For Learners

About the Program

Inova’s L.J. Murphy Children’s Hospital in Fairfax is home to a 14-bed PICU and an 8-bed PCICU, both affiliated with the University of Virginia School of Medicine. These units provide the highest level of care for nearly 600,000 children in Northern Virginia. The pediatric critical care service admits more than 1,200 children annually, managing conditions related to traumatic injury, neurology, endocrinology, otorhinolaryngology, cardiology, infectious diseases, pulmonology, and more. The unit also offers advanced life support, including extracorporeal membrane oxygenation (ECMO).

For Residents

The pediatric residency program at Inova Fairfax Children’s Hospital offers resources on their website. www.Inovapeds.com

All residents who come to the PICU receive a document with objectives and orientation material. Insert document link.

Articles for review (chosen from the most frequently requested topics):

 

Meet the Physicians

Dr. Stotz
 

Name: William Stotz, MD

Medical Education: University of Virginia School of Medicine

Residency: Emory University School of Medicine

Fellowship: Johns Hopkins Children’s Center

Joined Inova: January 2004

Clinical interests: Traumatic brain injury, trauma, and anesthesia

Extracurricular interests: Skiing, Boston sports, and Civil War history

Dr. Ashworth
 

Name: Julia Ashworth, MD

Medical Education: University of Connecticut School of Medicine

Residency: John’s Hopkins Hospital

Fellowship: John’s Hopkins Hospital

Joined Inova: December 2020

Clinical interests: Medical education, simulation, and cardiac arrest

Extracurricular interests: Hiking, reading, traveling, and baking

Dr. Gibson
 

Name: Cynthia Gibson, MD

Medical Education: National Naval Medical Center

Residency:Inova Fairfax Hospital for Children

Fellowship: Children’s National Medical Center

Joined Inova: Fall 2007

Clinical interests: Clinical Excellence (quality and process improvement), Epic order set revision, and documentation integrity

Extracurricular interests: runDisney, biking, walking, antique collecting, reading, music and scuba diving

 

Name: Michael Miller, MD

Medical Education: New York Medical College

Residency: Stephen & Alexandra Cohen Children’s Hospital, Northwell Health

Fellowship: Stephen & Alexandra Cohen Children’s Hospital, Northwell Health

Joined Inova:2017

Research interests: Related to medical education

Clinical interests: Acute respiratory failure, sepsis, trauma, and diabetic ketoacidosis

Extracurricular interests: Skiing and family time

 

Name: Aashish Abraham, MD

Medical Education: George Washington University School of Medicine

Residency Pennsylvania State University Milton S. Hershey Children’s Hospital

Fellowship: Loma Linda University Children’s Hospital

Joined Inova: August 2023

Research interests: Utilization of augmented and virtual realities in medical education and MIS-C

Clinical interests: Use of extended realities to education families and staff, pediatric ARDS, and abdominal hypertension

Extracurricular interests: Brazilian jiu jitsu, road-cycling, and writing

Dr. Grundl
 

Name: Peter Grundl, MD

Medical Education: Medical College of Wisconsin

Residency: Children’s Hospital of Buffalo

Fellowship: Children’s Hospital of Pittsburgh

Joined Inova: January 1996

Research and clinical interestsTraumatic brain injury

Clinical interests: Use of extended realities to education families and staff, pediatric ARDS, and abdominal hypertension

Extracurricular interests: Traveling

 

Name: Rana Sharara-Chami, MD

Medical Education: American University of Beirut

Residency: North Caroline Children’s Hospital, Chapel Hill

Fellowship: Boston Children’s Hospital

Joined Inova: August 2021

Research interests: the PROSPECT and TITRE studies (international, multi-center randomized clinical trials), PICU sedation protocolization, and mucolytic stewardship

Clinical interests: Sepsis and septic shock, and sedation and delirium

Extracurricular interests: Traveling, running, skiing, cycling, or hiking

Dr. Agarwal
 

Name: Swati Agarwal, MD

Medical Education:Duke University School of Medicine

Residency: North Lucile Packard Children’s Hospital at Stanford University

Fellowship: Lucile Packard Children’s Hospital at Stanford University

Joined Inova: September 2007

Research interests: Quality and safety

Clinical interests: “zen-tensivist” (less is more), resident and medical student education, critical care transport, MSET oversight, and organ donation

Extracurricular interests:Ultimate frisbee, volunteer medical international travel, cheering Washington Spirit and Duke basketball

Dr. Gabrial
 

Name: Mariam Gabrial, MD

Medical Education: Weill Cornell Medical College

Residency: University of Buffalo Jacob’s School of Medicine & Biomedical Sciences

Fellowship: University of Michigan Health System

Joined Inova: August 2021

Research interests: Anticoagulation on ECMO, VV ECMO for ARDS; site PI for TITRE Study, co-investigator for ASCEND Study

Clinical interests: ARDS on ECMO, anticoagulation on ECMO; PICU ECMO lead; Medical Education (Co-Director, PICU Clerkship for UVA)

Extracurricular interests: Hiking with husband and dog, and exploring new restaurants

Dr. Lamkin
 

Name: Jeremy Lamkin, MD

Medical Education: University of Cincinnati College of Medicine

Residency: Harbor-UCLA Medical Center

Fellowship: University of Michigan School of Medicine

Joined Inova: February 2018

Research interests: ECMO

Clinical interests: ECMO and respiratory illness

Extracurricular interests:

 

Ongoing Research

  • Participation in the PROSPECT trial studying the role of prone positioning and high frequency oscillator ventilation in the treatment of ARDS.
  • Participation in the TITRE trial studying the use of indication-driven transfusion of red blood cells in ECMO compared to center-specific hemoglobin goals.
  • Participation in ASCEND trial studying the long-term neurological developmental impacts of placing a pediatric patient on ECMO.
  • A comparison of bivalirudin to unfractionated heparin for the anticoagulation of patients on ECMO
  • Developing pediatric normal values for hs-troponin and pro-NT-BNP
  • Utilization of online learning modules to assist resident learning and understanding of critical care concepts
 

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