Overview

Overview

The Critical Care Fellowship at the Cleveland Clinic requires a 2 year commitment. Fellows with prior advanced critical care training may be considered for a one year track. We offer integrated tracks for both Cardiology Critical Care and Hepatology Critical Care. Interested candidates with prior cardiology or hepatology fellowship training may contact us for more details.

Rotation 1st Year 2nd Year Total
Orientation 0.5 0 0.5
MICU 4.5 4 8.5
MICU Procedures 0.5 0.5 1
MICU Nights 1.0 1.0 2.0
Bronchoscopy 0.5 0.5 1.0
Nutrition 0.5 0 0.5
Respiratory Therapy 0.5 0 0.5
Nephrology ICU 0 0.5 0.5
Neuro ICU 0.5 0.5 1.0
Trauma ICU 0.5 0.5 1.0
CVICU 0 1.0 1.0
Intubation 0.5 0.5 1.0
ECHO 0.5 0.5 1.0
Elective 3.5 4.5 8.5
Total (core) 12 12 24

Year I

The first year of fellowship focuses on 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 ultrasound/echo, intubation and ventilator management. The first year is also a pivotal time for fellows to identify an academic mentor (a key aspect of our program) and engage in the multiple academic opportunities available.

Electives during the first year emphasize opportunities to begin research and participate in non-MICU rotations. 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 and Burn Center (Metro Health Medical Center)
  • Surgical Intensive Care Unit
  • Community hospital intensive care units.
  • Respiratory Therapy
  • ICU Nutrition
  • Infectious disease
  • Thoracic surgery
  • Radiology
  • Formal education courses (statistics, clinical trial design, epidemiology etc.)
  • Leadership education
  • 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 nuances of mechanical ventilation and hemodynamic physiology and to tailor these to the critically ill patient. Further elective time is aimed at continued research, clinical electives and leadership development to support career goals. By the end of the year, fellows are expected to complete an in-depth research project, submit a manuscript for publication and present their research project at an International Conference or during the Respiratory Institute Research Day.

Simulation Center

Simulation Center

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, two wet-labs, two Difficult Airway Centers and a task-based simulation lab, Cleveland Clinic is at the cutting-edge of simulation training. Simulation-based teaching is built into the educational curriculum of our fellowship program. During fellow orientation, we train incoming fellows in invasive procedures, basic airway skills, critical care ultrasound, and bronchoscopy using the array of resources and faculty committed to simulation education.

Additionally, several on-line and immersive simulation curricula are offered annually on advanced airway management, hemodynamic assessment, ECMO, and mechanical ventilation. These form a core part of our educational profile.