The ultimate goal of our training program is to transform motivated fellows into leaders in Critical Care Medicine (CCM) and champions of critical care research, critical care education, and the delivery of high quality care for critically ill patients. The program is available to individuals who have completed a 3-year residency in an ACGME accredited Internal Medicine program and to individuals with additional medical subspecialty training. Most positions in the program are 2-year positions for candidates coming directly from residency; however there are a limited number of 1-year positions for candidates that have already completed a fellowship in another medical subspecialty. Developing critical care leadership skills during 1 or 2 years of fellowship training is challenging. Candidates are therefore encouraged to pursue additional, advanced training in their area of interest, whether it’s research, education, or clinical-administration. Certificate and degree programs are available in these areas.
The single year fellowship or the first year of the 2-year fellowship is designed to give broad experience with the full range of critically ill patients and to impart the clinical knowledge to manage these patients skillfully. There is a predominance of ICU time during this year but sufficient elective time to pursue other interests related to Critical Care. Fellows rotate through general medical and surgical ICUs as well as our specialty ICUs that treat both medical and surgical issues within specific patient populations. The year also includes a rotation with our Critical Care Outreach Service, which is dedicated to developing rapid response team leadership and critical care consultation skills. First year fellows take in-house call every 5 to 6 nights. The didactic curriculum covers an extensive range of topics encountered during the management of critically ill patients, with over 130 lectures and case conferences and over 10 formal workshops that use simulation to teach skills such as Difficult Airway Management, Critical Care Communication, and Bedside Ultrasound. The curriculum also includes Journal Club, Quality Improvement and Morbidity/Mortality Conferences, and CCM Grand Rounds.
The second year of fellowship is designed to allow the trainee to refine clinical skills, achieve mastery of their critical care knowledge base, and begin more formal training to develop leadership skills in critical care research, critical care education, or critical care clinical-administration. Fellows enter into the research, education, or clinical-administration “track” depending on their interests and choose a mentor that exemplifies their own professional goals. Along with a broad range of practical experiences, fellows are strongly encouraged to pursue advance training through masters and certificate programs pertaining to their track. Partial funding for degree programs can be obtained through the department. This year includes plenty of clinical and non-clinical elective time to pursue these experiences. While second year fellows are always invited to attend the first year lecture series, the second year has its own didactic curriculum including the CCM Leadership and Professionalism Course. This purpose of this course is to familiarize trainees with basic non-clinical knowledge and skills that are vital to success during the first years as an attending intensivist.
For fellowship inquiries, please contact the CCM Education Office.