fellowshiP IN CRITICAL CARE MEDICINE

AN AMAZING ONE YEAR EXPERIENCE


Each year we welcome nine fellows from around the country to our ACGME-accredited program situated on 20 acres in Northern Manhattan.  Our fellows have the opportunity to train with us in a supportive environment that seeks to care, lead, educate, and discover.

WE BELIEVE IN INNOVATION

We know that learning preferences are changing, and in the spirit of Columbia’s history of innovation, we believe our teaching should be interactive, intensive, innovative, and inspiring.  We call this our 4I principle.  How do we put the 4I process into practice?

We have “flipped” journal club.
We have limited the number of power point slides used in educational sessions.
We listen to specific podcasts before entering the “classroom.”
We practice “just in time teaching” for bedside ultrasonography
We simulate events to teach the principles of Crisis Resource Management
We believe in the adult learner, who guides us as educators.

Teaching Conferences

The ACCM Fellows, together with the Faculty, give lectures at the ICU Teaching Conference  for medical students and junior residents ((ICU 101), senior residents and Acute Care Nurse Practitioners (ICU 201) as well as their own Fellowship seminars (see below).  They are responsible for coordinating our monthly Morbidity and Mortality Rounds.  During the year Fellows, together with an ICU Faculty mentor, provide presentations at Department of Anesthesiology Grand Rounds and at Critical Care Grand Rounds.

ICU Teaching Conference (ICU 101):
Every Monday and Friday 1:30 - 2:30 p.m.
Venue: SICU Conference Room, Milstein Hospital 4th Floor
Conference Coordinator: David Kiamanesh MD
Twice a week a one-hour tutorial is presented to the ICU junior residents, interns, medical students. These provide introductory didactic coverage of the SICU Core Curriculum to supplement rounds and bedside teaching by the ICU Faculty, pharmacists and nutritionists. In the second half of the year the ACCM Fellows take over many of the lectures themselves and so have the opportunity to hone their didactic teaching skills.

ICU Teaching Conference (ICU 201):
Every Tuesday 1:30 - 2:30 p.m.
Venue: Heart Center CTICU Conference Room, Milstein Hospital 5th Floor
Conference Coordinators: David Kiamanesh MD
Once a week a one-hour tutorial is presented to the ICU senior residents, physician assistants and acute care nurse practitioners on more advanced ICU topics, especially those related to postoperative cardiac care.

Transesophageal Echo (TEE) Fellows' Lecture:
Every Wednesday 1:00 - 2:00 p.m.
Venue: SICU Conference Room, Milstein Hospital 4th Floor
Lecturer: Jack Shanewise, MD (Chief, Division of Adult Cardiothoracic Anesthesiology)
Dr. Shanewise gives a weekly lecture on TEE to the combined group of ACCM and ACTA (Adult Cardiothoracic Anesthesiology) Fellows. This is a unique opportunity to receive what is essentially a one-year course on TEE delivered by an acknowledged expert.

Critical Care Fellows' Journal Club / M & M Conference:
Every Wednesday 2:00 - 3:00 p.m.
Venue: SICU Conference Room, Milstein Hospital 4th Floor
Journal Club Coordinator: May Hua, MD
Dr. Hua leads a "flipped classroom" approach where fellows are distributed ahead of time the journal articles, and are expected to critically appraise the studies prior to Journal Club. There is special emphasis on how to analyze study objectives, design, statistical analysis, results and discussion.

Critical Care Fellows' Core Lectures (CCFCL):
Every Thursday 1:00 - 2:00 p.m.
Venue: SICU Conference Room, Milstein Hospital 4th Floor
Coordinator: Vivek Moitra, MD, FCCM
These are interactive multidisciplinary critical care lectures for our own ACCM Fellows together.  Lectures are given by ICU Faculty and non-ICU Faculty (surgeons, pulmonologists, cardiologists, ID specialists, nephrologists etc.), and Visiting Professors.  These sessions are required to be interactive.   Slides are limited to encourage student directed learning.

Anesthesiology Grand Rounds:
Every Thursday 7:00 - 8:00 a.m. Venue: Alumni Auditorium, Black Building
Coordinator: Vivek Moitra, MD, FCCM
ACCM Fellows attend our weekly departmental Grand Rounds and have the opportunity to present cases 2-3 times per year.

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: Vivek Moitra, MD, 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. Columbia University Faculty and Visiting Professors who are experts in critical care and related fields present lectures. ACCM Fellows participate in giving ICU case presentations at Critical Care Grand Rounds 2-3 times each year.
In July and August CCGR gives way to the multidisciplinary introductory lectures (CCFCL).

 

Patient Care / Quality Improvement Conferences

Cardiac Surgery QI Meeting:
Every Monday 8:00-8:45 am.
Venue: Reemtsma Conference Room, Milstein 7-213 Hudson North
This is a multidisciplinary QI Meeting attended by the cardiac surgeons, ICU Faculty and Fellows, ACTA Faculty, nursing and many ancillary services. QI Indicators are reviewed, and our ACCM Fellows summarize goals for the long stay (i.e. greater than 1 week) cardiac surgical patients in CTICU. There is an M&M discussion of all CTICU mortalities and re-admissions.

In addition, based upon their service rotation, Fellows may attend a case review meeting with the Liver Transplant team every Friday morning, a monthly M&M meeting with the Lung Transplant Team, and a weekly case review meeting with the VAD Team.

Multidisciplinary Meeting for SICU and CTICU:
One Wednesday each month, 1:30 – 2:30 p.m.
Venue: Heart Center Conference Room 3
This monthly multidisciplinary QI meeting is led by Dr. Moitra and addresses issues common to both ICUs. Members include ICU Faculty and Fellows, and senior leadership of nursing, pharmacy, physical therapy, nutrition, palliative care, respiratory therapy, physician assistants and nurse practitioners in SICU and CTICU. It is the most important venue for formulating and updating ICU policies, procedures and guidelines for our two units.

OUR YEAR FOR YOU

Each of our fellows chooses a track, mentored by a faculty member, at the beginning of their fellow year:

Education
Research
Clinical Leadership

Each track is designed to promote achievement of specific milestones to prepare our fellows to launch an academic career.  We are proud of what our fellows accomplish.  By the end of the year, our fellows have written book chapters, participated in research, and developed quality improvement projects.    Think of these tracks as a major and a minor.  The fellows can focus on one track and still participate in parts of the other tracks.

As part of our introduction in July, we organize a two day bootcamp on ICU topics and all of our fellows participate in an immersive three-day ultrasound course.   We have designed the year to give you flexibility and exposure to a diversity of disease processes in critical care medicine.

 

WELCOME HOME

We are intensivists, and our home ICUs are the SICU (16 Beds) and the CTICU (2 units with a total of 31 beds).  Our fellows work in our ICU home for 28 weeks taking care of some of the most critically ill patients in New York City. We manage patients after heart, lung, liver, and pancreas transplant.  We take care of patients after ECMO and VAD insertion.  We collaborate with our multidisciplinary team to manage complex disease processes such as sepsis and ARDS.    As the year progresses the ICU Fellow takes increasing responsibility for the conduct of rounds and decision-making, while the ICU Attending remains available for backup and support as appropriate.  Our fellows take nightfloat call in the SICU (8 weeks) and are on call in the CTICU every third night.  Our call system is designed to create a balanced experience.  When you aren’t in our home (24 weeks) units, you aren’t on call.

 

WE WANT YOU TO EXPERIENCE THE WORLD OF CRITICAL CARE

We have created a robust elective call free experience (14 weeks) because we believe in the diversity of critical care management.

Our core mandatory electives:
2 weeks of MICU
2 weeks of palliative care
1 week of Neuro Intensive Care
1 week of Stroke/EEG management
1 week of Ventricular Assist Device Management

Our selectives:
Renal
Infectious Disease
CCU
Nutrition
Ethics/Palliative Care
Liver transplant

Each fellow spends 5-6 weeks as a “Skills Fellow.”  These call free weeks allow the fellows to hone their ultrasound skills, work on their track milestones, and support their colleagues in the ICU with triage responsibilities.

Our Fellows are encouraged to attend major critical care meetings such as the Society of Critical Care Anesthesiologists (SOCCA) or the Society of Critical Care Medicine (SCCM).  The Department of Anesthesiology provides $1,600 each year toward academic support and activities for each Fellow.

Fellows Alumni List


Fellowship Application
We welcome applications to our program.  We believe that our fellowship will give you the opportunity to be educate, have a chance to lead, have a place to care, and a find a path to discover and we invite you to join us for the ride of a lifetime.   

Please note that for the 2018-2019 ACCM Fellowship year, we are participating in the San Francisco (SF) Match process.  This requires the use of the ACCM Common Application Form.  We will be conducting interviews until April 30, 2017 so the final date for application submission is March 1, 2017.  For more detailed information on the Fellowship Application Process, please e-mail Ms. Hasenbalg at lh2120@cumc.columbia.edu, or call her at 212-305-8633. Her mailing address is:

Ms. Lisa Hasenbalg
Program Coordinator Critical Care Medicine Fellowship
Department of Anesthesiology, PH 527-B
College of Physicians & Surgeons of Columbia University
630 West 168th St,
New York NY 10032


 

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Columbia University Medical Center Department of Anesthesiology