Advanced Cardiothoracic Critical care and ECMO Fellowship- Critical Care Medicine

Cardiothoracic Critical Care is a growing subspecialty of critical care medicine that involves the treatment of patients with cardiothoracic pathology. This population includes post-cardiotomy, cardiogenic shock, respiratory failure, pre- and post-thoracic transplant, VAD implantation, and patients requiring temporary mechanical circulatory support (ECMO, Impella, intra-aortic balloon pump). Effectively caring for these high-acuity patients requires advanced training in the knowledge base, technology, and procedural skills that encompass this increasingly nuanced and complex field. As a leading cardiovascular center with a history of providing cutting-edge cardiothoracic critical care, we are uniquely well-positioned to meet the growing demand for this level of training.

This one-year non-ACGME fellowship provides an immersive training experience to board-certified and board-eligible intensivists dedicated to practicing and leading as cardiothoracic intensivists. Trainees will be immersed in our high-volume, high-acuity CTICU and gain the exposure, knowledge, and technical skills necessary to care for patients with advanced cardiothoracic diseases.

**Please note that unfortunately our program is unable to offer J-1 employer sponsorship for participation in this program.**

Clinical Experience

Fellows will spend several months in our 28-bed cardiothoracic intensive care unit (CTICU), working to acquire in-depth knowledge of the unique pathology, management, and technology involved in the care for our patients.

This clinical time consists of:

~22 weeks of daytime rounding includes:

· Graduated autonomy in rounding and patient management

· ECMO consults, multidisciplinary cardiogenic shock team calls

· Direct supervision of residents and fellows

~36-night shifts include:

· Independent management of CTICU patients overnight

· Admission and management of new patients and late surgical cases

· Coverage for ECMO consults, cardiogenic shock team calls, interhospital transfers

· Nighttime ECMO support, including cannulation, troubleshooting, ECPR

· CTICU attending support from home (will come in for any acute management and procedural issues)