Curriculum
![ICU team discussing plans during rounds](https://pxl-mayoedu.terminalfour.net/fit-in/1024x2000/filters:quality(75)/prod01/channel_2/media/mccms/content-assets/academics/residencies-and-fellowships/anesthesiology-critical-care-medicine-fellow-mn/application-process/mccms-critical-care-anesthesiology-fellowship-rounds-1024X512.jpg)
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:
- A traditional Surgical Intensive Care Unit with high acuity.
- 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.
- A cardiopulmonary transplant ICU is the home for our heart and lung transplants and houses our complex valvular and aortic surgery patients.
- 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](https://pxl-mayoedu.terminalfour.net/fit-in/1024x2000/filters:quality(75)/prod01/channel_2/media/mccms/content-assets/academics/residencies-and-fellowships/anesthesiology-critical-care-medicine-fellow-mn/application-process/mccms-critical-care-anesthesiology-fellowship-WF2002600_0036-1024X512.jpg)