Critical Care Medicine Fellowship

Our program is designed to expose fellows to a variety of critical care medicine cases through UF Health Shands Hospital & the Malcom Randall Veterans Affairs Medical Center.

We offer chances for research and basic science within the department. In addition, there are numerous opportunities for expanding your knowledge and skills as our hospitals have a high clinical volume.

Mission Statement

Our program’s mission is to expose fellows to a variety of critical care medicine cases through multiple, highly specialized Intensive Care Units and thereby provide the impetus for basic science and research along with experiential learning that leads to the growth and development of fellows who become board certified intensivists and leaders of ICUs throughout the world.



Program Goals & Objectives

Our program’s aims are encompassed in the following goals and objectives.

  1. Expand and apply medical knowledge through scholarship, as measured by the number of publications, presentations, and other documented contributions.
    • Objectives to meet this goal are:
      • Facilitate each fellow’s participation in basic, applied, or clinical outcomes research.
      • Ensure that each fellow contributes to the specialty in a documentable way, including, but not limited to presentations at local, regional, national, or international conferences, peer-reviewed journal publications, peer-reviewed online educational or research platforms such as the Anesthesia Toolbox, and participation in educational activities for the community, medical professionals and patients.
  2. Ensure that fellows are well-prepared to treat our community’s diverse patient population with the latest advances in management of care for critically ill patients, as measured by Board certification rates at or above the national average.
    • Objectives to meet this goal are:
      • Provide a comprehensive clinical and didactic training program caring for patients with an extensive selection of comorbidities across a variety of intensive care settings.
      • Provide didactic and experiential training in pain management in the critical care setting, including recognition of the signs of addiction.
  3. Establish in our fellows a culture of patient safety and quality improvement as measured by documented fellow contributions to departmental and/or institutional patient safety and quality improvement efforts.
    • Objectives to meet this goal are:
      • Facilitate each fellow’s involvement in specific, measurable patient safety/quality improvement initiatives.
      • Provide each fellow with training on root cause analysis.

These goals have allowed our fellows to maintain a pass rate that exceeds the national average on the Anesthesiology Critical Care In-Training Exam and the Critical Care Board Exam.

Rotations

Each rotation unit has a team consisting of a certified CCM attending physician as well as the fellow, residents, and extenders.

As a fellow, you are responsible for the minute-to-minute management of the patients. This includes direct hands on care and procedures as well as supervision and delegation of responsibility to the other team members. You are also responsible for keeping the attending and admitting services aware of their patients’ current clinical situation.

Each rotation is 28 days and includes at least one weekend and several days off.

Elective Rotations include:

  • Airway
  • Infectious Disease
  •  International Medicine (Pending COVID-19 travel restrictions)
  • Medical ICU
  • Nephrology
  • Neuro Critical Care Consult
  •  Neuro ICU
  •  Nutrition
  • Palliative Care
  • Research
  • Transplant – Infectious Disease
  • Transplant – Liver
  •  Ultrasound

Benefits:

  • Competitive salary
  • Professional development allowance
  • 15 paid vacation days/year
  • 5 paid days of sick leave/year
  • 5 paid education/meeting days
  • Holiday leave as allotted by schedule
  • Free medical insurance for employee & family
  • Long-term disability & life insurance
  • Professional liability insurance
  • Gatorbites meal program
  • Baby Gator on-site day care
  • Student debt counseling
  • Confidential counseling

ICU Rotations:

  • Burn ICU
  • Cardiac Surgery ICU
  • ECMO/Thoracic/Lung Transplant ICU
  • General Surgery ICU/Liver Transplant
  • Trauma ICU
  • Vascular ICU

Cases

2020 – 120 liver transplants

2021 to date (09/2021) heart/thoracic cases

  • AVR – 19
  • MVR – 34
  • AVR/MVR – 10
  • Multiple or other valve – 29
  • CABG – 62
  • Cabg valve – 27
  • Aorta – 85
  • Aorta/valve – 132
  • Aorta/valve/CAB – 32
  • ECMO cannulation – 47
  • Lung transplant – 53
 

Didactics

July

  • Introduction

August

  • Basic lecture series

September

  • Fellow meeting
  • Journal Club
  • US hands-on knobology
  • Delirium & Sedation
  • Journal Club
  • Fellow Q/A, hands-on

October

  • Analgesia, NMB
  • Simulation
  • Knobology
  • Journal Club
  • Shock, Arrythmias & Monitoring
  • Fellow Case Conf.
  • Fellow Q/A, hands-on Journal Club

November

  • Blood & Pharmacology
  • Fellow Case Conf.
  • U/S Volume Responsiveness
  • Journal Club
  • ICU Infection, Sepsis & Septic Shock
  • Fellow Case Conf.
  • Chest & Abdomen Trauma
  • Simulation

December

  • Respiratory Failure, PPV and Liberation from Ventilator
  • Journal Club
  • U/S Advanced Topic
  • Fellow Case Conf.
  • Fellow Q/A, hands-on U/S

January

  • Acid Base, Electrolytes AKI & RRT
  • Fellow Case Conference
  • Advanced U/S Topic
  • Journal Club
  • HTN Emergencies, Neurologic Emergencies
  • Simulation
  • Fellow Q/A, hands-on U/S
  • Journal Club

February

  • Acute Abdomen GI Bleeding
  • Fellow Case Conference
  • SCCM
  • LV Dystolic Function
  • Fellow Case Conf.
  • Fellow Q/A, hands-on U/S Journal Club

March

  • Burns, Thermal Disorders and Inhalation Injury
  • Fellow Case Conference
  • Advanced U/S Topic
  • Journal Club
  • Nutrition
  • Fellow Case Conference
  • Fellow Q/A, hands-on U/S
  • Journal Club
  • Hepatic Failure & Endocrine
  • Simulation

April

  • Cardiopulmonary Arrest, ACS and Drug OD
  • Fellow Case Conference
  • Advanced U/S Topic: AS, MS, TS
  • Journal Club
  • Board Question Review
  • Fellow Case Conference
  • Board Question Review Journal Club

May

  • Board Question Review
  • Fellow Case Conference
  • Board Question Review
  • Journal Club
  • Board Question Review
  • Fellow Case Conference
  • Board Question Review
  • Journal Club
  • Board Question Review
  • Simulation

June

  • Journal Club
  • Fellow Case Conference
  • Journal Club
 

Interested in our fellowship? We’d love to hear from you!

Email us at ANES-CCMRecruitment@anest.ufl.edu