division of critical care

FacultyThe Chief of the Division of Critical Care Medicine is Robert N. Sladen, MBChB, FCCM. Dr. Sladen is Medical Director of the Cardiothoracic Intensive Care Unit (CTICU) and Surgical Intensive Care Unit (SICU) at Columbia University Medical Center (CUMC) and Program Director of the Anesthesiology Critical Care Medicine (ACCM) Fellowship. He is also Medical Director of Respiratory Therapy at CUMC. Dr. Sladen is a Fellow of the American College of Critical Care Medicine and a Past-President of the Society of Critical Care Anesthesiologists (SOCCA).

In addition to Dr. Sladen, the Department Critical Care Faculty include Drs. Tricia Brentjens, Martin Chen, Daniela Darrah, Brigid Flynn, Alan Gaffney, Sumeet Goswami, Jonathan Hastie, May Hua, Desmond Jordan, Steven Miller, Vivek Moitra, Teresa Mulaikal, Oliver Panzer, Joseph Rumley, Peter Salgo, Julia Sobol, Gebhard Wagener, and Hannah Wunsch.

The Critical Care Division provides intensivist coverage for 47 postoperative ICU beds at CUMC. The CTICU is divided into the Milstein CTICU (21 beds) and Heart Center CTICU (10 beds) and the SICU has 16 beds. Together, these units provide postoperative care for nearly 3000 patients each year. The CTICU admits patients following heart or lung transplantation, ventricular assist device insertion, veno-arterial extracorporeal membrane oxygenation (VA-ECMO), coronary revascularization and valve surgery, aortic reconstructive surgery, minimally invasive valve surgery and pulmonary thrombo-endarterectomy. The SICU supports a very busy liver, kidney-pancreas and multi-organ transplantation service; an acute care surgery service; major thoracic and vascular surgery and a wide variety of general and subspecialty surgical procedures. CUMC is also a referral center for high-risk obstetric cases such as placenta previa.

The units are “closed”: all orders must be written by the ICU team, but there is close collaboration with the Surgery, Cardiology, Pulmonary Medicine and Transplant services involved. Strong emphasis is given to the importance of a multidisciplinary approach to critical care involving colleagues from other services, nursing staff, pharmacists, respiratory therapists, physical therapists, nutritionists, medical social workers as well as palliative care and ethics services.

The Critical Care Division is responsible for the training of ACCM Fellows, residents in anesthesiology and surgery, and medical students taking the CTICU-SICU sub-internship. There is close supervision of residents by the ACCM Fellows (who provide 24/7 in-house coverage) and the ICU Attendings. There is a progressive experience for the PGY-1, PGY-2, PGY-3 and PGY-4 anesthesiology residents, who also help to supervise and teach medical students on the ICU sub-internship. The teaching experience embraces all aspects of critical care, including placement and management of invasive hemodynamic monitors, invasive and non-invasive ultrasound, ventilator management, renal replacement therapy, use of drug infusion techniques, nutritional support, infectious disease control and medical ethics.

Anesthesiology residents spend a minimum of four months in critical care during their PGY-1 through PGY-4 years. 
 During their PGY-1 year, anesthesiology residents spend 8 weeks in SICU, working alongside surgery PGY-1 residents. When they return for another 4 weeks in the SICU in their PGY-2 year, they act as “Senior-Juniors” and supervise the anesthesiology and surgery PGY-1 residents. In the SICU the teaching emphasis is on the fundamentals of critical care, acute pain management, nutritional support and management of sepsis.

During their PGY-3 year, anesthesiology residents spend 4 weeks in CTICU, work alongside PGY-2 surgery residents, physician assistants and acute care nurse practitioners. In CTICU the teaching emphasis is on the complex hemodynamic and ventilatory management of postoperative cardiac surgical patients.

We offer PGY-4 residents the opportunity to do a 4-week elective in critical care, in SICU or CTICU or both. The PGY-4 residents work as Junior Fellows and together with the ACCM Fellows supervise and teach PGY-1 through PGY-3 residents, and share the call coverage with the ICU Fellows.

Residents may apply to undertake the ACCM Fellowship in their PGY-5 year. The Fellowship is accredited by the American Board of Anesthesiology (ABA) to achieve eligibility for ABA certification in Critical Care Medicine. Further details are available on the Critical Care Fellowship site.

Critical Care Educational Activities for Residents

ICU Teaching Conference (“ICU 101”):

Every Monday, Tuesday and Friday 1:30 - 2:30 p.m.
Venue: SICU Conference Room, Milstein Hospital 4th Floor.
Conference Schedule Coordinator: Julia Sobol, MD.

The ICU Faculty, Fellows, pharmacists or nutritionists present a one-hour tutorial to the ICU residents and medical students. This conference provides didactic coverage of the ICU Core Curriculum to supplement rounds and bedside teaching.

Critical Care Grand Rounds (CCGR):

Every Thursday 3:00 - 4:00 p.m., September through June.
Venue: Heart Center, 1st Floor, Conference Rooms 1 & 2.
Conference Schedule Coordinator: Robert N. Sladen, MBChB, FCCM.

Critical Care Grand Rounds is a weekly conference open to all staff at CUMC; the common denominator is an interest in critical care medicine. The audience includes faculty and house staff, nursing staff, therapists, pharmacists and medical students. Lectures are presented by Columbia University Faculty and Visiting Professors who are experts in critical care and related fields.

Division of Critical Care Faculty

Tricia Brentjens, MD
Martin Chen, MD
Daniela Darrah, MD
Alan Gaffney, MD (Associate Medical Director, CTICU)
Sumeet Goswami, MD
Jonathan Hastie, MD
May Hua, MD
Desmond Jordan, MD
David Kiamanesh, MD
Steven E. Miller, MD
Vivek Moitra, MD(Associate Medical Director, SICU; Associate Program Director, ACCM Fellowship)
Teresa Mulaikal, MD
Oliver Panzer, MD
Amanda Powers, MD
Joseph Rumley, MD
Peter Salgo, MD (Associate Medical Director, SICU and CTICU)
Robert Sladen, MBChB, FCCM (Chief, Division of Critical Care; Medical Director, SICU and CTICU; Program Director, ACCM Fellowship)
Julia Sobol, MD
Gebhard Wagener, MD

Anesthesiology Critical Care Medicine (ACCM) Fellows 2014-2015

Jason Alexander, MD (Co-Chief Fellow)
Hannah Bell, MD
Maggie Chou, MD
Peter Downey, MD
Jack Louro, MD
Rima Rahal, MD
Sia Saattee, MD
Dennis Thiel, MD
Emily Vail, MD (Co-Chief Fellow)

For further information, contact:

Lisa A. Hasenbalg
Executive Assistant
Division of Critical Care
Department of Anesthesiology, PH 527-B
College of Physicians & Surgeons of Columbia University
630 West 168th St, New York NY 10032
lh2120@cumc.columbia.edu
Tel: 212-305-8633
Fax: 212-305-8287

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Columbia University Medical Center Department of Anesthesiology