Anesthesia Critical Care Clinical Experience
The Fellowship in Anesthesia Critical Care at Mass General is an organized program of rotations and educational experiences, both mandatory and elective, designed to provide each fellow with the opportunity to fulfill the educational requirements and achieve competence in the specialty. The fellowship in critical care is based in the surgical ICU at Mass General. Successful completion leads to certification eligibility by the American Board of Anesthesiology. The fellows take an active role in teaching, conducting rounds, and participating in research projects. The purpose of the fellowship is to prepare individuals for a career emphasizing care of critically ill patients and the management of an ICU.
The Anesthesia Critical Care Fellow supervises the ICU residents in all aspects of the care of ICU patients, and is, in turn, supervised by ICU Attendings. Each morning, the fellow coordinates activities and plans with the surgical teams and consultants, and conduct morning ICU work and teaching rounds together with the staff physician.
There are daily lectures given by ICU staff to the residents, fellows and medical student clerks on subjects of current importance. There are regular weekly teaching conferences in the afternoon, followed by late afternoon ICU work rounds. The balance of the fellows’ workday is spent providing care to the patients in the Unit, supervising all procedures, meeting with primary physicians, resident teams and consultants, and doing their own reading and research.
The fellow participates in a night shift system scheduled in one-week blocks throughout the year, supervising the care provided by the ICU resident who spends the night in the unit, and returns to the hospital for any issues that require his/her physical presence. The fellow is on duty for the unit an average of one out of every three weekends. The fellow is also leader of the Emergency Airway Consult Service (RICU) team, which is called to provide urgent overnight airway management for patients throughout the hospital, as well as perform elective intubations, invasive procedures, and consultations
The Core Curriculum of the Fellowship covers all the major aspects of the art and science of critical care, as outlined in “Requirements for Training in Anesthesiology Critical Care Medicine.”
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Fellows encounter the entire spectrum of critical care patients, working in multiple ICU’s with a wealth of clinical material.
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Specific electives may be structured by the fellow, under the supervision of the fellowship director, to suit the fellow’s particular academic interests and needs.
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