The Critical Care Medicine Fellowship Program at the University of Maryland is designed to prepare both Internal Medicine- and Emergency Medicine-trained physicians in all aspects of medical, surgical, trauma, and neurologic critical care. The fellowship’s comprehensive two-year curriculum integrates the multiple and complex facets of caring for the critically ill in a wide variety of environments to guarantee that fellows receive the best training possible. An appropriately tailored one-year program is available to qualified IM graduates who will have already completed another fellowship at the time of matriculation into our program. The fellowship expects to have 4 fellows per class.
While the fellowship is based in the Medical Intensive Care Unit and the Department of Medicine, fellows also spend substantial time in other Intensive Care Units (ICUs). During a two-year fellowship, fellows can expect to spend 5 months on primarily medical critical care services at the University of Maryland Hospital, 3-4 months in the trauma ICUs at the world-renowned R Adams Cowley Shock Trauma Center, 3 months in (non-trauma) surgical units, 2 months in the Neuro ICU, and 2 months in a UMMC-affiliated community ICU. One introductory didactic month and a combined 6-7 months of research and electives round out the program. Our menu of electives is diverse and flexible and includes options as varied as: pulmonary hypertension, pulmonary consults, critical care infectious disease, trauma anesthesia, ultrasound, international, and burns. As a result of this clinically “heavy” and balanced program, our fellows have the opportunity to both graduate as arch-typical “multi-disciplinary” intensivists and simultaneously develop expertise within their own personal areas of interest.
The University of Maryland has partnered with Washington Hospital Center, Georgetown University, the National Institutes of Health, and the Walter Reed National Medical Center to provide a unique training course in the fundamentals of critical care during the first three weeks of the fellowship. Fellows participate in both lectures (e.g. respiratory physiology, post-surgical ICU management, renal replacement therapy) and simulated training sessions (e.g. ventilator management, intubation, tube thoracostomy) to prepare them for their clinical rotations.
The Division has comprehensive weekly didactic conferences which fellows are required to attend when on Medicine-based rotations:
Other conferences include a monthly Interdisciplinary Critical Care Conference, which is a combined critical care conference with medical, surgical, and pediatric critical care specialists. In addition, when fellows rotate in the surgery-based ICUs, they will participate in the daily surgical critical care didactic conferences. Finally, as a major academic medical center, many other departmental conferences and lectures exist that fellows are encouraged to attend as their schedules allow.
The clinical training program at UMMC occurs in a diverse set of busy and nationally-recognized units. For example:
Through their rotations on these and other units, our fellows therefore develop personally and professionally by acquiring expertise in the diagnostic evaluation and therapeutic intervention of a wide range of diseases. Abundant numbers of high-acuity critically ill patients exist and the opportunities for critical care procedures (including endotracheal intubation, tube thoracostomy, invasive vascular access, bronchoscopy, ultrasound/ echocardiography, right heart catheterization, and primary management of continuous renal replacement therapy) abound to hone fellows’ clinical acumen and skill sets.For further details about our clinical training, click here.
Fellows are expected to complete a publishable scholarly project prior to graduation. Extensive benchtop and clinical research opportunities and technical support are available within the department and the wider institution. Mentorship as well as funding support from F-series, K-series, and other grants are available for those preparing for a research-oriented career track.
For more information about research opportunities, click here.
One of the best aspects of our program is that we genuinely like our co-workers. The faculty are friendly, supportive, and generally quite flexible and receptive to the needs of the fellows. The clinical work schedule, while busy, is not oppressive. The fellows collectively enjoy being together and socialize regularly, with faculty members commonly joining in.
The overall goal of our fellowship program is to provide comprehensive clinical training and a broad range of research opportunities in order to create a strong foundation for a successful career in Critical Care Medicine. The Division chief and fellowship program director are committed to achieving these goals. Both meet with each fellow regularly to discuss their current fellowship training experience and their career plans for the future. For fellows pursuing a career in clinical practice, this fellowship provides immense clinical experience along with exposure to clinical or basic science research. For fellows choosing a career in academic medicine, this training will provide an excellent springboard for transition to the next step in their academic career development.