Critical Care Medicine Fellowship: Rotation Schedule

Public, Private, and University Hospital Rotations

First Year Fellow Rotations

Critical Care Fellowship SICU Docs Rounding 2

Anesthesia (1 required)
Clinical Research (1 required)
Elective (1 required)
MICU (3 required)
MICU-CCU (2 required)
MICU-SICU (3 required)
MICU / SICU (1 required)

Second Year Fellow Rotations

CCU (1 required)
Clinical Research (6 required)
Elective (2 required)
MICU-CCU (2 required)
MICU-SICU (1 required)

Possible electives include: anesthesia, bedside ultrasound, echocardiography, emergency room, palliative care, pulmonary consultation, and research.

About Our Rotations

ICU attending physicians at all sites closely supervise Critical Care Medicine fellows. Attending physicians are available 24 hours to consult with fellows, and on call as needed for additional supervision. We encourage fellows to contact the attending anytime questions arise.

Fellows round daily with the ICU attending physician on every patient on ICU service, which incorporates both work and formal teaching rounds. Additional rounds occur at other times throughout the day, depending on the patient’s acuity and complexity.

There is no in-house call, however fellows will frequently need to come into the hospital to assist the in-house medical residents. Call frequency varies by site, but is approximately every third weekend and 1-2 nights per week.

Critical Care Fellowship SICU Nurses at Bedside

At Methodist Hospital, fellows take first call for all patients, as there are no residents. Methodist Hospital call is every other weekend, with an additional 6-7 nights per month, totaling 10-12 days per month.

To ensure fellows receive adequate supervision and support, the Program Director meets formally with fellows on a semi-annual basis, and informally each week at the scheduled Core Curriculum Conference. The Program Director communicates with Site Directors monthly. Fellows’ evaluations of rotations and faculty and an internal survey also contribute to program structure.

Fellows have major responsibility for supervising and teaching internal medicine residents and medical students who rotate on ICU services, at all sites except for Park Nicollet Methodist Hospital.

First Year Fellow

Year one is an intense clinical experience in critical care medicine where fellows either directly manage or supervise residents in the management of a wide variety of critically ill patients. Fellows will acquire and improve procedural skills, such as vascular access, chest tubes, intubation, ventilator management, invasive hemodynamic monitoring, focused bedside cardiac ultrasound, and bronchoscopy.

Second Year Fellow

While fellows maintain clinical responsibilities, in year two the emphasis shifts to clinical research, teaching, and pursuing individual interests related to critical care medicine. Fellows receive six months’ protected research time to pursue topic(s) of their choice, which culminates in the development of a project for presentation at a national or regional scientific meeting or for publication. Fellows will gain experience in ICU management, quality improvement, and patient safety.