Curriculum

The core rotations will be 4-week blocks (total of 13 blocks)

  • ACCM Fellowship for Anesthesiology Graduates - ACGME Accredited
    • 7 Blocks: SICU
    • 1 Block: Neurosurgical ICU (NSICU)
    • 1 Block: Cardiothoracic SICU (CTICU)
    • 1 Block: Coronary Care Unit (CCU)
    • 5 Block: Critical Care Ultrasound/TEE
    • 5 Block: Research/Scholarly Activity
    • 1 Block: Vacation
    • 1 Block: Electives (2 weeks each, 0.5 Blocks). 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)
    • 6 Blocks: SICU
    • 1 Block: Neurosurgical ICU (NSICU)
    • 1 Block: Cardiothoracic Surgery ICU (CTICU)
    • 1 Block: Coronary Care Unit CCU
    • 1 Block: Acute Care Surgery
    • 1 Block: Trauma Surgery
    • 1 Block: Surgery subspecialty of choice
    • 1 Block: Vacation
  • 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)
    • 4 blocks: ECCU (Emergency Critical Care Unit)
    • 3 Blocks: SICU
    • 2 Blocks: Electives
    • 1 Block: MICU
    • 1 Block: Research/Education
    • 1 Block: TEE/POCUS
    • 1 Block: Vacation

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, central venous catheterization, 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), 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.