In addition to outstanding clinical training, the Critical Care fellowship at Cleveland Clinic is designed to expose fellows to the scientific underpinnings of clinical practice and to familiarize them with research methodology and biostatistics. All fellows are expected to engage in a research or quality improvement project in partnership with a faculty mentor. Our institute employs full time, embedded biostatisticians as a free resource for fellows doing research as well as direct coaching from experts in quality and process improvement. Research opportunities are broad and include both clinical and laboratory-based topics ranging from ARDS, critical care ultrasound, ICU quality improvement, education, simulation, or ventilator management. Our institute enjoys access to large institutional databases that fellows may leverage as part of their research. Fellows are expected to present their research at one of the annual professional society meetings and are to prepare a manuscript for submission to a scientific or clinical journal.
A structured mentoring process is essential to ensuring the success of research training during fellowship and to foster our commitment to developing leaders in critical care medicine. All fellows meet with the program directors on a twice-yearly (as well as an ad hoc) basis to discuss their clinical, research, and career interests. One goal of these meetings is to direct the fellow to specific faculty members to serve as a research and career mentor. Together, the fellow and mentor will outline career objectives, a research trajectory, and necessary education or clinical experiences to meet those goals.
In addition, all first year fellows participate in the Cleveland Clinic Solutions For Value Enhancement (SOLVE) program. This program is an in-depth, mentored program that provides structured training in quality and process improvement research. Fellows work as a team with a faculty mentor and quality improvement expert to solve real problems in medicine.
To ensure comprehensive scholarship training, all second year fellows are expected to participate in a 3-month, faculty mentored, writing curriculum. Fellows meet every other week to learn the art of scientific communication and to improve their writing and peer review skills. Fellows are expected to submit at least one manuscript for publication as a part of this curriculum.
2nd Year Biostatistics Course
Our 18-month statistics in medicine lecture series focuses on a detailed introduction to the theory and application of statistical techniques commonly used in clinical research. This course seeks to help fellows gain a better understanding of medical statistics as it pertains to practicing evidence based medicine, communicating treatment outcome probability to patients and interpreting the results of studies and scientific papers, and in turn improving quality of patient care.
We have two biostatisticians within the Respiratory Institute who play a crucial role in ongoing research studies conducted by our fellows and faculty, starting from the phase of shaping the idea of the project to the completion of the abstract or manuscript. Fellows are also welcome and encouraged to contact the biostatisticians to discuss and critique articles assigned to them for journal club.
Department of Quantitative Health Sciences Courses
In addition to the Solutions for Value Enhancement (SOLVE) program, the Department of Quantitative Health Sciences of the Lerner Research Institute offers a series of courses available to fellows seeking more in-depth learning in the areas of medical biostatistics, clinical epidemiology, clinical trials design and operation. Further details are provided on the QHS website.
Case Western Reserve Masters of Science in Clinical Research
Case Western Reserve offers a Masters of Science in Clinical Research. This two year program is designed to provide physicians with rigorous didactic education in clinical research methods coupled with an in-depth mentored investigative experience.
Acceptance to this program is competitive and a demonstrated commitment to research and a career in academics is essential. Within our fellowship program, full tuition support can be offered to a maximum of one fellow per year who has selected the specialized research pathway as his/her advanced training pathway.
Involvement in this program would require extension of fellowship training.
This fellowship is designed to develop leaders with vision, knowledge and commitment to implement simulation-based training strategies with the aim to improve healthcare for patients at Cleveland Clinic. The fellowship is a one-year project-based, longitudinal experience that enables a fellow to conduct research regarding simulation. Ancillary benefits include exposure to developing, operating and managing a simulation program. The program will use experts in the Cleveland Clinic Education Institute to provide core learning. In addition, fellows identify a content mentor who will provide clinical guidance throughout the project and will be paired with a mentor in the Simulation and Advanced Skills Center. Involvement in this program would require extension of fellowship training.
Cleveland Clinic/Cleveland State University Masters in Education in Health Professions Education
Through a collaborative effort between the Cleveland Clinic and Cleveland State University, fellows can enroll in a unique opportunity designed to enhance skills in curriculum design and instruction, learner and program assessment and adult learning theory. Designed for individuals who are seeking an academic career in medical education, the masters program can be included in a larger critical care education pathway. Involvement in this program would require extension of fellowship training.