Pediatric ECMOClinical Research Fellow

Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome candidates who can contribute to the excellence of our academic community.

The ECMO/Clinical Research Fellowship is based out of the Division of Pediatric Surgery as well as the Department of Pediatrics. This is a non- ACGME accredited clinical and research fellowship. The program offers specialized training in the principles and practice of multidisciplinary care of patients requiring extracorporeal membrane oxygenation
(ECMO) ventricular assist devices (VADs) and extracorporeal carbon dioxide removal for respiratory and cardiac failure.

Qualifications

• Currently enrolled in a general surgery postgraduate training program or
• Completed a general surgery postgraduate training program or
• Completed a pediatric critical care fellowship
• Current physician licensee in the State of Georgia.
• Member of Childrens Healthcare of Atlanta Professional Staff in good standing

Educational Program:

The goal of the ECMO fellowship is to provide exceptional training in the identification management and treatment of pediatric patients requiring ECMO. The fellowship is designed to be tailored to the particular needs of our trainees All fellows will receive broad-based training that includes rotations within the cardiac neonatal and pediatric ICUs; instruction in priming maintenance and troubleshooting of extracorporeal circuits; training in renal replacement therapies transfusion medicine and relevant imaging technologies; and supervising the medical and surgical components of cannulation.

Supervision

The position of fellow shall involve a combination of supervised progressively more complex and independent patient evaluation and management functions and formal educational activities. The competence of the fellow shall be evaluated on a regular basis by the Fellowship Program Director.

Scope of Practice

• The fellow will provide patient care under the supervision of an Active member of Childrens Professional Staff. The attending physicians maintain responsibility for all activities performed by the fellow
• The fellow has the following responsibilities:
  • Maintain responsibility within the scope of current professional competence for the care and supervision of assigned patients.
  • Provide the patients with care at the generally recognized professional level of quality and efficiency established for Childrens Healthcare of Atlanta.
  • Write orders for treatment under the direction of or to implement the plan of treatment of the Professional Staff member responsible for the childs care. The attending physician is not required to co-sign orders written by the fellow.
  • Abide by the policies and procedures of Childrens and the Rules and Regulations of the Professional Staff.
  • Abide by the ethical principles of his/her profession.
  • Participate in the quality management/improvement activities of Childrens.

Competency Based Goals and Objectives:

Patient Care:

The ECMO Fellow will assume increasing responsibilities in the management of pediatric and neonatal ECMO patients.
While the attending physicians maintain responsibility for all activities performed by the fellow each fellow may independently perform the following procedures and evaluations without an attending physician present:

• Perform complete admission and consult history and physical examination.
• Write admission and daily orders.
• Provide appropriate documentation in the medical record.
• Dictate medical records in a timely manner as outlined by Childrens Healthcare of Atlanta.
• Communicate effectively with patients and their families.
• Communicate effectively with all members of the health care team
  (including social workers; nutritionists; attending physicians; respiratory therapists; nurses; colleagues; and others.
• Assess radiographic images.
• Propose a treatment and/or workup plan.
• Present a complete clinical picture to the attending physician who provides further guidance and modification.
• Evaluate children in the ED and inpatient setting with ability to perform ED procedures and make decisions for urgent/emergent intervention.

Inpatient Clinical Care:

Fellow is expected to:

• Thoroughly evaluate all ECMO consults and potential ECMO candidates.
• Be present for all PICU and NICU ECMO cannulations
• Make rounds and co-manage with the NICU PICU and CICU all patients on ECMO or with a VAD. This requires comprehensive knowledge of the patients status knowledge of all laboratory tests radiographs and vital signs as well as clinical course.
• Summarize clinical care and devise treatment plans.
• Troubleshoot ECMO circuits and patient problems when they arise working together with the ECMO team NICU PICU and/or CICU.
• Effectively communicate and work in a team with NPs residents fellows attendings ECMO techs and others involved in patient care. This includes following through on any ordered tests assessing the results and devising follow up plans.
• Attending ECMO follow up rounds assessing needs for discharge and participating in ECMO follow up clinic.

Additional Details

Employment will be in the Emory Childrens Pediatric Institute. The Emory Childrens Pediatric Institute is an affiliation between Emory University and Childrens Healthcare of Atlanta that is improving the lives of children in Georgia and beyond. The Pediatric Institute combines the unique strengths and resources of each institution in support of our three-part academic missions of providing outstanding clinical care conducting innovative basic science discovery and clinical research and coordinating exceptional education of the future healthcare workforce. Our physicians researchers and educators have created a model where leadership commitment and quality are fundamental components of success. Together we are transforming pediatrics by achieving new levels of clinical excellencedriven by research teaching and wellness. We look forward to our future together.

NOTE: Position tasks are generally required to be performed in-person at an Emory University location. Remote work from home day options may be granted at department discretion. Emory reserves the right to change remote work status with notice to employee.

Emory is an equal opportunity employer and qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability protected veteran status or other characteristics protected by state or federal law. Emory University does not discriminate in admissions educational programs or employment including recruitment hiring promotions transfers discipline terminations wage and salary administration benefits and training. Students faculty and staff are assured of participation in university programs and in the use of facilities without such discrimination. Emory University complies with Section 503 of the Rehabilitation Act of 1973 the Vietnam Era Veterans Readjustment Assistance Act and applicable executive orders federal and state regulations regarding nondiscrimination equal opportunity and affirmative action (for protected veterans and individuals with disabilities). Inquiries regarding this policy should be directed to the Emory University Department of Equity and Civil Rights Compliance 201 Dowman Drive Administration Building Atlanta GA 30322. Telephone: (V) (TDD).

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