The Critical Care fellow will complete the following rotations during the one-year fellowship:
|Intensive Care Units
The fellow will rotate for nine months in intensive care units (inclusive of a two-week rotation at Boston Children’s Hospital). The BIDMC ICU Units* are semi-closed ICUs where patients are cared for by teams consisting of an attending physician, a fellow and dedicated house staff.
The fellow will spend three months completing elective rotations, including TEE and TTE, and/or research projects.
*Details about each ICU unit are below:
- Trauma Surgical Intensive Care Unit (TSICU): A 10 bed unit caring from trauma and acute care surgery patients admitted largely through the emergency room. Coverage of this unit is shared 50% with the Division of Surgical Critical Care.
- Surgical Intensive Care Unit (SICU): A 15 bed unit for both surgical and neurosciences patients. Coverage of this unit is shared 50% with the Division of Surgical Critical Care.
- Cardiovascular Intensive Care Unit (CVICU): A 16 bed until caring for patients undergoing cardiac and vascular surgery. Added to the clinical coverage in 2006, this unit is covered 100% of the time by Anesthesia Critical Care.
In the clinical setting, the Critical Care fellow will:
- Provide complete care of critically ill patients
- Perform bedside ultrasonography and echocardiography
- Function as a leader of a multidisciplinary health care team providing such care
- Have a working knowledge of the administration and management of a critical care unit
The fellow will always be supervised by an attending but given appropriate independence to make management decisions. In the clinical setting, the fellow will receive teaching from faculty on an informal, one-on-one basis and will learn proper communication techniques in a team-based approach to patient care.
Non-clinical Educational Opportunities
Outside of the clinical setting, the fellow will participate in the following didactics:
- Weekly Journal Clubs
- Weekly multidisciplinary didactic lectures (with contributions from the Departments of Renal, Respiratory, Neurosurgery, Nutrition and Cardiology)
- Bi-weekly echocardiography conferences
- Bi-weekly Morbidity & Mortality conferences
- Echocardiography courses
In addition, the fellow is encouraged to participate in:
- Bedside teaching rounds
- Line lab sessions
- Education courses offered through the Harvard Medical School Catalyst Education Program
The fellow will spend dedicated time teaching and supervising residents during their ICU rotations. He/she will also facilitate lectures and Journal Clubs in the resident didactic series.
These educational opportunities will provide the fellow with knowledge in critical care medicine that not only will be applied in the clinical setting but also will enable him/her to critically appraise the literature as it pertains to critical care medicine.