Curriculum

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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.

Bootcamp

Orientation begins in mid-July. This affords flexibility for those fellows who need to travel and move in early July. This also provides ample time to settle into Rochester as well as prepare for the anesthesiology advanced board exam. Several workshops will familiarize you with our practice during orientation and prepare you to hit the ground running when training begins on August 1. You then have an anticipated graduation on July 31 of the following year.

Rotations and yearly structure

The year is roughly divided into four parts: Core ICUs, Supplemental ICUs, Supportive Rotations, and Vacation and Electives.

Core ICUs

Rotation	Weeks	Description
CV-MSC	12	LVADs, Impellas, VV-ECMO, etc.
SICU	6	Vascular, Ortho, ENT, Urology, Gen Surg
Med-Surg	6	Liver Failure, Live Transplant, OB, Heme/Onc, Gyn/Onc, Colorectal
CV-Tx	4	Heart Transplant, Lung Transplant, Complex Valvular and Aortic Surgery
MICU	2	Traditional medical intensive care unit

These rotations make up the foundation of your year. There is a strong emphasis on cardiovascular critical care, but you spend numerous weeks in other ICUs, which provide a broad range of experiences.

Supplemental ICUs

We ensure all fellows have dedicated time to delve into various subspecialties. All four are encouraged, but only Nephrology and Infectious Diseases are required, given their disproportionately higher rates of consults. At most other programs, these would only be electives and might be diluted by outpatient care. At Mayo, they are required and you only focus on ICU patients.

Rotation	Weeks	Description
Neph-ICU	2	Manage nephrology consults from the ICUs — and only the ICUs
ID-ICU	2	Manage infectious disease consults from the ICUs — and only the ICUs
Neuro ICU	+/-	Manage some of the neuro ICU but focus on neurology consults from the other ICUs — and only the ICUs
CICU	+/-	Manage some of the cardiology ICU but focus on cardiology consults from the other ICUs — and only the ICUs

Supportive rotations

Rotation	Weeks	Description
POCUS	2	Scan with a dedicated ICU sonographer
Pleural	2	Interventional pulm consults, drainage systems, thoracentesis and more
Research	2	One week a semester to work on a project

We round out your training with dedicated, hands-on time in POCUS and Interventional Pulmonary Medicine. In POCUS, you will work with a dedicated ICU sonographer and begin building your portfolio of 150 exams to achieve NBE CCEeXAM certification. In Pleural, you’ll travel to the hospitals with a pulmonologist, performing various procedures and managing drainage systems. Our fellows, on average, perform about 40 thoracic procedures during their two weeks of Pleural. We also provide all fellows with at least one week of dedicated time each semester for a research project.

Electives and vacation

We provide a generous amount of elective time for each fellow to tailor their year to their specific goals.

Rotation	Weeks	Description
ICU Elective	4	Repeat ICU, Away ICU, eICU, Trauma ICU, PedsICU, Congenital CV
Any Elective	4	Transfusion Medicine, PICC certification, Nutrition, Simulation, Radiology, more Research, more POCUS, and more.
Vacation	4	Coordinated with weekends and post-call days (5 days ~ 10 days)

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.

Academics ▸ Residencies and Fellowships ▸ Anesthesiology Critical Care Medicine Fellowship (Minnesota) ▸ Curriculum