |

| |August |PICU Resident rotation post-test now on-line from the SCCM Pediatric ICU Resident |

| | |Education Committee |

| | | |

| | |John Giamalis, Clinical Pharmacist, joins PICU rounds. |

| |September |ACGME Outcome Project and general competencies discussed at meeting with Thomas |

| | |Jefferson University GME Subcommittee. |

| |December |Radiologist comes to PICU Monday through Friday morning in order to review patient|

| | |radiographs with PICU team. |

|2003 |January |Begin third year Nemours Education Innovation Grant: Promoting PICU Evidence Based|

| | |Clinical Practice. Closer interaction with Centre for Health Evidence and upgrade |

| | |of PICU Vividesk to Nemours Users Guides Interactive Desktop |

| | | |

| | |Jim Hertzog, MD, continues his Nemours Education Innovation Grant studying a |

| | |Mechanial Ventilator Laboratory for Residents. |

| |April |All PICU bedside wireless computers have access to Nemours Users Guides |

| | |Interactive Desktop |

| |June |Division Teaching Award is presented to Critical Care Medicine by the Thomas |

| | |Jefferson University Pediatric Residents |

| |July |Edward Cullen, Stephen Lawless, James Hertzog, Scott Penfil, Kathleen Bradford, |

| | |Vinay Nadkarni, David Corddry, Andrew Costarino, A Model of Determining a Fair |

| | |Market Value for Teaching Residents. Who Profits? Pediatrics 2003; 112(1):40-48 |

| | | |

| | |Pediatric Critical Care Medicine Fellowship begins under direction of Scott |

| | |Penfil, MD |

| | | |

| | |Caroline Boyd MD begins Pediatric Critical Care Medicine Fellowship |

| | | |

| | |PICU Residents can now fill out on-line the pre and post rotation questionnaires |

| | |and tests as well as Nemours Education Innovation Grant questionnaires and tests. |

| | |Pharmacy Residency Program begins rotating through the PICU under the leadership |

| | |of Shamin Tejani, clinical pharmacist |

| | |Alfred I duPont Hospital for Children Graduate Medical Education (GME) |

| | |office begins its official oversight of local medical training |

| | |Alfred I duPont Hospital for Children Graduate Medical Education (GME) |

| | |office begins its official oversight of local medical training |

| | |New ACGME Resident Duty Hours Take Effect |

| | |Duty Hours |

| | |80 hours per week, averaged over 4 weeks. May increase by 10% in some |

| | |circumstances. |

| | |One day off out of seven, averaged over 4 weeks. |

| | |No in-house call more than once every three nights, averaged over 4 weeks. |

| | |24 hours on call, maximum, with up to six additional hours to hand off patients |

| | |and attend educational activities. |

| | |10 hours off between duty periods and after in-house call. |

| | |High Quality Education and Safe and Effective Patient Care |

| | |Priority of clinical and didactic education in the allotment of residents? time |

| | |and energies. |

| | |Schedules of teaching staff structured to provide ready supervision and faculty |

| | |support/consultation to residents on duty. |

| | |Duty hour assignments that recognize that faculty and residents collectively have |

| | |responsibility for patient safety and welfare. |

| | |Monitor residents for the effects of sleep and fatigue by Program director and |

| | |faculty with appropriate action when it is determined that fatigue might affect |

| | |safe patient care or learning. |

| | |Education of faculty and residents in recognizing the signs of fatigue and in |

| | |applying preventive and operational countermeasures. |

| | |Appropriate backup support when patient care responsibilities are difficult and |

| | |prolonged, and if unexpected needs create resident fatigue sufficient to |

| | |jeopardize patient care |

|2004 |January |PICU continues to participate in the fourth Nemours Education Innovation Grant: |

| | |Promoting Evidence Based Clinical Practice |

| | | |

| | |Society of Critical Care Medicine now houses the Pediatric Critical Care Resident |

| | |powerpoint presentations and post-PICU test. Our PICU continues to participate. |

| |June |Kathleen Bradford, MD departs PICU |

| |July |Nicholas Slamon, MD begins Pediatric Critical Care Medicine Fellowship |

| |September |John McCloskey MD and Glenn Stryjewski MD depart PICU. |

| | |  |

| | |Computer difficulties with powerpoint presentations and SCCM test page as well as |

| | |removal of Interactive Teaching Rounds due to reduced critical care physician |

| | |staff decreased efectiveness of PICU resident educational process. |

| | |  |

| | |Ilene Sivikoff takes over data entry responsibilities for PICU Resident Data Base.|

| | | |

| | |Clinical Research Project, SIRS in Pediatrics |

|2005 |Jaunary |Nemours Education Committee - Grant to Promote Evidence Based Clinical Practice |

| | |throughout the Nemours Foundation, |

| | |  |

| | |PICU Article Collection developed for the Nemours UGI Desktop |

| |June |Tania Burns MD joins the pediatric critical care staff. |

| | |  |

| | |Scott Penfil MD receives Teaching Award from Thomas Jefferson Emergency Medicine |

| | |Residency Program. |

| |July |New combined PICU Resident and Critical Care Attending daily progress note |

| | |instituted. |

| | |  |

| | |PICU Residents are asked to hand in a critically appraised topic on a pediatric |

| | |critical care patient problem. A copy will be forwarded to their respective |

| | |program directors at the completion of the PICU rotation. Additionally, PICU |

| | |Resident test scores on the national Society of Critical Care Medicine Post-PICU |

| | |Rotation Test will be sent to residents’ respective program directors. |

| |August |Brian Binck MD joins the pediatric critical care staff. |

|2006 |May |Anesthesiology and Critical Care Medicine and Sedation develop Team Projects: |

| | |Patient Care; Learning Environment; Organization Support and Leadership; |

| | |Respectful Workplace and Family Centered Care. PICU Resident and Fellowship |

| | |activity included in Learning Environment Team. |

| |June |Nicholas Slamon, MD, Pediatric Critical Care Fellow, receives Teaching Award from |

| | |Thomas Jefferson Pediatric Residents |

| |July |Rahul Bhattia, MD and Meg Fizzola, MD begin Pediatric Critical Care Medicine |

| | |Fellowship. |

| | |Alfred I duPont Hospital for Children designated as Levell III Trauma Center |

| | |Caroline Boyd MD begins joint appointment with Pediatric Critical Care and |

| | |Pediatric Cardiac Critical Care |

| |August |Glenn Stryjewski, MD joins Pediatric Critical Care and as Associate Director |

| | |Thomas Jefferson Pediatric Residency |

| | | |

| | |Clinical Research Project, BiS Monitor Use in Peds |

|2007 |June |Nick Slamon, MD graduates from Critical Care Medicine Fellowship |

| | |Recipient of Thomas Jefferson University Pediatric Residency Program Fellow |

| | |Teaching Award |

| |July |Kevin Couloures DO begins Critical Care Fellowship program |

| |July |Mentor program for residents during their PICU rotation discontinued |

| | |Pediatric residents do 8 weeks in the PICU during their second residency year |

|2009 |February |Glenn Stryjewski MD initiates PICU Systems Based Project: Quality Improvement Case|

| | |Analysis.Eaxch resident is asked to identify a PICU problem and suggest ways to |

|  | |make improvements. |

| |April |Epic Medical Record goes live. Cerner ordering system discontinued. Visiting PICU |

| | |residents need to take a 4 hour on-line computer training session before starting |

| | |their PICU rotation and then complete 4 hours of instructor led training when they|

| | |arrive for their PICU rotation. |

| |June |Faculty Teacher of the Year Award. |

| | |For outstanding Teaching and Dedication to the Education of the Pediatric |

| | |Residents. |

| | |Selected by the Pediatric Residents |

| | |  |

| | |Scott Penfil MD |

| | |Glen Stryjewski MD |

| | | |

| | |Rahul Bhatia, MD - completes Pediatric Critical Care Fellowship |

| |July |New SCCM pre and post test as well as audio powerpoints for Residents during their|

| | |PICU Rotation |

| | | |

| | |Yosef Lowenbrown DO begins Pediatric Critical Care Fellowship |

| | | |

August Brian Binck MD departs PICU staff.

RESTORE clinical study begins

  September Heather Sobolewski RN, Simulation Lab Coordinator,brings simulation manikin and equipment to the PICU for our weekly Friday 2PM PICU Mock Code.

Each PICU resident receives a copy of Rogers' Handbook of Pediatric Intensive Care (Fourth Edition) for their personal use during their PICU rotation.

 

PICU Radiology Review with Staff Radiologists Monday-Friday changed to 1130 in PICU.

Visiting PICU residents do all their EPIC Medical Record training online prior to their PICU rotation

October

Daily PICU Resident Progress switched from paper note to part of computerized EPIC medical record.

November

Meg Frizolla DO completes Pediatric Critical Care fellowship

December

Meg Frizolla DO joins Pediatric Critical Care attending staff

Several pediatric critical care department secretary staff changes

2010

January

Caroline Boyd MD departs PICU and begins full time in pediatric cardiac intensive care unit. ECMO medical director.

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