SDN members see fewer ads and full resolution images. Join our non-profit community!

Anesthesiology Critical Care Fellowship 2019-2020

Discussion in 'Anesthesiology' started by SloeDOwn, Sep 10, 2017.

  1. SDN is made possible through member donations, sponsorships, and our volunteers. Learn about SDN's nonprofit mission.
  1. SloeDOwn

    SloeDOwn 2+ Year Member

    17
    6
    Jun 18, 2013
    Hey all, as the SICU fellowship application opens it would be useful to have current and past fellows comment on the rigor and schedule of their prospective program. Also, I would be interested in prospective job offers or current jobs, like benefits, compensation, etc. Did you get a job during residency or fellowship??

    I'm especially interested in UPenn, Vandy, Duke, Michigan, but would like to hear about everyone's experience. Thanks guys.
     
  2. SDN Members don't see this ad. About the ads.
  3. bigdan

    bigdan SDN Donor 10+ Year Member

    2,332
    127
    Dec 30, 2002
    Ann Arbor
    I'm a Michigan ACCM alum...that critical care year was the single best year of education in my life.

    I know folks that trained at each of the institutions that you named - you'll get great training at any of those. But I LOVED me some Michigan ICU.

    Good luck!
     
    FFP likes this.
  4. MoMD

    MoMD ASA Member 2+ Year Member

    4
    0
    Jul 30, 2013
    you r welcome....
     
    Last edited: Sep 11, 2017
  5. SloeDOwn

    SloeDOwn 2+ Year Member

    17
    6
    Jun 18, 2013
    Can you comment on the schedule bigdan? For instance Call was q??? Did you actually take call. I know the fellows at CCF don't take 24hour call period. Secondly did you work 1 week of nights then off a few days? HOw many different ICUs? Any TEE experience? Did you see tons of ECMO or device patients?

    Are you presently working academic or private? 100% ICU?

    Thank you in advance.
     
  6. SevoLution

    SevoLution 2+ Year Member

    14
    2
    Oct 1, 2012
    Current Anesthesiology CCM fellow at UC San Diego

    Schedule is pretty brutal half the month (CTICU DAYS, CTICU NIGHTS each for 6 consecutive days)

    That is followed by a week at the VA and a week of elective which includes your choice of any other ICU experience or dedicated Echo training, research etc. The elective week is pretty chill and allows for enjoyment of the beautiful city of San Diego. You're also welcome in the OR for TEE experience and I've found that surgeons appreciate when you take a vested interest in their patients before they reach the ICU as well.

    I'd say clinically the experience here is excellent. We do any transplant you can think of and we do a LOT of them. VADs, ECMO out the wazoo. Fellows have dibs on airways, lines, chest tubes, echo, bronch you name it. It's also cool if you just want to help residents refine their skills. Staff at UCSD (Anesthesiology CCM docs and Surgeons) are really reasonable to work with and provide a fair amount of autonomy ... especially at night.

    I'm sure there are tons of fellowships that offer a similar experience. There are probably MANY that are less rigorous and perhaps a few that are more demanding. In exactly a year, the rubber meets the road so get everything out of it that you can. I wanted to be able to run a major CTICU when I finished so I chose a cardiac heavy program. There's something out there for everyone.
     
  7. SloeDOwn

    SloeDOwn 2+ Year Member

    17
    6
    Jun 18, 2013
    Did you or anyone else get advanced TEE certification??
     
  8. Ezekiel2517

    Ezekiel2517 Anesthesiologist 10+ Year Member

    449
    375
    Jan 21, 2005
    CA
    Physician
    You can't get advanced certification anymore unless you completed a cardiac fellowship.
     
  9. Katheudontas parateroumen

    Katheudontas parateroumen

    64
    35
    May 19, 2016
    Can anyone speak to CCM fellowship at Texas Heart Institute/Baylor? Maybe looking to do combined CT/ICU at THI in the future. Thanks!
     
  10. FFP

    FFP Grunt, cog, body, pompous ass Gold Donor Classifieds Approved 10+ Year Member

    5,341
    4,286
    Oct 17, 2007
    the opposite pole
    Shouldn't matter. Really. If you want to practice cardiac anesthesia in a serious place, do a CT fellowship; TEE is just one facet of a great cardiac anesthesiologist. If you want to know TEE for community cardiac, just do as much cardiac as possible during your residency and get 50 pre+post-bypass OR TEEs done and read personally during your ICU fellowship (plus read and watch a lot of online echos/courses/books).

    I would never choose an ICU program based on TEE certification. Even if you want to become the best cardiac intensivist, TEE is just one facet and you will learn more than enough in any good cardiac ICU program. Plus, for a cardiac intensivist, TTE skills are maybe even more important than TEE.
     
    Last edited: Sep 24, 2017
    psychbender and AdmiralChz like this.
  11. FFP

    FFP Grunt, cog, body, pompous ass Gold Donor Classifieds Approved 10+ Year Member

    5,341
    4,286
    Oct 17, 2007
    the opposite pole
    You'd be surprised.
     
    pgg likes this.
  12. AdmiralChz

    AdmiralChz ASA Member 7+ Year Member

    1,907
    1,000
    Sep 8, 2008
    South
    So much truth here. There are enough combined programs that will give you what people are desiring - cardiac intensivist with adult cardiac OR. You want that advanced certification to mean something, than do yourself a favor and just do the CT fellowship.

    In general, if you want to do a combined program make it count and be sure that you are getting enough CTICU experience in fellowship. THI would almost certainly get you there since there are so many medical and surgical cardiac ICUs. Where I did residency only two months were spend in the cardiac ICU over a two year combined fellowship and I’m not sure this is enough exposure (By contrast, there was 6 months of SICU/Trauma ICU and 2-3 of Neuro). You also want exposure to transplants (both heart and lung) as well as devices if you are interested in cardiac - as is the case for CT fellowships, not all programs do these with ample frequency.
     
  13. Ezekiel2517

    Ezekiel2517 Anesthesiologist 10+ Year Member

    449
    375
    Jan 21, 2005
    CA
    Physician
    actually I wouldn't. I know people who got advanced cert. w/o ever performing a single exam. Just saying what the new "rules" supposedly are.
     

Share This Page