Critical Care Fellowship Curriculum

The Critical Care Fellowship at Wake Forest School of Medicine offers a strong core of multidisciplinary critical care training. The goal is to train practicing intensivists who can work in virtually any type of critical care setting, community or academic.

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 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:

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

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

Elective rotations include:

  • Operating rooms
  • Coronary Care Unit
  • Pediatric ICU
  • Additional training in toxicology
  • Transesophageal (delete ) echocardiography and ultrasound

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

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 or 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.

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.