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Critical Care Medicine

University of Maryland Critical Care Medicine Fellowship

Michael McCurdy, MD
University of Maryland

UofMarylandSpecialty certification pathway: American Board of Internal Medicine

Length of fellowship: 2 years

Number of fellows: 4 per year. EM-trained candidates are accepted in accordance with the ACGME requirement, “Fellows from ACGME-accredited emergency medicine programs should have completed at least six months of direct patient care experience in internal medicine, of which at least three months must have been in a medical intensive care unit.” Remaining required internal medicine months upon starting the fellowship must be completed prior to functioning in the clinical capacity of a critical care fellow. 


Curriculum (1-month blocks)

First year
Introductory Education: 1 month
Medical ICU: 3 months
Critical Care Consults: 1 month
Trauma ICU: 2 months
Neuro ICU: 1 month
Surgical ICU: 1 month
Cardiac Surgery ICU: 1 month
Critical Care Ultrasound: 1 month
Trauma Anesthesia: 1 month

Second year
Medical ICU: 3 months
Critical Care Consults: 1 month
Trauma ICU: 1 month
Neuro ICU: 1 month
Elective/Research: 6 months

Which ICU’s fellows rotate through? MICU, CSICU, SICU, Trauma ICUs, Neuro ICU

Total months in ICU: 13-15

Electives: Trauma Anesthesia, Ultrasound, Cardiac Care Unit/Pulmonary Hypertension, Community Hospital Anesthesia, Transesophageal Echocardiography (TEE), Ventricular Assist Devices (VAD), Extracorporeal Membrane Oxygenation (ECMO), Research, Cardiac Surgery, Trauma Team, Ethics, International Critical Care (eg, Haiti, Dominican Republic, Kenya, Argentina), Pulmonary Consults (for CCM), Heart Failure, Echo (with the cardiologists), Nutrition, Nephrology
 

Vacation: 3 weeks per academic year

Call responsibilities: Every 3-4 nights while in surgical ICUs, 1 week per month of night float while in the MICU

Didactics: The University of Maryland has partnered with Washington Hospital Center, Georgetown University, the National Institutes of Health, and the Walter Reed National Medical Center to provide a unique training course in the fundamentals of critical care during the first three weeks of the fellowship. Fellows participate in both lectures (eg, respiratory physiology, post-surgical ICU management, renal replacement therapy) and simulated training sessions (eg, ventilator management, intubation, tube thoracostomy, cricothyroidotomy) to prepare them for their clinical rotations. This 3-week “crash course” in critical care is followed by a 1-week in-house orientation focusing further on preparing fellows for their clinical rotations and research opportunities.

The Division has comprehensive weekly didactic conferences, which fellows are required to attend:

  • Multidisciplinary critical care conference
  • Surgical Critical Care Didactic Conference
  • Monthly multidisciplinary critical care M&M
  • Monthly critical care journal club
  • Pulmonary & Radiology case conference
  • Pulmonary & Critical Care Division Grand Rounds
  • As a major academic medical center, many other departmental conferences and lectures exist that fellows are encouraged to attend as their schedules allow.

Research opportunities: Research and scholarly work are major priorities of our program. The research opportunities at the University of Maryland are numerous, and all faculty in our Division are involved in some manner with either basic science or clinical research efforts. Critical care fellows are expected to complete a scholarly activity during their fellowship. Additionally, the Department of Epidemiology has established a K30-funded clinical research training program that offers a Masters in Clinical Research for those fellows interested in pursuing an additional degree.

Clinical Sites: University of Maryland Medical Center, R. Adams Cowley Shock Trauma Center, University of Maryland Medical Center Midtown Campus

Program Highlights: While the fellowship is based in the Medical Intensive Care Unit (MICU) and the Department of Medicine, fellows also spend substantial time in other Intensive Care Units (ICUs). They rotate through the trauma ICUs at the world-renowned R Adams Cowley Shock Trauma Center. Our menu of electives is diverse and flexible and includes many options, listed above. As a result of this clinically heavy but balanced curriculum, our fellows have the opportunity to both graduate as archetypical “multi-disciplinary” intensivists and simultaneously develop expertise within their own personal areas of interest. Our program was recently one of five programs from around the country to win the “2014 Innovation in Fellowship Education” award from the American Thoracic Society (ATS) for the successful development and implementation of a fellow-run website that hosts a variety of critical care lectures and topics. To learn more about it, please go to: http://maryland.ccproject.com/.

ED Shifts: No

Application process: Although applicants must apply through ERAS, we do not participate in the Match. Those with competitive credentials are invited in mid-summer to interview during the months of August through October, and we have rolling admissions. The program currently offers 4 positions per year.

Program director: Michael McCurdy, MD

Program coordinator:
Suzanne Ventura, MSW
Division of Pulmonary and Critical Care Medicine
110 South Paca Street
Baltimore, MD 21201
Email Susan
Phone: 410-328-4527
Fax: 410-328-8087

Dionna Robinson
Division of Pulmonary and Critical Care Medicine
University of Maryland School of Medicine
110 S. Paca Street
Baltimore, MD 21201
Email Dionna
Phone: 410-328-4409 



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