The core monthly rotations are as below.

• ACCM Fellowship for Anesthesiology Graduates - ACGME Accredited
  • 4 Blocks: SICU
  • 4 Blocks: Cardiothoracic SICU (CTICU)
  • 1 Block: Neurosurgical ICU (NSICU)
  • 1 Block: Coronary Care Unit (CCU)
  • 0.5 Block: Critical Care Ultrasound/TEE
  • 0.5 Block: Research/Scholarly Activity
  • 1 Block: Electives (0.5 Blocks each). Select 2 of the following:
    • Infectious Disease
    • Nephrology
    • Palliative care medicine
    • ECCU
    • MICU
    • Nutrition
    • Miscellaneous Elective of Choice by the Fellow
• EM Critical Care Track First year - ACGME Accredited Training (Rotations as required by The American Board of Anesthesiology for EM CC Fellows)
  • 5 Blocks: SICU
  • 2 Block: Cardiothoracic SICU (CTICU)
  • 1 Block: Neurosurgical ICU (NSICU)
  • 1 Block: Coronary Care Unit (CCU)
  • 1 Block: Acute Care Surgery or Equivalent Experience
  • 1 Block: Trauma Surgery or Equivalent Experience
  • 1 Block: Surgery subspecialty of choice or Equivalent Experience

EM Critical Care Track 2nd Year (EM-trained fellows only) - Non-ACGME Training
(EM-trained fellows require 2 years of fellowship training for board certification by American Board of Anesthesiology)

• • 3 Blocks: SICU
  • 2 Block: Cardiothoracic Surgery ICU (CTICU)
  • 2 blocks: ECCU (Emergency Critical Care Unit)
  • 2 Blocks: Electives
  • 1 Block: MICU
  • 1 Block: Research/Education
  • 1 Block: TEE/POCUS

The fellowship educational program begins with Critical Care Boot Camp. Utilizing simulation in 40,000 sq. ft. Center for Education, Simulation and Innovation (CESI), fellows undergo training in the recognition and management of shock, sepsis, bronchoscopy, arterial/central venous/pulmonary artery catheterization, ECMO cannulation, cardiac rhythm recognition, heart failure, neurocritical care emergencies, airway management (basic and advanced) as well as assessment of brain death and communication prior to any direct patient care. The fellows then participate in resident education as simulation instructors-in-training and guide the residents to simulation modules on the recognition and management of shock, traumatic brain injury, sepsis and the technique of arterial, central venous catheterization. Representatives from nursing, respiratory therapy and pharmacy support daily rounds and contribute to a team-approach to critical care. Additional experience in the use of advanced hemodynamic monitoring (pulmonary artery catheterization, continuous SVO2, Stroke volume variation, dynamic arterial elastance), advanced hemodynamic support (ECMO, IABP, VAD), advanced respiratory therapy (APRV, various weaning modalities), ultrasonography (Surface Echocardiography and TEE), tube thoracostomy and ECPR are core components of the training program.

*Fellows can take weekly vacation during any monthly rotation for a maximum of 4 weeks per year.