Appointments

866.320.4573

Request an Appointment

Questions

800.223.2273

Contact us with Questions

Expand Content

Clinical Rotations

Cleveland Clinic's Respiratory Institute manages the Medical ICU and ReSCU weaning unit, which comprise the majority of your critical care medicine rotation. You also will rotate through other intensive care units, such as surgical ICU, trauma ICU, neurologic ICU and more.

Medical Intensive Care Unit (MICU)

Patient Population
General medical and transplant (e.g., lung, liver, kidney and bone marrow) patients

Team
Five teams each with staff, fellow, two residents, NP and pharmacist

Average Team Census
10-15 patients

Typical Hours
7 a.m. – 5 p.m., Monday – Friday and one weekend day

Responsibilities

  • Run clinical service
  • Serve as team leader
  • Supervise residents
  • Perform critical care consults

Rotation Strengths

  • Diverse patient population ( >5000 admissions a year to our 64 bed MICU)
  • Exposure to severely ill patients (top percentile of acuity nationally)
  • High proportion of hospital transfers
  • Develop high comfort with managing very ill patients
  • Perform several procedures (e.g., central lines, thoracentesis, PA catheter placement, intubations, bronchoscopy and chest tubes)
  • Teaching responsibilities
  • Leadership role for fellows on MICU teams
  • Perform Critical Care ultrasonography
Respiratory Special Care Unit (ReSCU)

Patient Population
Tracheostomy patients in the 8 bed in-hospital weaning unit

Team
Staff, fellow, anesthesia residents and respiratory therapist

Average Team Census
Eight patients 

Typical Hours
8 a.m. – 5 p.m., Monday – Friday and one weekend day

Responsibilities

  • Run clinical service
  • Serve as team leader
  • Supervise residents

Rotation Strengths

  • Gain experience with difficult-to-wean patients
  • Increase experience with ventilator management 
Surgical Intensive Care Unit (SICU)

Patient Population
Surgical patients with acute disease or instability requiring intensive monitoring and/or interventions

Team
SICU staff, fellow and anesthesia/general surgery residents

Average Team Census
6-10 patients

Typical Hours
8 a.m. – 5 p.m., Monday – Friday

Responsibilities

  • Supervise residents

Rotation Strengths

  • Exposure to surgical ICU management  
Trauma and Burn Intensive Care Unit (TICU)

Patient Population
Critically ill trauma and burn patients

Team
MetroHealth Medical Center trauma staff, fellow and residents

Average Team Census
6-10 patients

Typical Hours
8 a.m. – 5 p.m., Monday – Friday

Responsibilities

  • Supervise residents and procedures

Rotation Strengths

  • Exposure to trauma ICU care and management
Neurological Intensive Care Unit (NICU)

Patient Population
Neurological patients with acute or unstable conditions

Team
NICU staff, fellow and neurological residents

Average Team Census
10-12 patients

Typical Hours
8 a.m. – 5 p.m., Monday – Friday

Responsibilities

  • Supervise residents
  • Direct patient care 

Rotation Strengths

  • Exposure to neurological ICU management
  • Working in a specialized, dedicated NICU
Cardiac Intensive Care Unit (CICU)

Patient Population
Cardiac patients with acute or decompensated conditions

Team
CICU staff, CICU fellow and medicine residents

Average Team Census
10-12 patients

Typical Hours
8 a.m. – 5 p.m., Monday – Friday

Responsibilities

  • Supervise residents

Rotation Strengths

  • Exposure to cardiac ICU procedures (e.g., balloon pumps and temporary pacemakers)
  • Experience in managing diverse cardiac diseases
Cardiovascular Intensive Care Unit (CVICU)

Patient Population
Post-lung transplant and cardiac surgery patients

Team
Anesthesia staff, fellow and residents, and surgical staff and fellows

Average Team Census
6-10 patients

Typical Hours
8 a.m. – 5 p.m., Monday–Friday, one weekend day

Responsibilities

  • Supervise residents
  • Direct patient care 

Rotation Strengths

  • Exposure to ventricular assist devices
  • Perform procedures (e.g., PA catheters)
  • Exposure to transvenous pacemaker
Echocardiography

Typical Hours
8 a.m. – 5 p.m., Monday – Friday

Rotation Strengths

  • Work with ultrasound technicians performing echocardiograms
  • Learn interpretation of echocardiograms with cardiology staff
Intubation

Patient Population
Elective OR patients

Typical Hours
8 a.m. – 5 p.m., Monday – Friday

Number of Intubations
5-8 per day

Rotation Strengths

  • Intubations with anesthesia staff in OR
Bronchoscopy

Patient Population
Outpatients including clinic and lung transplant patients, and inpatients who need airway exams and biopsies

Team
Staff, fellow and bronchoscopy nurses

Average Bronchoscopies
5-8 bronchoscopies per day

Average Bronchoscopies During Two-year Fellowship
100-200

Typical Hours
8 a.m. – 5 p.m., Monday – Friday

Responsibilities

  • Outpatient procedures (e.g., bronchoscopy and thoracentesis)

Rotation Strengths

  • Large volume of procedures
  • Exposure to diverse pulmonary diseases
  • State-of-the-art bronchoscopy suites