My fellowship is divided into two week blocks throughout the year. We rotate alongside fellows/residents from other departments and almost always in a multidisciplinary setting consisting of nurses, respiratory therapists, pharmacists, nutritionists, physical/occupational therapists, etc. I started my fellowship about a week later, so I could move from Houston. Here are the rotations (each is two weeks) I have lined up for the academic year.
- Surgical, burn, trauma ICU
- Coronary care unit (CCU)
- Surgical, burn, trauma ICU
- Cardiac ICU
- Thoracic ICU
- Infectious disease (elective)
- Surgical, burn, trauma ICU
- TEE/imaging (elective)
- Surgical, burn, trauma ICU
- Geriatrics (elective)
- Thoracic ICU
- Vacation
- Thoracic ICU
- Cardiac ICU
- Surgical, burn, trauma ICU
- Metabolic support services
- Surgical, burn, trauma ICU
- Transthoracic echo (elective)
- Thoracic ICU
- Regional anesthesia (elective)
- Medical ICU
- Cardiac ICU
- Surgical, burn, trauma ICU
- Vacation
- Thoracic ICU
- Cardiac ICU
Based on this schedule, I spend 14 weeks in our combined surgical, burn, trauma ICU, 8 weeks in the cardiac ICU, 10 weeks in the thoracic ICU, and 16 weeks on electives like neuro ICU, pediatric ICU, echo, infectious disease, renal, Boston med flight, etc. Our curriculum is also filled with didactics, journal clubs, and case conferences. 🙂
