The Critical Care Fellowship is comprised of two-week, four-week, and one-month rotations and one month of vacation per year. At least nine months per year are spent in the care of critically ill patients, with a minimum of seven months of “on call” responsibility on the Cardiovascular Critical Care Service (CVICU and BSCU), Surgical Intensive Care Unit and the Neuroscience Intensive Care Unit at UC Medical Center. Both fellowships include rotations in the Medical Intensive Care Unit at University of Cincinnati Medical Center (call responsibility varies). The Anesthesia Critical Care Fellowship also includes a Pediatric Intensive Care Unit rotation at Cincinnati Children’s Hospital Medical Center (available as an elective for an ABA/ABEM fellow).
Elective time (without call) is available on the following services that care for critically ill patients: Critical Care Ultrasound, Echocardiography/TEE, Interventional Pulmonology, Electrophysiology, Nephrology/dialysis, Infectious Disease, Nutrition and Metabolic Support, and Shriners Hospital for Children. Additional electives for ABA/ABEM fellows include Anesthesiology, Acute Pain Service, the Center for Perioperative Care (“Pre-operative Clinic”) and ENT/surgical airway management.
The exact order of the rotations is established by the program director and each fellow individually.
Fellows attend a Multidisciplinary Critical Care Lecture Summer Series that meets three times per week over the first three months of the fellowship. After which, the Longitudinal Multidisciplinary Critical Care Lecture Series meets two to three Mondays every month.
The University of Cincinnati College of Medicine provides a simulation laboratory with models available. This laboratory is utilized as a teaching platform for the Critical Care fellows who are assigned the responsibility of assisting in the education of the house staff for specific clinical tasks, such as central line insertion, arterial line insertion, and other procedural skills.
The University of Cincinnati College of Medicine also provides a human cadaver laboratory, which is available as an adjunct to the same teaching venues that allow the Critical Care Resident to develop supervisory and teaching skills in a monitored and mentored setting.
Additionally, fellows attend and present monthly at a multidisciplinary critical care journal club moderated by a critical care faculty member to an audience of critical care fellows, faculty and pharmacists, presenting the articles and participating in the discussion that follows. Fellows attend a monthly multi-disciplinary critical care grand round. This conference is attended by critical care fellows and faculty from the CCCS, MICU, NSICU, PICU and SICU.
Research is not mandatory, but is highly encouraged for this fellowship. Fellows may also participate in the department’s ongoing clinical and basic science research and are expected to participate in the division’s performance improvement projects.
Cardiovascular ICU (CVICU)
This 18-bed ICU serves vascular and thoracic surgery patients and both medical and surgical cardiac patients and is core piece of the UC Heart, Lung and Vascular Institute. The Cardiovascular Critical Care Service (CCCS) collaborates with the primary service in the management of these patients.
UCMC is the first and only hospital in the area to receive JCAHO certification for management of advanced heart failure with the use of ventricular assist devices (VADs). In addition to the above patient types, the fellows will be involved in the care of patients requiring other extracorporeal mechanical support.
Burn Special Care Unit (BSCU)
This ten-bed ICU serves adults with severe burns, ENT patients after major surgery and plastic surgery patients requiring intensive wound management. The Cardiovascular Critical Care Service provides collaborative care for most of the ENT patients after intricate airway reconstruction and those who have had resection of head and neck cancers with complex reconstructions (including free flaps), critically ill burn patients and critically ill plastic surgery patients.
Surgical/Trauma ICU (SICU)
This unit houses 34 beds and cares for a wide array of patients including surgical oncology, abdominal organ transplantation, urology, orthopedics, thoracic and trauma among others. UC Medical Center is the only Level I adult trauma center in the region.
Neuroscience ICU (NSICU)
The NSICU is a 20-bed unit which plays a pivotal role in the support of the UC Neuroscience Institute. This ICU serves both patients after neurosurgery as well as patients suffering from non-surgical problems such as traumatic brain injuries, seizure and stroke. UCMC is home to one of the nation’s leaders in stroke care.
Fellows will be involved in the clinical care of critically ill and injured patients. This will include direct patient management, interaction with patients and families, teaching of medical students and residents and facilitating daily multidisciplinary rounds.