University of Iowa

Program Description

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Type of Program
Welcome to the Emergency Medicine Critical Care Multidisciplinary Fellowship. Critical care is one of the fastest growing subspecialties in emergency medicine, and the University of Iowa is offering a fully-accredited 2-year comprehensive, interdisciplinary fellowship to train the next generation of emergency medicine critical care leaders. Our program is based in the Department of Anesthesia with clinical rotations throughout 705-bed University of Iowa Hospitals and Clinics, and with cooperation from the Department of Emergency Medicine, the Department of Surgery, the Division of Pulmonary, Critical Care, and Occupational Medicine. Fellows will be training alongside fellows in other critical care fellowship programs, offering a rich environment for interdisciplinary training. Graduates will be eligible for certification through the American Board of Emergency Medicine Anesthesia Critical Care Medicine Pathway.


Our fundamental philosophy is:

To train excellent critical care clinicians with a broad multi-specialty critical care experience to manage diverse critical care patient populations in both academic and community settings,

To advance the specialty of emergency medicine-critical care through scientific discovery, medical education, and quality improvement through ICU administration, and

To develop leaders in emergency medicine to advocate for continuity of critical care from the prehospital environment through the emergency department, the intensive care unit, and recovery from critical illness.

Year Fellowship Started: 2015

EM-CCM Program Status
This is an ABA approved ACCM fellowship for ABEM eligible physicians.

Application Method & Deadlines
Applications are accepted on a rolling basis. Fellowship spots are allocated through the San Francisco Match for Anesthesiology Critical Care (http://www.sfmatch.org). Applicants for July 2016 are encouraged to submit their applications by October 1, 2014.

Application materials (other than the web application) can be submitted either by e-mail, fax, or US Mail to the contact information listed below:

Deb Roush
Program Coordinator, Department of Anesthesia
200 Hawkins Drive, 5946 JPP
Iowa City, IA 52242-1079
Phone: 319-356-0772
Fax: 319-356-1120
deb-roush@uiowa.edu

Application Requirements
In addition to the web-based application, the following materials should be submitted to Deb Roush, the program coordinator:

Web-based Application (http://www.anesth.uiowa.edu/Programs/Fellowships/FellowshipApplication.aspx)
SOCCA Fellowship Application (http://socca.org/caf-8-12-13.pdf)
Curriculum Vitae
Personal Statement (1 page)
3 Letters of Recommendation (1 should be from your residency program director, and at least 1 should be from a critical care physician with whom you have rotated)
An unmounted recent photograph (this can be submitted at the time of interview)
Photocopy of USMLE scores

Number of Fellows per year
1

Length of Fellowship
2 years

Salary
Fellows are paid according to their PGY year. PGY-4 fellows are paid $58,300, and PGY-5 fellows are paid $60,400 (2014-2015 academic year). Fellows are eligible for a competitive benefits package.

Primary Training Site Demographics
   Number of Hospital Beds: University of Iowa Hospitals and Clinics 705-bed Level I Trauma Center
   Number of ICU Beds: 99 adult critical care beds
   ED Annual Visits: 60,000 visits

EM-CCM Fellowship Education
The Emergency Medicine Critical Care Fellowship offer a range of clinical, didactic, and research training opportunities.

Clinical critical care training is based in three intensive care units at the University of Iowa: the 30-bed Surgical and Neurosciences Intensive Care Unit, the 26-bed Medical Intensive Care Unit, and the newly opened 24-bed Cardiovascular Intensive Care Unit. Rotations are also available in other clinical units and services at the University of Iowa.

Surgical and Neurosciences Intensive Care Unit (SNICU) The 30-bed SNICU is the largest intensive care unit in Iowa. As an American College of Surgeons-designated Level 1 Trauma Center and a Joint Commission-accredited Comprehensive Stroke Center, the SNICU cares for patients with critical traumatic injuries, general surgery, neurosurgery, otolaryngology, transplant, neurology, and stroke patients. Residents from emergency medicine, anesthesia, general surgery, neurosurgery, neurology, family medicine, otolaryngology, orthopedic surgery, and oral surgery rotate through the SNICU.

Medical Intensive Care Unit (MICU) The 26-bed MICU is the largest medical ICU in Iowa, and it provides comprehensive medical care for critically ill medical patients.

Cardiovascular ICU The 24-bed CVICU was opened in April 2014, and provides care for patients with acute coronary syndrome, heart failure, and surgical patients after cardiac, thoracic, and vascular surgery procedures. Two physician teams provide comprehensive critical care for patients with both medical and surgical emergencies. As the only Joint Commission-certified Ventricular Assist Device Program in Iowa, patients are treated with a variety of mechanical cardiovascular support devices.

Sample Curriculum
The comprehensive 24-month curriculum has been designed to provide fellows the most broad exposure to multidisciplinary critical care. The program was approved by the American Board of Anesthesiology to qualify graduates for board certification in the Anethesthesiology Critical Care pathway through the American Board of Emergency Medicine.

The curriculum is arranged in 13 4-week blocks each year.

Year 1 (13 blocks):
Surgical Critical Care (12 weeks)
Cardiothoracic Critical Care (surgical) (4 weeks)
Neurological Critical Care (surgical) (8 weeks)
Medical Critical Care (8 weeks)
Trauma Surgery (4 weeks)
Cardiothoracic Surgery or Cardiac Anesthesiology (3 weeks)
Fiberoptic Bronchoscopy and Chest Procedures (3 weeks)
Burn Unit (4 weeks)
Clinical Electives/Research (3 weeks)
Vacation (3 weeks)

Year 2 (13 blocks):
Surgical Critical Care (12 weeks)
Cardiothoracic Critical Care (surgical) (8 weeks)
Neurological Critical Care (surgical) (4 weeks)
Medical Critical Care (8 weeks)
Cardiac Critical Care (3 weeks)
Critical Care Selective (SNICU, MICU, PICU) (4 weeks)
Clinical Electives/Research (10 weeks)
Vacation (3 weeks)

Fellows will participate in clinical and call activities in accordance with the ICU to which they are assigned. Fellows will have a co-supervisory role with residents and medical students assigned to ICUs in which they are rotating, and are expected to participate in resident and medical student teaching activities.

Fellows will be evaluated monthly by their supervising faculty using an online evaluation tool, and biannual summative evaluations with the program director will review ongoing progress toward preparation for independent critical care practice.

Additional Program Highlights
A wide variety of critical care didactic curricula are available for critical care trainees. Both medical and surgical ICUs have weekly didactic programs, and fellows are encouraged to participate in the didactic training of the unit where they are working. Didactic training covers the breadth of medical and surgical critical illness, journal clubs and evidence based-medicine, and case conferences and presentations. Fellows participate in a reading program with asynchronous resources available to supplement their critical care didactic program. Fellows are required to present cases and lectures in conferences periodically.

Fellows are supported for two non-clinical projects during their fellowship: a scholarly activity and a quality improvement project. The academic project could be comprised of original research, writing, review articles or book chapters, or another contribution to the development or dissemination of critical care knowledge. The quality improvement initiative will take the trainee through the plan-do-study-act methodology of quality improvement to learn the methods of continuous improvement in large complex organizations.

Fellows have $2400/year in academic funds that can be used for conference travel, professional memberships, books, and other educational resources to supplement the educational program.

Program Website
http://www.uihealthcare.org/GME/ResProgHome.aspx?Pageid=243877&taxid=227889