snowman (in Texas) I would recommend our pediatric CCU which is not run solely by anesthesiologists but whose top critical care specialists are anesthesiologists (Dr. Frances Morriss and Dr. Paul Sheehran). This rotation provides an excellent experience in pediatric critical care that I have found translates well into adult critical care. The pediatric attendings (Leslie Garner, Steven Kernie, etc.) are also acutely cognizant of the contributions of their anesthesia colleagues and together they form a dynamic and remarkably well coordinated and exceptionally cooperative team.
Our VA ICU will soon be a closed unit run by anesthesiology and our attendings there (Dr. Adebola Adesanya, Dr. Mike Wall, and Dr. John Sum-Ping) are dedicated teachers that will give you a very balanced perspective of critical care.
Parkland is somewhat of a zoo in terms of sheer volume and variety. The fact that it is open makes management by intensivists difficult at best, although as I understand it, surgery has agreed to close the ICU next year or immediately thereafter and will have anesthesia staff running the ICU at least part of the time.
I have heard quite a bit about the SICU at Northwestern that is run by Anesthesiologists, spent a day there while on my anesthesiology rotation. MOst of the students and residents were satisfied with the didactics and clinical experience they were receiving there.......
hawkslo, rotations at Parkland's SICU would have to be arranged with the department of surgery. Rotations at the VA ICU would have to be arranged with our department. Both are open to 4th years interested in a sub-I/externship.
Conversion has not started yet, but our recent financial impact studies at the VA showed that since our department took over the VA ICU, the 6 month cost savings for decreased M&M was $700,000. The stated goal for the year was $600,000 so we've beat expectations with still a full six months of data to be collected.
That will help galvanize the change but old habits die hard at Parkland so we'll see.