Vanderbilt University Medical Center has six separate intensive care units in which you may train. These include:
Rotations
During elective months, fellows may rotate through the pediatric, burn or medical ICU. Non-ICU electives such as nephrology, cardiology, infectious disease, etc., may be arranged according to individual preferences, in conjunction with the program director. Fellows may also do a month of clinical research to finish ongoing projects.
Fellows will be exposed to a wide variety of clinical problems in adult patients necessary for the development of broad clinical skills required for a subspecialist in Critical Care medicine.
The Neuro Intensive Care is an open unit with residents from the Department of Anesthesiology. Patients are predominantly from the neurosurgical and neurology service. Half of admissions are non-elective. The unit is attended by Critical Care Anesthesiologists, including the Program Director. Fellows spend four months in NCU where rounds take place daily. There is a close relationship between the primary admitting service and the Critical Care team who are responsible for most aspects of general patient care. Fellows ensure safe delivery of the patient care plan, teach, perform, and supervise procedures. They are in-house call 1:3 in the beginning and later take call from home every second or third day. Fellows participate in daily didactic sessions for junior residents rotation through NCU.
While in SICU, the Critical Care team consults at the request of the primary surgical service. Over 80% of patients are consulted for critical care services. Emphasis is placed on interacting with the primary service in an appropriate manner, while effecting delivery of appropriate patient care. Fellows are supervised by a dedicated attending. They are responsible for supervising the daily conduct of the unit in general, supervising and teaching residents as well as interacting with specialty consultants and attending scheduled teaching conferences. They are on call 1:3 to 1:4. Post call, fellows are off duty following the didactic session. During non-call day, they participate in rounds, are available to help with daily clinical activities and engage in reading and preparing for presentations.
While in PICU, a closed unit, fellows are directly responsible along with residents from the Department of Pediatrics, for patient care to the attending intensivist. They, also, participate in daily lectures. In-house call is taken every 3rd to 4th night.
www.mc.vanderbilt.edu/pccanes
The MICU is a closed unit. A dedicated intensivist, fellow, and two junior medicine residents, care for all patients. Daily rounds, teaching, and resident supervision are all part of clinical expectations. Fellows take call from home with every other weekend off. Anesthesiology fellows have spent, at most, two months in MICU.
http://medicine.mc.vanderbilt.edu/divisions/allergy/index.cfm
The Trauma ICU is a dedicated ICU for acute trauma victims. It is managed by trauma surgeons, trained in Critical Care. Fellows are supervised by the individual trauma attending. They are responsible for the daily conduct of the unit, supervising and teaching residents as well as interacting with specialty consultants and attending scheduled teaching conferences. They are on call 1:3 to 1:4. Post call, fellows are off duty following the didactic session. During non-call day, they participate in rounds, are available to help with daily clinical activities and engage in reading and preparing for presentations.
http://www.traumaburn.net
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Last modified: March 11, 2010.