Residency: Intensive Care Rotations


With over 60 beds, CHKD's Level 4 Neonatal Intensive Care Unit (NICU) is capable of caring for infants as young as 23 weeks gestation.  This resident-focused educational experience, consisting of 2-3 PL1's and 1-2 PL2's, offers:

  • the opportunity to do procedures starting as an intern
    • umbilical catheterization
    • lumbar punctures
    • intubations
    • chest tubes
  • team rounding to provide the best comprehensive care for patients
    • nutritionist
    • pharmacist
    • social worker
  • one-on-one mentorship with attendings
  • close relationships with patients/families

The NICU team ; each member spends a 6 night block for overnight patient care.


The recently remodeled Pediatric Intensive Care Unit (PICU) at CHKD is the largest in the region with 25 critical care beds.  This rotation gives 4-5 PL2/PL3 residents the chance to:

  • do procedures
    • place central lines
    • place chest tubes
    • intubate with the 24/7 in-house intensivists
  • care for complex surgical patients
    • cardiothoracic surgery
    • ECMO
    • neurosurgery
    • renal transplant patients
  • see general and subspecialty surgical patients
  • treat complex subspecialty patients
  • work one-on-one with attendings, nurses, and RT's
  • round as a team, even collaborating with a specialized PICU pharmacist

The PICU educates residents from EVMS Pediatrics at CHKD, Portsmouth Navy Pediatrics and EVMS Emergency Medicine as well as fellows from the CHKD Pediatric Emergency Medicine Program.