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Curriculum

ICU team discussing plans during rounds

Critical care is often volatile, uncertain, complex, and ambiguous. Our goal is to prepare you for anything. You never know when a global pandemic might hit! To do that, we have structured the year to provide a broad base of experiences and paired you with a diverse group of clinicians.

Rotations and structure

You spend two blocks (four weeks per block) in each of our four core ICUs:

  1. A traditional Surgical Intensive Care Unit with high acuity.
  2. A multispecialty ICU caring for an incredibly diverse patient population. From liver transplants to obstetrics to complications from novel cancer treatments, this is a favorite for many of our fellows.
  3. A cardiopulmonary transplant ICU is the home for our heart and lung transplants and houses our complex valvular and aortic surgery patients.
  4. A mechanical circulatory support ICU with all the pathology that comes from a world-leading ECMO center.

Your two blocks in each unit are split between the semesters to compare and mark your progression and provide graduated autonomy. 

Core ICU

Rotation Weeks Description
SICU 8 Vascular, Ortho, ENT, Urology, General Surgery
Med-Surg 8 Liver Failure, Liver Transplant, OB, Heme/Onc, Gyn/Onc, Colorectal
CV-Transplant 8 Heart and Lung Transplant, Complex Valvular and Aortic Surgery
CV-MCS 8 LVADs, Impellas, VV-ECMO, VA-ECMO, etc.

You also spend an additional two blocks in supplemental ICU rotations. One block in our traditional medical ICU and two half blocks (two weeks each) on the infectious disease and nephrology teams that only round on patients in the ICU, providing you the opportunity to deep dive into the complexities of our two most frequently consulted services. 

Supplemental ICU

Rotation Weeks Description
MICU 4 Traditional medical intensive care unit
Neph-ICU 2 Consult on nephrology requests from the ICU — and only the ICU
ID-ICU 2 Consult on infectious disease requests from the ICU — and only the ICU

We round out your training with dedicated hands-on time in POCUS and Interventional Pulmonology. We also provide one week of dedicated time each semester for your research project. All these rotations come after a month-long boot camp at the beginning of the year, which affords generous time off to settle into Rochester and prepare for your written ABA Advanced Exam.

Supportive rotations

Rotation Weeks Description
Orientation 4 Orientation, workshops, time off to prepare for ABA Advanced Exam
POCUS 2 Paired with a dedicated ICU sonographer for all ICU echo exams
Pleural 2 Consult on interventional pulmonology requests: pigtails, perc trachs, etc.
Research 2 One per semester to work on personalized research project
Elective 2 Numerous options or repeat in any of the previous rotations
One of our fellows learning how to manage ECMO patents through a virtual reality simulation
One of our fellows learning how to manage ECMO patients through a virtual reality simulation.