PGY-5 (Critical Care)

Epinephrine And Beta Blockers

With the growing usage of β-blocker therapy to control everything from atrial fibrillation and congestive heart failure to migraine prophylaxis and essential tremor, we need to be more aware of potential pitfalls due to...

Multidisciplinary Critical Care Knowledge Assessment Program (MCCKAP) Exam

Boston was hit by another Nor'easter today, but I have to brave the elements to present my very last journal club as a critical care fellow! Then I took the four hour, 200 multiple choice...

Finished With ABA Applied Exam

Well, it's finally over! I just landed back in Boston after spending the morning taking the standardized oral examination (SOE) and objective structured clinical examination (OSCE) at the testing center in Raleigh, North Carolina. Over...

Update On Clostridium Difficile

Clostridium difficile (C.diff) infection (CDI) is the most common US healthcare pathogen-associated infection with over 450,000 cases and 29,000 deaths per year. If you work in healthcare, you've likely heard of CDI... but where does...

Surgical Steps In Bilateral Lung Transplantation

A standard double lung transplantation includes a series of steps involving incision (median sternotomy or clamshell thoracotomy), cardiopulmonary bypass (CPB) in many cases, right and left pneumonectomies of the native lungs, preparation of the...

Critical Care Anesthesiology – A Fellow’s Perspective

There are several options to get into a critical care fellowship. Our hospital has programs for those who completed residencies in anesthesiology, surgery, internal medicine (IM), or emergency medicine (EM). I'm often asked about the...

Billing In Critical Care

This post is supposed to be a primer about billing in critical care. I'll update it regularly as practices change. Critical care (CC) billing is based on time rather than complexity. There are two current...

Preparing For ICU Rounds As A Fellow

It's important for the intensive care unit (ICU) treatment team to construct and communicate our daily assessment and plan with all relevant parties involved in a patient's care. We accomplish this during "rounds" each...

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