The Inova Children's Hospital PICU Fellowship offers robust training in a high-volume, community-based setting with academic affiliation to UVA and VCU. Fellows manage complex, high-acuity cases including trauma, ECMO, and transplant in a 26-bed unit serving Northern Virginia's diverse population. The program combines hands-on experience, academic mentorship, research opportunities, and leadership development in a supportive, multidisciplinary environment.