Johns Hopkins All Children's Hospital

Pediatric Critical Care Medicine Fellowship

The Johns Hopkins All Children’s Hospital (JHACH) Pediatric Critical Care Medicine (PCCM) fellowship is a 36 months training program with the aim of training clinically excellent, academic intensivists. The fellowship includes rigorous, hands-on experiences in neurocritical care, trauma management, extracorporeal life support (ECLS), continuous renal replacement therapy (CRRT), the full spectrum mechanical ventilation strategies, and other innovative therapeutics for the care of critically ill children. Our high-volume, tertiary pediatric referral center has expertise in pediatric emergency medicine, expanded sub-specialty surgical and medical services, and advanced pediatric transport supporting the greater Tampa Bay, Southwest Florida, and Central Florida regions.

During PCCM fellowship, a diverse set of training including procedural skills, leadership, quality improvement, clinical and translational research, and interpersonal relations, and communication skills. These domains will be addressed through increasing levels of autonomy and responsibility throughout training, close interaction with JHACH PCCM faculty, participation in a robust education curriculum, mentored scholarly academic investigation, and serial performance assessments.

Fellows are expected to manage, educate, and lead a multidisciplinary team including advanced practice providers, resident physicians, nurses, pharmacists, nutritionists, respiratory therapists, social workers, case managers and other allied health staff. Rounds are multidisciplinary, family-centered, and follow a team-science approach.

Program information

  • Length: Three years.
  • Stipend: Training stipend and benefits provided.
  • Requirements: As outlined by the ABP and ACGME, applicants must meet eligibility criteria for this fellowship program including:
  1. Board eligibility or board certification in pediatrics or medicine-pediatrics residency program
  2. Eligible for a State of Florida Medical Training License
  3. ECFMG certification, if pertinent
  4. Completion of the ERAS application
  5. At least 3 letters of recommendation
  6. School of Medicine transcript
  7. USMLE/COMLEX transcript of Step 1-3 scores
  8. Interview
  9. Application: Complete an ERAS application. This position is filled through the National Resident Matching Program.

Learn more about our pediatric intensive care unit (PICU).

Program Leadership

Ashley Siems, M.D., M.Ed.

Ashley Siems, M.D., M.Ed. PCCM Fellowship Program Director

Dr. Ashley Siems is a physician in Pediatric Critical Care Medicine at Johns Hopkins All Children's Hospital. She earned her medical degree from New York Medical College, completed pediatric residency at the Icahn School of Medicine at Mount Sinai Hospital in New York where she stayed on for a chief resident year. She then pursued her fellowship in pediatric critical care medicine at Children' National Hospital in Washington, DC where she stayed on as faculty until joining the All Children's team in 2020. Dr. Siems also earned her Masters in Education from George Washington University where her career interests include training non-technical skills in medicine. She is also an expert in simulation and utilizes simulation to study team dynamics in medicine. She is passionate about improving the quality of care we deliver utilizing an interdisciplinary and interprofessional approach to medicine.




Anthony A. Sochet, M.D., M.S.

Anthony A. Sochet, M.D., M.S. PCCM Fellowship Associate Program Director

Dr. Sochet is a physician in Pediatric Critical Care Medicine at Johns Hopkins All Children’s Hospital who joined the hospital staff in 2016 and is an assistant professor of anesthesiology and critical care medicine at the Johns Hopkins University School of Medicine.

He earned his medical degree at Florida State University College of Medicine, completed his pediatric residency at University of South Florida College of Medicine, fellowship in Pediatric Critical Care Medicine at Children’s National Medical Center, and Masters of Health Science in Clinical and Translational Research from the George Washington University. His research interests include an “-omics” approach to identifying modifiable risk factors for acute respiratory failure, machine learning to assess non-invasive modality failure, optimal nutrition delivery during critical illness, and the incorporation of industrial psychology and team science frameworks in healthcare.


Fellow

Jjais Richards, M.D.

Jjais Richards, M.D. Pediatric Critical Care Medicine Fellow

Dr. Jjais Richards is a first-year Pediatric Critical Care Medicine fellow. She graduated from Loyola University Stritch School of Medicine then completed her pediatric residency training at Loyola University Medical Center. Her academic interests are focused on increasing access to pediatric critical care and overcoming health disparities in critically ill children, sepsis, ARDS, and patient safety/quality improvement.


At a Glance

Vital Statistics - July 1, 2018-June 30, 2019

  • Licensed beds: 259
  • Percentage ICU Beds: 57%
  • Inpatient admissions: 6,200
  • Total surgeries: 8,100
  • Emergency Center visits: 46,000
  • Outpatient Visits: 400,000+
  • Employees: 3,640
  • No. of PICU + IMCU Beds: 22+6=28
  • No. of admissions per year: 1,800

Curriculum

The PCCM fellowship curriculum is intended to couple direct patient care experiences with didactic education, simulation, and hands-on training. These include core curriculum, sentinel article reviews, a focus on evidence based medicine, collaboration with subspecialty services, and education innovation. Our fellows are encouraged to tailor their training to suit their career goals. Examples of unique tracks include:

  • Simulation/medical education track
  • Clinical and translational investigator track
  • Healthcare quality and safety track
  • Palliative care track

Rotations

  • Research: 48 weeks (336 days)
  • PICU: 48 weeks (336 days)
  • CVICU: 12 weeks (84 days)
  • Trauma: 12 weeks (84 days)
  • Procedures and sedation: 8 weeks (56 days)
  • Anesthesia: 4 weeks (28 days)
  • Elective (choice of emergency medicine, toxicology, biomedical ethics or palliative care): 4 weeks (28 days)
  • CT surgery: 4 weeks (28 days)
  • QI project: 4 weeks (28 days)
  • Vacation: 12 weeks (84 days)                          
  • Total: 156 weeks (1,092 days)

Block Schedule

Block
July
Aug.
Sept.
Oct.
Nov.
Dec.
Jan.
Feb.
March
April
May
June/July
PGY 4 A
PICU
Anes.
CVICU
Trauma/Surg.
PICU
Research
PICU
Research
Elective
PICU
Research
Proc./Sed.
PGY 5 A
CT Surg.
Research
PICU
QI Project
CVICU
PICU
Research
Research
PICU
Trauma/Surg.
PICU
Research
PGY 6 A
PICU
Research
PICU
Trauma/Surg.
Research
Teaching
Research
PICU
Research
CVICU
Research
PICU

Scholarly Activity

The ABP requires scholarship productivity during fellowship necessary for certification. Our program provides mentorship and guidance in academic scholarly activities–skills unique to the fellow. Our goal is to teach the breadth of the field including an in-depth understanding of biostatistics, clinical and laboratory research methodology, study design, preparation of applications for funding and/or approval of clinical or research protocols, critical literature review, principles of evidence based medicine, ethical principles involving clinical research, and the achievement of proficiency in teaching.

In addition to participating in core curriculum, fellows will be expected to engage in projects in which they develop hypotheses or in projects of substantive scholarly exploration and analysis that require critical thinking. Areas in which scholarly activity may be pursued include, but are not limited to: basic, clinical, or translational biomedicine; health services; quality improvement; bioethics; education; public policy, critical meta-analysis of the literature, a systematic review of clinical practice, a critical analysis of public policy, and a curriculum development project with an assessment component.

Involvement in scholarly activities must result in the generation of a specific written work product.

Examples of work products include, but are not limited to:

  • A peer-reviewed publication in which a fellow played a substantial role
  • An in-depth manuscript describing a completed project
  • A thesis or dissertation written in connection with the pursuit of an advanced degree
  • An extramural grant application that has either been accepted or favorably reviewed
  • A progress report for projects of exceptional complexity, such as a multi-year clinical trial