Features

Fellowships

Fellowship in Critical Care Medicine

Description

The Critical Care Fellowship Training Program of the University of Washington is a joint one-year program administered by the Departments of Medicine and Anesthesiology. The Program accepts trainees from graduates of residency programs in multiple disciplines, including medicine, anesthesiology, surgery, neurology, obstetrics and gynecology and emergency medicine. Candidates are selected on their preparedness and ability to benefit from the Program.

Completion of this one-year Critical Care Fellowship allows graduates of residencies in Anesthesiology or Obstetrics to sit for the ABA certification exam and graduates of surgical residencies to sit for the ACS certification exam in critical care medicine. Graduates of internal medicine residencies who have also completed a sub-specialty fellowship are eligible to sit for the ABIM certification exam in critical care after this one-year program, but two years of critical care training are required for Board-eligibility after graduation from an internal medicine residency alone.

Considered in the selection process are aptitude, academic credentials, personal characteristics and communication skills.

Training Program

Core Critical Care rotations are divided between several different services as described below. Additional required rotations include ultrasound/echocardiography and radiology, and electives are available in infectious diseases and cardiology. The training program is unique in its true interdisciplinary nature, with internationally renowned faculty from Anesthesiology, Pulmonary/Critical Care Medicine, and Surgery, and exposure to a wide variety of disease processes, including trauma, complications of transplantation, vascular, general, thoracic, and neurological surgery, and patients with a variety of acute and chronic medical illnesses.

Critical Care Rotations

Neurocritical Care Service

This service is based at Harborview Medical Center, and is staffed by faculty from Anesthesiology and Pulmonary/Critical Care Medicine, fellows from Anesthesiology and Pulmonary/Critical Care Medicine, and residents from Anesthesiology, Emergency Medicine, Neurology, Neurosurgery, and Pediatrics. The service co-manages patients with acute spinal cord injury, traumatic brain injury and neurovascular disease, including aneurismal subarachnoid hemorrhage, amongst others.

Surgical Critical Care Service

Based at Harborview Medical Center, this busy service manages patients with acute traumatic injury, and patients requiring critical care after general, vascular, or thoracic surgery. Critical care faculty and fellows from Anesthesiology, Pulmonary and Critical Care Medicine, and Surgery, and residents from Anesthesiology and Surgery, who assume primary responsibility for the care of all patients on the service, comprise the staff.

Medical Intensive Care Service

This service is based at the University of Washington Medical Center, and is staffed by faculty from Pulmonary/Critical Care Medicine, fellows from Anesthesiology and Pulmonary/Critical Care Medicine, and residents from Internal Medicine. The team assumes primary responsibility for the management of patients with a variety of acute and chronic medical illnesses, and patients recovering from solid organ transplantation surgery.

Surgical Intensive Care Service, VAPSHCS

This service assumes primary responsibility for management of critically ill patients recovering from cardiothoracic, vascular, general, urologic, orthopedic, and otolaryngologic surgery in the SICU of the Puget Sound Veterans Affairs Hospital. Faculty and fellows are from Anesthesiology, Pulmonary/Critical Care Medicine, and Surgery, and residents are from Anesthesiology and Surgery.

Research Training

The University of Washington provides a vibrant environment for interdisciplinary biomedical research. The Anesthesiology, Medicine, and Surgery Departments all offer opportunities for research in basic science and clinical aspects of Critical Care and related fields. Collaboration between departments is common, and provides for a rich intellectual atmosphere. The University of Washington School of Medicine ranked sixth among U.S. medical schools in receiving NIH funding in 2005, with grants totaling more than $300 million.

Fellows in Anesthesiology Critical Care Medicine are encouraged to initiate research projects or contribute to ongoing investigations. Additional research training may be available to those fellows who plan a research-focused academic career.

Anesthesiology Faculty

	Steven Deem, MD Associate Professor of Anesthesiology and Medicine Program Director, Anesthesiology Critical Care Medicine Co-Director, Neurocritical Care Service, Harborview Medical Center Community of Science Bio
	Allen N. Gustin, Jr., M.D., F.C.C.P. Assistant Professor of Anesthesiology VA Puget Sound Health Care System
	Arthur Lam, MD Professor of Anesthesiology and Neurological Surgery Anesthesiologist-in-Chief, Harborview Medical Center Director, Cerebrovascular Laboratory Chief and Program Director, Neuroanesthesiology
	John D. Lang, MD Associate Professor of Anesthesiology Chief of Service, Veterans Affairs Puget Sound Health Care System Director, Surgical Critical Care
	Michael J. Souter, MB ChB, FRCA Associate Professor of Anesthesiology and Neurological Surgery Co-Director, Neurocritical Care Service, Harborview Medical Center
	Miriam M. Treggiari, MD, MPH Associate Professor of Anesthesiology Director of Critical Care Research