The fellowship in critical care medicine is an ACGME-accredited, diversified, intensive two-year experience in all aspects of critical care that prepares the trainee for the ABIM/ABEM Critical Care Medicine board exam. The curriculum includes a weekly mandatory didactic conference, a mandatory monthly multidisciplinary conference, journal club, and several lectures and simulation lab sessions throughout the fellowship. Unique to this fellowship, fellows have the option to moonlight in the Emergency Department to develop their emergency medicine skills during their fellowship. Fellows will gain proficiency in the evaluation and management of critically ill and injured patients with medical, surgical, traumatic, and neurologic diseases. This will include, but not be limited to, the following:
Evaluation and management of acute and chronic respiratory failure: differential diagnoses, ventilator management, and diagnostic approaches. This includes the evaluation and management of patients with:
- Acute respiratory distress syndrome
- Acute and chronic respiratory failure in obstructive lung diseases
- Neuromuscular respiratory drive disorders
- Acute lung injury due to trauma
- Invasive and noninvasive modes of ventilation
Evaluation and management of:
- Circulatory and shock disorders including septic, cardiogenic and hypovolemic shock
- Cardiovascular diseases including ischemic heart disease, sepsis and sepsis syndromes, hypertensive emergencies
- Multi-organ failure
- Acute metabolic disturbances and electrolyte and acid-base disorders
- Inhalation or radiation-induced lung injury
- Infections in the immunosuppressed patient
- Anaphylaxis and acute allergic reactions
- Respiratory failure including ARDS, acute and chronic respiratory failure in patients with obstructive and restrictive lung diseases, and in those with neuromuscular respiratory drive disorders
- Use of paralytic drugs and sedative and analgesic medications
- Hemodynamic and ventilatory support of patients in the post-operative period
- Overdoses and intoxication syndromes
- Metabolic, nutritional and endocrine effects of critical illness
- Hematologic and coagulation disorders associated with critical illness
- Detection and prevention of iatrogenic and nosocomial problems in critical care medicine
- Psychosocial and emotional effects of critical illness on patients and families
- Management of end of life issues and palliative care
- Evaluation and management of patients with neurosurgical and trauma emergencies
- Critical obstetric and gynecologic disorders
- Trauma
- Neurosurgical emergencies
- Obstetric and gynecologic disorders
- Evaluation and management of patients after discharge from the ICU
- Evaluation and management of patients with disorders of the cardiovascular, respiratory, renal, gastrointestinal, genitourinary, neurologic, endocrine, hematologic, musculoskeletal, and immune systems
- Evaluation and management of infectious diseases in the ICU
- Basic and Advanced cardiopulmonary resuscitation
- Procedures: Fellows have the opportunity to perform and supervise a variety of critical care procedures including arterial lines, central venous lines, pulmonary artery catheterization, endotracheal intubation, bronchoscopy, chest tube placement, thoracentesis, paracentesis, lumbar puncture, and percutaneous tracheostomy