Clinical Training

Our Critical Care Medicine clinical curriculum is designed to train clinicians skilled in caring for all kinds of critically ill patients. Accordingly, our fellows rotate through a diverse set of critical care settings including medical, surgical, trauma, cardiothoracic, and neurological ICUs. 

Clinical Rotations

  • MICU (6 months)

  • SICU (2 months)

  • Trauma ICU (3-4 months)

  • Cardiac Surgery ICU (1 month)

  • Neuro ICU (2 months)

  • Critical Care Consult Service (2 months)
    Fellows on this service have multiple responsibilities: they respond to requests for critical care consults; help with ventilator management of intubated patients in the CCU; and perform invasive procedures on medical inpatients requiring them. Such procedures primarily include central line placement, thoracenteses, and tube thoracostomies, as well as some paracenteses and lumbar punctures. Click here for more information on this innovative service.

  • Introductory Didactic block (1 month)
    During the first three weeks of their training, fellows will participate in a unique training course that covers the fundamentals of a broad range of core critical care topics and skill sets.  Together with fellows from Washington Hospital Center, NIH, Georgetown and the Walter Reed National Medical Center, fellows participate in lectures as well as hands-on simulated training sessions in ventilator management, ultrasonography, bronchoscopy, tube thoracostomy and other procedural skills.

  • Research/Electives (6-7 months)
    In addition to completing required rotations, fellows will have time to explore independent interests during their training. Below is a representative list of possible electives, though fellows may participate in others as well.

      • Research - There are many opportunities to engage in research within the Pulmonary & Critical Care Division.  Please click here for more information about ongoing research interests and projects.

      • Trauma Anesthesia - During this rotation, the fellow learns basic and advanced airway management skills under the direct supervision of a Trauma Anesthesiologist. Most of our fellows who have participated in this rotation have performed 50-60 intubations in this one month time frame either in the operating room or in the Trauma Resuscitation Unit. This rotation creates a foundation of airway management skills upon which fellows can build during their subsequent critical care rotations.

      • Critical Care Ultrasound - Bed-side ultrasound has become an integral part of the assessment and care of critically ill patients, making it important for fellows to attain competency in basic ultrasonographic and echocardiographic skills. During this rotation, fellows train with intensivists certified in ultrasonography and echocardiography to develop and hone their own skills in this modality.

      • Burn ICU - Fellows may rotate at the 10-bed Burn ICU at Johns Hopkins Bayview Medical Center, the regional burn center for all of Maryland and surrounding states, to further their knowledge of and experience in the management of burn victims.

      • Pulmonary Hypertension - This elective gives fellows the opportunity to develop proficiency in managing pulmonary hypertension and to gain significant experience in performing right heart catheterizations.

      • Radiology- Fellows may spend time with our radiologists to develop their skills at interpreting chest radiographs and CTs.

      • International Critical Care- Haiti, South Africa, Zambia, Argentina, among others

      • Critical Care Infectious Disease, Critical Care Nephrology, and/or other medical sub-specialities- Fellows may spend time with ID and nephrology teams dedicated to the MICU to deepen their knowledge of these respective fields.

      • Cardiac Care Unit as well as other/additional ICU rotations as desired

Scholarly Activity

A scholarly activity may include a research article or poster/presentation, or a review article or other academic project. Each fellow is required to complete a scholarly project.

This page was last updated: July 24, 2013

         
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