Fellowship Research In meeting the requirements for board certification established by the American Board of Pediatrics, all trainees pursue scholarly activity during the program. This research occurs over 17 months spread out over three years of training. They have the option to perform research within the Division of Pediatric Critical Care, within the Department of Pediatrics, or take advantage of the many academic resources across the University. One of the most exciting opportunities for trainees is the identification of the research project. Some trainees pursue advanced degrees during fellowship and carefully craft a scholarly work product that meets both degree and board certification requirements. Fellows identify a primary mentor and at least two other members of their Scholarship Oversight Committee (SOC) during the first six months of training. One of those members must be from outside the Division of Pediatric Critical Care. The trainee-mentor relationship supports the successful academic inquiry into a topic of interest to the field. Many of our trainees present their research at national conferences such as the Society for Critical Care Medicine (SCCM) Annual Congress, Pediatric Academic Societies Annual Meeting, and the Pediatric Critical Care Medicine (PCCM) Annual Colloquium. Current Fellows Jennifer DeMichele, M.D., Third Year Fellow Research Project: Evaluating the safety and efficacy of microcuffed endotracheal tubes in neonates with congenital heart disease Research Mentors: Jill M. Cholette, M.D., M.P.H., Karen S. Powers, M.D., Dawn M. Sweeney, M.D. Elizabeth Nocera, M.D., Second Year Fellow Research Project: Evaluating the utility of safely using intra-operative cell salvage when comparing the infection rates (based on clinical and culture data) between patients who receive washed intra-operative cell salvage vs. historical data from our PCICU. Research Mentors: Jill M. Cholette, M.D., M.P.H., Eugene Daugherty, M.D., Ron Angona Recent Graduates Amanda Hall, M.D. Research Project: Comparing ultrasound dilution with Fick principle in assessing cardiac output and shunt fraction in patients with congenital heart disease This project was completed during Dr. Hall's Pediatric Cardiology fellowship. (2009-2012). Research Mentors: Rae-Ellen Kavey, M.D., M.P.H., Colleen O. Jo, M.D., Jill M. Cholette, M.D., M.P.H. Publication Hall AC, Miga DE, Leonard GT, Wang H, Kavey RE, Alfieris GM. Percutaneous Balloon Dilation of Carpentier-Edwards Porcine-Valved Right Ventricle-to-Pulmonary Artery Conduits. Pediatr Cardiol. Dec 11, 2012. PMID: 23229291 Karen Sethi, M.D. Research Project: Risk factors for postoperative airway intervention in patients admitted to the pediatric ICU following adenotonsillar surgery Research Mentors: Kate Ackerman, M.D., Heidi Connolly, M.D., Margo Benoit, M.D. Presentations Sethi K, DeMichele JC, Halligan DH, Brown MR, Saubermann LJ, Stormont JM. Incidence and Distribution of Inflammatory Bowel Disease in Children: A Ten Year Population Based Study in Monroe County NY. Pediatric Academic Societies. 04/30/2012. Boston, MA. Poster presentation. DeMichele JC, Sethi K, Brown MR, Saubermann LJ, Stormont JM. Long-term safety profile of Infliximab therapy and its effect on surgical interventions and disease behavior for pediatric patients with Inflammatory Bowel Disease. Advances in Inflammatory Bowel Diseases Crohn’s and Colitis Foundation’s Clinical and Research Conference. 11/2011. Hollywood, FL. Stormont JM, Syam R, Sethi K, Shah AN, Chessin LN, Stowe SP, Sharma A, Kothari T, Casey K, Saubermann LJ, Chey WY, Farmer RG. A 25 Year Population Based Epidemiologic Study of Inflammatory Bowel Disease in Monroe County NY, USA. American College of Gastroenterology Conference. 10/2011. Chicago, IL. Sethi K. Pediatric Inflammatory Bowel Disease: The GCHaS Experience. Grand Rounds, University of Rochester Department of Pediatrics, May 2011. Sethi K. Pediatric Inflammatory Bowel Disease: The GCHaS Experience. Grand Rounds, Rochester General Hospital, Department of Pediatrics, May 2011. Publication Sethi K. Review of The INIS Collaborative Group. Treatment of neonatal sepsis with intravenous immune globulin. N Engl J Med. 2011 365(13):1201-1. Daniel Rogers, M.D., M.H.A., M.S. Research Project: Evaluating the education of physicians to be clinician-educators This project served as the thesis for Dr. Rogers’ Master of Science in Health Professions Education degree at the Warner Graduate School of Education and Human Development as well as a scholarly work product, a prerequisite for subspecialty certification. Research Mentors: Judith Fonzi, Ph.D., Jeffrey Rubenstein, M.D., M.B.A., Elise van der Jagt, M.D., M.P.H. Curriculum Development Dr. Rogers successfully implemented a simulation-based curriculum for honing the skills of providers in the Pediatric Intensive Care Unit (PICU). Stephen Tomek, M.D. Stephen Tomek, M.D. Research Project: Calcium replacement and thrombosis in infants undergoing cardiac surgery with cardiopulmonary bypass Research Mentors: Jill Cholette, M.D., L. Eugene Daugherty, M.D., Michael Eaton, M.D. Presentations Tomek S, Cholette J. Use of continuous calcium drips for calcium replacement is associated with increased thrombotic risk in infants following open-heart surgery. Society of Critical Care Medicine 41st Critical Care Congress. Houston, TX. February 2012. Poster presentation. Tomek S, Cholette J. Use of continuous calcium drips for calcium replacement is associated with increased thrombotic risk in infants following open-heart surgery. 8th Annual Focus on Pediatric Research Symposium. University of Rochester Medical Center. Rochester, NY, October 2011. Poster presentation. Publications Tomek S. Review of: Jongerden IP, Rovers MM, Grypdonck MH, Bonten MJ. Open and closed endotracheal suction systems in mechanically ventilated intensive care patients: A meta-analysis. Crit Care Med. 2007. 35:260-270. Awards 2012 Research Citation Finalist, Society of Critical Care Medicine Congress. Renata Ostrowicki, M.D. Research Project: Comparison of techniques for assessing cardiac output and preload in critically ill pediatric patients Research Mentors: Karen Powers, M.D., Jill Cholette, M.D., Anthony Pietropaoli, M.D. Presentations Ostrowicki R, Powers K, Rubenstein J. Effect of Furosemide on Cardiac Index and Circulating Blood Volumes in Pediatric ICU Patients. 18th Pediatric Critical Care Colloquium sponsored by Children’s Hospital of Pittsburgh of UPMC, May 2010, Pittsburgh, PA. Poster presentation. Ostrowicki R, Powers K, Harmon W, Rubenstein J. Effect of Furosemide on Central Blood Volume in Stable Pediatric Intensive Care Unit Patients. Society of Critical Care Medicine 39th Critical Care Congress, January 2010, Miami, FL. Poster presentation. Publications Ostrowicki R, Powers K, Harmon W, Rubenstein J. Furosemide does not decrease central blood volume in hemodynamically stable pediatric ICU patients. Crit Care Med, 37(12)(suppl): A451. 2009. James Horstmann, M.D. Research Project: Impact of several quality control measures on the rate of central line infections in the children’s hospital Research Mentors: Mary T. Caserta, M.D., Jeffrey Rubenstein, M.D., M.B.A., Elise van der Jagt, M.D., M.P.H., Michael Leonard, M.D, M.S. Elizabeth Scarlett, M.D. Research Project: Respiratory inductive plethysmography (RIP) as an outcome measure for a clinical trial of albuterol in viral bronchiolitis Research Mentors: Clement Ren, M.D., Caroline “Caren” Hall, M.D., Carl D’Angio, M.D., M. Jacob Adams, M.D., M.P.H.