Vanderbilt’s Anesthesiology Critical Care Medicine fellowship is an ACGME accredited one-year program which provides an unparalleled innovative and in-depth critical care training opportunity in one of the country’s best medical centers. The fellowship is designed to meet the individual needs of each fellow in preparation for board certification and evidence based critical care practice. Vanderbilt University Hospital (VUH) is the tertiary referral and Level I trauma center for Middle Tennessee and parts of four surrounding states. The facility is designed for advanced remote patient monitoring to improve the timeliness and efficiency of patient care. Currently, the critical care units at VUH include a 23-bed Surgical Intensive Care Unit (SICU), a 26-bed Cardiovascular Intensive Care Unit (CVICU), a 24-bed Neuro-Care ICU (NCU), and a 10-bed, expandable Regional Burn Center ICU. Our faculty and fellows also staff the 13-bed Nashville VA SICU. The NCU, CVICU and Burn ICU are staffed exclusively by CCA faculty, while the SICU has both anesthesia and surgical attending staffing.
Core rotations are in the Burn ICU, CV ICU, Neuro ICU, SICU, VA-ICU, and an ECHO/Ultrasound rotation with two elective months. The fellowship program offers a diverse array of electives such as Trauma, MICU, PICU or a medical subspecialty (e.g., nephrology, ID or cardiology). Other popular rotations include ICU nutrition, TEE, and the Medical Examiner's Office. Fellows who have research interests are strongly encouraged to use elective time to develop and pursue clinical or basic science investigations and are expected to present their work at national conferences.
Additionally, the Vanderbilt International Anesthesiology (VIA) program provides anesthetic and medical services to poorly-served countries in Africa. CCA fellows may take one elective month to participate in VIA. This program presents a singular opportunity for trainees to experience the challenges and rewards of practicing medicine in the developing world.
CCA fellows also organize teaching/work rounds, formulate care plans, and facilitate communication between the ICU team and surgical services, consultative services, and family members. Fellows also serve as instructors for Fundamentals of Critical Care Support (FCCS), Advanced Trauma Life Support (ATLS), and organize a monthly journal club. Additionally, they co-direct and teach portions of the Division of Critical Care Medicine’s nationally-recognized Critical Care Skills Week which exposes junior medical students to topics in anesthesiology and critical care and includes much simulation-based content.
The teaching curriculum includes weekly learning modules consisting of a didactic session and customized, web-based learning activities. In addition, fellows participate in monthly simulation training at Vanderbilt’s cutting-edge Center for Experiential Learning and Assessment (CELA). Fellow simulation sessions are designed to be integrated with the monthly curriculum. The sessions are unique in that they do not only focus on a single event or crisis, but also simulate the progression of a disease process, such as sepsis or stroke.
For additional information, please contact the fellowship program director, Dr. Christopher Hughes via the Critical Care Anesthesia fellowship coordinator, Kristi Hasty by phone at 615-343-5860 or by email at firstname.lastname@example.org .