Non- ACGME CTICU ECMO Fellowship

About the role

Cardiothoracic Critical Care is a growing subspecialty of critical care medicine that involves the treatment of patients with cardiothoracic pathology. This population includes post-cardiotomy, cardiogenic shock, respiratory failure, pre- and post-thoracic transplant, VAD implantation, and patients requiring temporary mechanical circulatory support (ECMO, Impella, intra-aortic balloon pump). Effectively caring for these high-acuity patients requires advanced training in the knowledge base, technology, and procedural skills that encompass this increasingly nuanced and complex field. As a leading cardiovascular center with a history of providing cutting-edge cardiothoracic critical care, we are uniquely well-positioned to meet the growing demand for this level of training. This one-year non-ACGME fellowship provides an immersive training experience to board-certified and board-eligible intensivists dedicated to practicing and leading as cardiothoracic intensivists. Trainees will be immersed in our high-volume, high-acuity CTICU and gain the exposure, knowledge, and technical skills necessary to care for patients with advanced cardiothoracic diseases.

Responsibilities

• Graduated autonomy in rounding and patient management
• ECMO consults, multidisciplinary cardiogenic shock team calls
• Direct supervision of residents and fellows
• Independent management of CTICU patients overnight
• Admission and management of new patients and late surgical cases
• Coverage for ECMO consults, cardiogenic shock team calls, interhospital transfers
• Nighttime ECMO support, including cannulation, troubleshooting, ECPR
• CTICU attending support from home (will come in for any acute management and procedural issues)

Requirements

• Board-certified or board-eligible intensivist
• Dedicated to practicing and leading as a cardiothoracic intensivist
• Note: Program unable to offer J-1 employer sponsorship

Skills

• Advanced knowledge base in cardiothoracic critical care
• Proficiency with technology and procedural skills (ECMO, Impella, intra-aortic balloon pump, VAD)
• Ability to manage high-acuity patients post-cardiotomy, cardiogenic shock, respiratory failure, transplant, etc.

Schedule

~22 weeks of daytime rounding includes: Graduated autonomy in rounding and patient management