Health Professionals

Contact Information

Address:

 Pediatric Critical Care Medicine
1500 E. Medical Center Drive, SPC 5243
Ann Arbor, MI 48109-5243

Telephone:

 (734) 764-5302

Fax:

 (734) 232-4683

Pediatric Critical Care Medicine Roles:

 Division Director
Michael Quasney, MD, PhD
mquasney@med.umich.edu

Admin Asst to Division Director/Fellowship Coordinator
Pam Borton
pborton@med.umich.edu

Administrative Manager
Atanu Bhattacharya, MBA, MHSA
abha@med.umich.edu

Division Administrative Assistant
Ashley Felstow
afelstow@med.umich.edu

 

Education

CUSTER'S CORE CURRICULUM
CCCWe are proud to share a recent addition to our educational mission, Custer's Core Curriculum. Developed by one of our newest faculty and a former fellow, Dr. Kevin Kuo, it was developed in honor of the founding member of our division, Dr. Joe Custer, whose tireless efforts have benefited the lives of so many critically ill children and educated so many young physicians in our Pediatric Critical Care Medicine Fellowship Program.

 

FELLOWSHIP
mottThe University of Michigan Pediatric Critical Care Fellowship is an ACGME accredited program that offers comprehensive training in pediatric critical care and whose aim is to train the future leaders of pediatric critical care. Our clinical program is superb, with all pediatric subspecialty services represented as well as internationally recognized pediatric cardiothroacic surgery and ECMO programs. Fellows also have access to a wide range of mentors to pursue scholarly interests spanning from basic science, to translational, clinical, educational research. Opportunities exist to obtain additional training in Health Services Research, Clinical Research Design and Statistical Analysis, and Health Professional Education.
 Please see the fellowship tab for further details.

 

RESIDENCY
 Radiology ResidentsPediatric residency at the University of Michigan is a large program that offers superb clinical training in general pediatrics with exposures to virtually all pediatric subspecialties. Graduates of the program have been very successful in obtaining fellowships and positions throughout the country as general pediatricians. More information about the residency program can be obtained here.

 

MEDICAL SCHOOL
 aerialConsistently ranking among the top ten medical schools in the United States, the University of Michigan medical school is internationally renowned. Medical students routinely rotate through the pediatric critical care unit, offering their unique insight as well as opportunities for residents and fellows to teach. More information about the medical school can be found here.

 

 

Fellowship Detail

ABOUT THE FELLOWSHIP

For detailed information, please visit www.michiganPICUfellowship.com

HOW TO APPLY

The Pediatric Critical Care Program participates in the Electronic Residency Application Services (ERAS) Program as well as the NRMP Match Program. Our fellowship is designed to train physicians interested in pursuing an academic career in pediatric critical care medicine. Fellows come from a wide variety of training programs throughout the country with a diverse range of interests.

APPLICATION REQUIREMENTS

  • Please apply online through the Electronic Residency Application Service (ERAS). The application system opens on July 15.
  • We require that you submit your CV, personal statement, 3 letters of recommendation, Official Medical School Transcript, and USMLE Transcript. All documents should be transmitted through the ERAS system.
  • Interviews generally occur in September and October with the match occurring in early December.

Patient Care

The University of Michigan Pediatric Intensive Care Unit (PICU) at C.S. Mott Children's Hospital houses 22 beds for children with medical or surgical illnesses requiring the highest level of intensive monitoring or therapy. The PICU provides 24-hour care by a multidisciplinary care team of nurses, respiratory therapists, pharmacists, nutritionists -- all led by board-certified pediatric intensivists, critical care fellows, and pediatric residents. Our PICU enjoys an international reputation for excellence in the care of children with respiratory failure, especially those who require artificial organ support. The intensive care of asthma, increased intracranial pressure, respiratory failure, sepsis, multiple organ failure, nosocomial infections, bereavement, and teamwork are subjects of ongoing research. Nationally recognized programs in artificial organ support with extracorporeal membrane oxygenation (ECMO), hemodialysis and hemofiltration are unique to this critical care unit.

 

Special services and featured programs include:

  • Continuous Renal Replacement Therapies (CRRT)
  • ECMO Program (Ped-RESCUERS: ECMO mortality prediction tool)
  • Family-oriented psychosocial support
  • Family visitation
  • Inpatient consultation
  • Level I Pediatric Trauma Support
  • Non-invasive trend recording of physiologic data
  • Ongoing Basic Science, Translational, Clinical, and Outcomes Research
  • Organ Transplantation Support (heart, liver, kidneys, bone marrow)
  • Palliative Care Consultation Service
  • State-of-the-art invasive hemodynamic monitoring
  • State-of-the-art quality and performance benchmarking
  • U-M Survival Flight provides rapid, safe transport services
  • Telephone consultation (always available)

 

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History & Milestones of PCCM and the PICU

“Progress, far from consisting in change, depends on retentiveness. When change is absolute there remains no being to improve and no direction is set for possible improvement: and when experience is not retained, as among savages, infancy is perpetual. Those who cannot remember the past are condemned to repeat it.”  -- George Santayana

In 1984, the C.S. Mott PICU first opened – one year before Pediatric Critical Care Medicine became a board certifiable subspecialty. At this time, two thirds of the current PCCM faculty could have themselves been patients in the PICU. In another decade or so, no practicing intensivist will have a living memory of a time when PCCM did not exist as a subspecialty. The seasoned founders and leaders of the PICU, as all great teachers in clinical medicine, have passed on their knowledge and shared their experiences with their successors. We take this moment to reflect on the birth and maturation of our field and our ICU. Take a walk with us down memory lane…

 
1984• PICU (10 beds) Founded by Dr. Joseph Custer
• Adjacent Stable Ventilator Unit opened
• 1st chronically ventilated patient in Michigan discharged home
1985• PCCM subspecialty board certification begins nationally
• The University of Michigan recruits its 1st PCCM fellow: Dr. Frank Moler
• PICU expands to 14 beds
1986• First Code team formed of ICU Nurse and Fellow
• First non-neonatal ECMO patient at C.S. Mott Hospital
1987• First year PCCM Board Certification Exam offered by the ABP
• First High-Frequency Jet Ventilation (HFOV)
• First Mock Codes taught by ICU staff
1988• First Percutaneous ECMO Cannulation
1989• First Flexible Bronchoscopy in the PICU
1991• PCCM Fellowship becomes ACGME Accredited
• First Continuous Renal Replacement Therapy (CRRT)
1992• First High-Frequency Oscillatory Ventilation (HFOV)
• First Formal Quality Improvement Project: Reducing Unplanned Extubations
1994• PICU Moves to MCHC, expands to 16 beds
1995• First woman joins PCCM faculty: Dr. Norma Maxvold
• Family Centered Rounds (open visiting hours and families permitted on rounds)
2004• Dr. Tom Shanley becomes PCCM Division Director
2007• PICU selected as UMHS's "Clinical Services Program of the Year"
• PCCM Nurse Practitioner Program Begins
2008• PICU expands to 22 Beds with "PICU 2" unit
2011• Dr. Tom Shanley becomes Associate Dean for Clinical & Translational Research
• PICU Moves to new Children's & Women's Hospital, expands to 22 beds
• First in the world 3-D printed bronchial splint implanted to treat lethal malformation
2012• Dr. Michael Quasney becomes PCCM Division Director
2015• PICU Nurse Practitioner Program grows to 8 NPs, including School of Nursing leadership
• PICU founding faculty member, Dr. Joseph Custer, retires from clinical practice

 

 

Research and Publications

  link 

“Research, from bench to bedside, is one way that we are able to offer critically ill children the best evidence based care available.”

The Faculty in the Division of Pediatric Critical Care Medicine is involved in cutting edge research related to critical illness in children. Our research includes bench research using animals and tissue culture models, translational, clinical, quality improvement and health services research. Areas of interest include the host immune response in critical illness, the effect of genetic variants on severity of lung injury, hypothermia, epigenetics, ECMO, innovative device technologies, optimization of prehospital transport and patient safety, tight glucose control, blood transfusions, long term outcomes and quality of life. The division is supported by a highly trained and very experienced clinical research team. The Division is also actively involved in the Pediatric Acute Lung Injury and Sepsis Investigators Network (PALISI) and participates in studies sponsored by this group.

Dr. Tom Shanley, a member of the Pediatric Critical Care faculty, is the Associate Dean for Clinical and Translational Research, giving the division a direct connection to resources provided by Michigan’s CTSA center: MICHR. Recently, Dr. Frank Moler the primary investigator of the NIH funded clinical trial, Therapeutic Hypothermia After Pediatric Cardiac Arrest –THAPCA, published the results of the trial in the New England Journal of Medicine.

Faculty

Publication Links

Research Staff

Tsovinar Arutyunyan, MD whiteChaandini (CJ) Jayachandran, MSCCRP
Ryan Barbaro, MD, MSc whiteElise Corden
Nina Censoplano, DO white
Timothy Cornell, MD, FAAPex 
Joseph Custer, MDex 
Mary Dahmer, PhDex 
Rodney Daniels, MD, FAAPex 
Heidi Flori, MDex 
Kevin Kuo, MD white 
Frank Moler, MD, MSex 
Matthew Niedner, MDex 
Folafoluwa Odetola, MD, MPHex 
Michael Quasney, MD, PhDex 
Paula Silva, MDwhite 
Kristen Smith, MD white 

 

 

 

Affiliations

The University of Michigan Pediatric Critical Care Medicine group is committed to team science, national/international research networks, collaborative clinical care, transparency, and dissemination of effective practices. To that end, the division has cultivated a robust set of affiliations, both within and beyond the university.

External:

 PECARNPediatric Emergency Care Applied Research Network (PECARN)
 cpcrrnCollaborative Pediatric Critical Care Research Network (CPCCRN)
 CHAChildren's Hospital Association (CHA) - a merger of NACHRI & CHCA
 PALISIPediatric Acute Lung Injury & Sepsis Investigators (PALISI)
 VPSVirtual PICU Systems (VPS)

Internal:

 MICHRMichigan Institute for Clinical & Health Research (MiCHR)
 CHEARChild Health Evaluation & Research Unit at the University (CHEAR)
 MCIRCMichigan Center for Integrative Research in Critical Care (MCIRCC)

 

Outreach

The Division of Pediatric Critical Care Medicine participates in several international outreach activities. For example, Project Shunt has provided neurosurgical services since 1997 to children in Guatemala with neural tube defects. Guatemala has one of the highest incidences of spinal bifida because of dietary issues, genetic predisposition and poor prenatal care. Accomplished with donations and fund raising activities, it provides opportunities for faculty, fellows, and nurses to participate in annual medical missions providing much needed neurosurgical care to children who otherwise would not have access to such care. In addition to performing operations, the group provides teaching to other surgeons, nurses and parents.  An important educational objective was to improve the quality of life for children with spinal bifida and train the health care professionals in state-of-the-art management techniques. The team includes Dr. Gail Annich and Dr. Karin Muraszko, MD, Chair and Professor of Neurosurgery.

guate team 2

Additionally, Dr. Rodney Daniels is collaborating with the World Pediatric Project and physicians at Massachusetts General Hospital to help develop critical care services in the Dominican Republic. The Dominican Republic is one of the poorest countries in the western hemisphere and has an infant mortality rate 3x that in the US. A grant was recently submitted to the Rotary International to help fund this project.

Guatemala 2016

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Columbia 2016

In February 2016, Paula Silva, Jennifer Rosa, and Tsovic Arutyunyan, spent 10 days in Cartagena, Colombia, recovering little patients post cleft lip and palate repairs.  Children and their parents often traveled from remote towns and villages for the surgeries.  The mission was led by Dr. Bob Gilman, who is a UM plastic surgery faculty.  Most of the OR team came from Massachusetts General Hospital in Boston, MA.  They started the mission by screening over 100 children in the local Ronald MacDonald house.   They then recovered 59 of them after surgery, admitting and discharging from the local hospital.   
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Columbia 2015

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Guatemala 2015

 Guatemala 2015 Guatemala 2015