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Clinical Curriculum

The length of the Critical Care Fellowship at the Cleveland Clinic is 2 years. Fellows with prior advanced critical care training may be considered for a one year track. A Cardiology Critical Care track is available. Interested candidates with prior cardiology fellowship training may contact us for more details.

Rotation 1st Year 2nd Year
Orientation 0.5 0
MICU 4.5 4
CVICU 0 1
Neuro ICU 0.5 0.5
Trauma 0.5 0.5
Intubation 0.5 0
Bronchoscopy 0.5 0.5
Respiratory Therapy 0.5 0
Echocardiogram 0.5 0.5
Nephrology ICU 0 0.5
Nutrtiion ICU 0.5 0
Elective 3.5 4.5
Total (core) 8.5 7.5

Length of rotation is in months.

Year I

The first year of fellowship focuses developing clinical expertise in critical care medicine. During the first six months our fellows complete a series of core rotations focused on mastering skills specific to critical care including bronchoscopy, bedside ultrasonography/echo, intubation and ventilator management. The first year is also a pivotal time for fellows to explore the multiple academic opportunities available and to identify an academic mentor (a key aspect of our program).

Electives during the first year emphasize opportunities to do non-MICU rotations and to begin research. Non-MICU opportunities include, but are not limited to:

  • Neurological Intensive Care Unit
  • Cardiovascular Intensive care unit (post-operative cardiovascular patients, ECMO and ventricular assist devices)
  • Coronary Care Unit
  • Heart Failure Unit
  • Trauma Intensive Care Unit (Metro health Medical Center)
  • Surgical Intensive Care Unit
  • Community hospital intensive care units.
  • Respiratory Therapy
  • ICU Nutrition
  • Infectious disease
  • Thoracic surgery
  • Research
  • Formal education courses (statistics, clinical trial design, epidemiology etc.)
  • Pulmonary Hypertension ICU Management and Right Heart Catheterization
Year II

The second year of fellowship focuses on developing a deeper understanding of the physiology of the critically ill patient and how organ support systems affect this. The goal is to master the understanding of mechanical ventilation, hemodynamic support and how to tailor these to the critically ill patient. Further elective time allows fellows an opportunity to continue research started in the first year and further elective time to pursue clinical training according to their career goals. Fellows are expected to complete quality improvement initiatives and to present a research project at an International Conference or during the Respiratory Institute Research day in June.

Simulation in medical education enables learners to practice necessary skills in an environment that allows for errors and professional growth without risking patients' safety. With a 10,000-square-foot expansion of the Simulation Center Dry Lab, the creation of two Difficult Airway Centers and the renovation of the task-based simulation lab, Cleveland Clinic is now at the cutting-edge of simulation training. Simulation-based teaching is built into the educational curriculum of our fellowship program. As part of their orientation, we train incoming fellows in invasive procedures and basic airway skills by using high-fidelity simulators and mannequins. Additionally, on an annual basis we offer courses on advanced airway management, hemodynamic waveform assessment, ECMO, mechanical ventilation, and simulation-based assessment of clinical, procedural, and communication skills.