Breadcrumb

Critical Care Curriculum Overview

Typical Conference Schedule

10 - 11 a.m. Monday – Friday: Multidisciplinary rounds in ICU

  Monday Tuesday Wednesday Thursday Friday
1st week 12 noon
PD meeting with Fellows
7:15-8:15 a.m.
Echo Conference *
12 noon
CCM Journal Club
7:15-8:15 a.m.
Cath/structural
Conference *
7:15-8:15 a.m.
M & M *
2nd week 12 noon
Core Curriculum
12 Noon
POC Ultrasound scanning in ICU
7:15-8:15 a.m.
ECG Conference *
7:15-8:15 a.m.
Cath/structural
Conference *
12 Noon
CCM Board Review
3rd week 12 noon
Core Curriculum
7:15-8:15 am
Echo Conference
12 noon
CCM Case Conference
7:15-8:15 a.m.
Cath/structural
Conference *
12 Noon
Research / QI Conference
4th week 12 noon
Core Curriculum
  7:15-8:15 a.m.
ECG Conference *
7:15-8:15 a.m.
Cath/structural
Conference *
12 Noon
CCM Board Review

* = Shared with cardiology fellows


Medical Intensive Care Unit (MICU)

There always be at least one fellow in the Medical Intensive Care Unit (MICU). The fellows' day will start at 7 a.m. when they will round on all of the patients on their team. They will participate in multidisciplinary rounds at 10 a.m. along with MICU attending formulating a cohesive plan of care with the patient and/or family. During this time the MICU attending will also provide teaching on all cases staffed by the fellow. The MICU fellow will also take part in procedures including but not limited to central venous catheter placement, endotracheal intubation, tube thoracostomy, bronchoscopy, thoracentesis, percutaneous tracheostomy. These will all be staffed by the attending physician. The MICU fellow will also be responsible for code blues and learn how to effectively run a cardiac/respiratory arrest and post-arrest resuscitation.  MICU fellow will also be responsible for critical care consults provided by the hospitalist service which will also be staffed by the MICU attending. Fellows may have a medical resident or medical student rotating with them. Medical residents may see patients independently, but they must present them to the fellow will be responsible for the patient as well. The fellows will participate in the selection of educationally appropriate consultations for the medical residents. Medical students may not see consults independently and instead may accompany the resident/fellows through the consult process. It is important that the fellow remains responsible for knowing the clinical information pertaining to any patient seen by the medical residents or students. All encounters are to be fully supervised by a qualified attending physician.  Fellows are expected to communicate with consulting physicians, surgeons, as well as hospitalists when patients are downgraded out of the ICU.

Principal teaching/learning activities

Teaching rounds will consist of pertinent bedside history and physical examination teaching, discussion of differential diagnosis and clinical data used to support them, discussion of recommendations and plans and review of pertinent medical literature to support each recommendation, and review of pertinent radiologic studies.


Surgical Intensive Care Unit (SICU)

There always be at least one fellow in the Surgical Intensive Care Unit (SICU). The fellows' day will start at 7 a.m. when they will round on all of the patients on their team. They will participate in multidisciplinary rounds at 10 a.m. along with SICU attending formulating a cohesive plan of care with the patient and/or family. During this time the SICU attending will also provide teaching on all cases staffed by the fellow. The SICU fellow will also take part in procedures including but not limited to central venous catheter placement, endotracheal intubation, tube thoracostomy, bronchoscopy, thoracentesis, percutaneous tracheostomy. These will all be staffed by the attending physician. The SICU fellow will also be responsible for code blues and learn how to effectively run a cardiac/respiratory arrest and post-arrest resuscitation. Fellows may have a medical resident or medical student rotating with them. Medical residents may see patients independently, but they must present them to the fellow will be responsible for the patient as well. The fellows will participate in the selection of educationally appropriate consultations for the medical residents. Medical students may not see consults independently and instead may accompany the resident/fellows through the consult process. It is important that the fellow remains responsible for knowing the clinical information pertaining to any patient seen by the medical residents or students. All encounters are to be fully supervised by a qualified attending physician. Fellows are expected to communicate with the surgeons they are co-managing patients with.

Principal teaching/learning activities

Teaching rounds will consist of pertinent bedside history and physical examination teaching, discussion of differential diagnosis and clinical data used to support them, discussion of recommendations and plans and review of pertinent medical literature to support each recommendation, and review of pertinent radiologic studies.


Cardiovascular Intensive Care Unit (CVICU)

There always be at least one fellow in the Cardiovasular Intensive Care Unit (CVICU).  The fellows' day will start at 7 a.m. when they will round on all of the patients on their team. They will participate in multidisciplinary rounds at 10 a.m. along with CVICU attending formulating a cohesive plan of care with the patient and/or family. During this time the CVICU attending will also provide teaching on all cases staffed by the fellow. The CVICU fellow will also take part in procedures including but not limited to central venous catheter placement, endotracheal intubation, tube thoracostomy, bronchoscopy, thoracentesis, percutaneous tracheostomy, transvenous pacemaker, right heart catheterization. These will all be staffed by the attending physician. The CVICU fellow will also be responsible for code blues and learn how to effectively run a cardiac/respiratory arrest and post-arrest resuscitation. Fellows may have a medical resident or medical student rotating with them.  Medical residents may see patients independently, but they must present them to the fellow will be responsible for the patient as well. The fellows will participate in the selection of educationally appropriate consultations for the medical residents. Medical students may not see consults independently and instead may accompany the resident/fellows through the consult process. It is important that the fellow remains responsible for knowing the clinical information pertaining to any patient seen by the medical residents or students. All encounters are to be fully supervised by a qualified attending physician. Fellows are expected to communicate with cardiologists and cardiothoracic surgeons with who are co-managing patients with. Fellows are also encouraged to go to the OR during cardiac surgery to get experience with intraoperative procedures and TEE experience.

Principal teaching/learning activities

Teaching rounds will consist of pertinent bedside history and physical examination teaching, discussion of differential diagnosis and clinical data used to support them, discussion of recommendations and plans and review of pertinent medical literature to support each recommendation, and review of pertinent radiologic studies.


Research and Scholarly Activity

In addition to mandatory QI projects, the fellows will present and publish interesting cases and case series. They also have an opportunity to write review articles, or be part of original research studies under the guidance of one of the faculty. They will also be coupled with fellows to work on research projects.