The fellowship takes advantage of multiple specialized critical care units with specialists in multiple disciplines and an extensive educational/didactic experience. It allows fellows to tailor their education to the components of critical care that complement and expand upon their previous training.

Clinical Rotations

All rotations are at Wake Forest Baptist Medical Center, a tertiary referral center for central and western North Carolina and southern Virginia.

The fellowship includes rotations in the following Intensive Care Units:

  • Advanced Heart Failure
  • Cardiovascular ICU
  • Medical ICU
  • Neurosciences ICU
  • Trauma ICU

Critical Care fellows have in-depth interaction with residents and attending physicians from each of these specialties, further broadening their training and experience.

Additional and elective rotations include:

  • Additional training in toxicology
  • Anesthesiology experience
  • Coronary Care Unit
  • ECMO
  • Infectious Disease, Nephrology, Pulmonary or other subspecialty electives
  • Pediatric ICU
  • Point-of-Care Ultrasound (POCUS)
  • Transesophageal (TEE) echocardiography

Other disciplines are also available for elective rotations.

Bedside ultrasound utilization is immediately available in each of the critical care units and taught throughout the program. Fellows are actively engaged in ICU triage, quality improvement (QI) and other administrative functions as they pursue their training.

On Call Responsibilities

There is a mix of night float rotations, swing shifts, and some overnight call - all designed to mimic the experience of practicing intensivists.

Conferences and Didactics

Each academic year begins with an intensive didactic lecture schedule covering many topics at the core of Critical Care Medicine, and includes hands-on sessions for airway management, point-of-care ultrasound, and other aspects of ICU medicine.

Throughout the remainder of the year, the Department of Anesthesiology Section on Critical Care provides a wide variety of didactic and other educational conferences including weekly core curriculum lectures and several monthly conferences including:

  • Journal club
  • Research meeting
  • Critical care morbidity and mortality (M&M)
  • Board review

Each week, the section has Critical Care Grand Rounds, which is a multidisciplinary conference that is dedicated to topic discussions relevant to critical care. The conference is led by fellows or attending physicians, both from within the Section on Internal Medicine Critical Care and faculty outside our department.

During many of the conferences, fellows will have the opportunity to present interesting cases, review the literature and give prepared topic discussions.

Research Opportunities

Each fellow will have between two and four months per year of fellowship dedicated to the pursuit of scholarly activity under the guidance of one or more of the attending faculty. This may take the form of clinical research, bench research, quality improvement or another suitable academic project. Accomplished researcher Dr. Ashish Khanna serves as the primary mentor and coordinator of the research efforts of our Critical Care fellows.

Two-year fellows will have the opportunity to pursue one of two tracks for their second year:

  • Academic track - More time is allotted to ensure successful completion of their scholarly project.
  • Clinical track - Time outside of core rotations is spent pursuing elective clinical opportunities.

It is anticipated that each fellow will be able to complete and submit at least one peer-reviewed abstract or article for publication during the fellowship.