University of Iowa Hospitals and Clinics Program

The Pediatric Critical Care Medicine Fellowship Program offers a unique training experience designed to cultivate expertise in patient care, education, and research within pediatric intensive care. The program prioritizes the well-being of its fellows, ensuring a balance between clinical responsibilities and personal health.

Clinical Training Overview

Fellows participate in managing patients directly, dividing time between daytime teams and various electives. The clinical setting includes a specialized 28-bed unit that caters to both medical/surgical cases and congenital cardiac patients, located within the University of Iowa Stead Family Children's Hospital, a quaternary referral center for a substantial rural population. The institution is recognized for handling diverse patient cases, from standard conditions to rare disorders. It stands out as a Level 1 pediatric trauma center, and is notably equipped with an ECMO program that has garnered an ELSO "Platinum" distinction, marking it as one of the top 30 ECMO programs worldwide 1.

Educational Curriculum

The educational component of the fellowship is led by the Associate Program Director, who emphasizes rigorous training through a structured curriculum. Key features include:

• Core lectures on essential pediatric intensive care topics.
• Interactive sessions using whiteboards for case discussions and board review.
• Biweekly forums dedicated to congenital cardiac lesion physiology.
• Simulation sessions that provide hands-on experiences critical to clinical practice.

Additionally, regular clinical conferences enable fellows to discuss ongoing cases, fostering a collaborative learning environment that includes faculty from various divisions. There are also multidisciplinary sessions, which enhance fellows' learning experience and preparedness for the field 2.

Research Opportunities

The program is affiliated with the University of Iowa, a Tier-1 research institution known for its substantial external funding, which was approximately $295 million in FY 2022. This environment provides rich opportunities for fellows to engage in meaningful research alongside experienced mentors. The program's research director, also an NIH-funded physician scientist, is committed to helping fellows develop and refine their research skills, enabling them to formulate hypothesis-driven inquiries and implement solutions effectively 1.

Graduate Outcomes

Graduates of this fellowship can anticipate comprehensive preparation for board certification in pediatric critical care. The three-year program equips fellows with both the clinical proficiency and the didactic education necessary to excel as board-certified pediatric intensivists. Upon completion, alumni are prepared for significant roles in diverse medical settings 2.

Community and Quality of Life

Iowa City, home to the University of Iowa Stead Family Children’s Hospital, is noted for its affordable living, rich cultural diversity, and community spirit. The program promotes a healthy work-life balance, emphasizing the importance of wellness and camaraderie among fellows and faculty alike. A supportive environment is fostered to help individuals maintain their health while undertaking rigorous training 1.

Application Process and Requirements

The program participates in the NRMP Subspecialty Matching Service with preferences for U.S. citizens or green card holders regarding fellowship funding, although ECFMG-certified international medical graduates are also eligible to apply. Applicants must have completed a pediatric residency in an ACGME-accredited program and fulfill research requirements mandated by the American Board of Pediatrics. Required application materials include:

• A completed application via ERAS.
• A résumé or curriculum vitae.
• A personal statement.
• Four letters of recommendation, including a Dean’s letter and recommendations from the Pediatric Residency Director and two others.
• USMLE Step 1 and Step 2 examination scores.
• For international medical graduates, a copy of the ECFMG certificate.

Fellows are encouraged to discuss the possibility of a 2-year fellowship with the program directors if interested 3.

Visa Support

The fellowship program provides visa support for eligible candidates, specifically sponsoring J-1 and H-1B visas for international medical graduates who meet the program's requirements.

Competitiveness and Diversity

The Pediatric Critical Care Medicine Fellowship at the University of Iowa is considered competitive, particularly for positions among U.S. medical graduates, while remaining welcoming to qualified international medical graduates (IMGs) as well as graduates from DO programs. This inclusive approach promotes diverse backgrounds and perspectives within the fellowship cohort 4.