The Department of Anesthesiology, Perioperative Care, and Pain Management at NYU Langone Health has a long and distinguished history in the development of academic anesthesia in the 20th century. As we progress through the 21st century, we are continuing our tradition of outstanding clinical care and our commitment to education. While we have a comprehensive anesthesia residency program with outstanding clinical teaching and ultimate board certification achieved by our graduates, we also have the infrastructure to further train anesthesiologists who wish to dedicate themselves specifically to evaluation, preparation, and management of critically ill patients in a variety of intensive care unit settings. The Critical Care Anesthesiology Fellowship provides physicians with comprehensive training in interdisciplinary intensive care unit (ICU) care, critical organ failure support, emergency response and resuscitation, resource allocation and triage, and the dynamic care of the hospital’s sickest patients.

The Critical Care Anesthesiology faculty is strong and includes the directors of both the cardiovascular ICU and the surgical ICU. Combined with the ever-growing group of diverse intensivists at our institution, our physicians manage a variety of patients and disorders. Our mission to provide top-quality, advanced care is in line with robust, high-acuity intensive care unit services.

Under the leadership of Thomas Jan, MD, MPH, program director, and Anjali P. Dogra, MD, MHS, associate program director, the Division of Critical Care Anesthesiology offers this one-year program, under the auspices by the Accreditation Council for Graduate Medical Education (ACGME).

Fellowship Clinical Training

Rotations reflect multiple facets of critical care, including the management of specific organ failures and the care of patients recovering from cardiothoracic surgery, neurosurgery, major surgery or complications of major surgery, and organ transplantation, as well as those with neurological conditions and acute or chronic illness.

The fellowship provides a comprehensive experience that enables a trainee to acquire and maintain knowledge, psychomotor skills, and management skills necessary to provide care in the perioperative period to a wide variety of patients that require organ failure support and advanced nursing. The patient population includes those recovering from or in need of complex surgery, those with chronic illness and organ failure, those who are critically injured, and those requiring diagnostic and therapeutic procedures. In addition, fellows learn to work in inter-disciplinary ICUs where they can hone team management and communication skills required to become future leaders in the critical care setting.

Fellows work under the direct supervision of an in-house critical care attending, and help manage ICU services composed of combinations of advanced-practice providers (APPs), residents, and medical students. Fellows gradually assume more independence in clinical decision making, team leadership, and care coordination as clinically appropriate. Fellow progress is tracked in a competency milestone-based fashion as outlined by ACGME and feedback is provided by the program director quarterly and as needed.

Fellows are required to complete a minimum of one academic project under the guidance of our faculty that will be published and/or presented at an appropriate local, regional, or national conference. Fellows are also required to present at journal club and ICU division morbidity & mortality reports (M&Ms), and give resident and student lectures. Fellows are expected to assist in resident point-of-care ultrasound (POCUS) education throughout the year.

Clinical care activities take place at NYU Langone’s Tisch Hospital and Kimmel Pavilion and NYU Langone Hospital—Brooklyn.

Fellowship Core Rotations

Fellows rotate through five core intensive care units. The assigned rotation schedule reflects multiple facets of critical care, including management of specific organ failures and patients recovering from major surgery or complications of major surgery, organ transplantation, neurologic conditions, acute or chronic illness, and acute trauma. The following shows the rotation breakdown during the year:

• three months in the surgical ICU
• three months in the cardiovascular ICU
• one month in the medical ICU
• one month in the neurosurgical ICU
• one month in the trauma surgical ICU at NYU Langone Hospital—Brooklyn
• three months of elective time, which can include Echocardiography/PoCUS, Bellevue Trauma ICU, Donor Care Unit, Heart Failure, Liver Transplant, ECMO/Perfusion, Palliative Care, Research, and more
• four weeks of vacation

Cardiovascular ICU

The cardiovascular ICU houses critically ill cardiothoracic patients, including those preparing for and recovering from cardiothoracic surgery. This unit includes patients who are postop from coronary artery bypass graft surgery, valve repair/replacement, major aorta surgery, thoracic surgery, and heart transplantation. The ICU also includes patients with mechanical circulatory support devices, both temporary and durable left ventricular assist devices, biventricular assist devices, total artificial hearts, and ECMO. Fellows will learn how to collaborate with cardiothoracic surgeons and cardiologists in an interdisciplinary fashion taking care of high-risk patients.

Surgical ICU

The surgical ICU houses critically ill surgical patients who are recovering from major surgery or have had complications of major surgery. Some patients are admitted with critical illness prior to surgery. Services that admit to this ICU include general surgery, hepatobiliary surgery, vascular surgery, ENT, abdominal transplant surgery, and lung transplant surgery. Fellows will have autonomy in managing non-surgical aspects of the patient care, including clinical decision-making, insertion and interpretation of hemodynamic monitors, case presentations, and prescribing medication including vasoactive drugs and blood products. Fellows are expected to learn about surgical decision-making and how it affects patients’ postoperative care.

Neurosciences ICU

Fellows are assigned to the neuro ICU to care for neurology and neurosurgery patients requiring ICU-level care. General aspects of neurointensive care are taught by dedicated neurointensivists. Patients who are admitted to this ICU include those with complex craniotomies, seizure-related intracranial procedures, strokes, and neurovascular procedures in interventional radiology. Fellows learn how to manage neurologic disorders in the ICU, neurologic emergencies, neuro-prognostication, and brain death determination.

Medical ICU

The medical ICU houses patients with critical illness and medical disease, and patients recovering from COVID-19 ARDS. Medical intensivists provide organ failure support, assess patients for triage into and out of the ICU, assess goals of care, and engage palliative care services for patients with chronic progressive disease. Fellows are expected to manage these services and become proficient at triage, family-centered care, and goals-of-care management, and understand the spectrum of medical illness as it impacts critically ill patients. Fellows also cover the rapid response team service and will respond to all cardiac arrests in the hospital.

Trauma Surgical ICU

The trauma surgical ICU at NYU Langone Hospital—Brooklyn cares for a diverse population of surgery, acute care surgery, and trauma patients. The ICU serves a patient population that includes medically underserved members of the community. Fellows on this service will learn to manage multiple traumatic injuries, recognize and manage complications of acute surgical illness, learn about toxicology, and coordinate care with traumatology and acute care surgeons, learning about acute care surgical decision-making. Post ICU care, including rehabilitation and dressing/appliance needs will be part of the teaching curriculum.

Fellowship Didactic Program and Simulation Training

The fellowship’s broad educational program includes a comprehensive lecture series, research exposure, team leadership skills development, and supervisory and teaching experience.

• weekly Department of Anesthesiology, Perioperative Care, and Pain Medicine Grand Rounds
• weekly departmental problem-based learning and improvement (PBLI)
• Anesthesiology Critical Care Conferences (including core fellowship lecture series, PBLI, and seminars)
• monthly journal club and morbidity and mortality conferences
• annual extracorporeal membrane oxygenation (ECMO) training course, in compliance with Extracorporeal Life Support Organization (ELSO) competency guidelines
• transplant/ventricular assistive device (VAD) listing meetings
• Mechanical circulatory support/VAD M&M and Case Conference
• Lung transplant journal club
• oral and written board preparation activities
• multiple progressive NYSIM Center simulation lab sessions

Career Preparation for Fellows

Our mission is to develop the next generation of leaders and educators in critical care medicine. Trainees learn advanced clinical skills, but equally important is the development of managerial and collaborative skills and mentored development of educational and investigative acumen.

Career preparation is an integral part of our fellowship. Our faculty offer mentoring, exposure to multiple and diverse research opportunities, and participation in the department’s ongoing quality improvement activities. Fellows have the opportunity to teach medical students and residents.

Previous fellows who have graduated have found employment in various other institutions including:

• Boston University
• NYU Langone Health—Long Island
• University of Miami Jackson Health System
• UT Southwestern
• Wyckoff Hospital

Fellowship Application Process

We accept two fellows into our program each year. Our Critical Care Anesthesiology Fellowship participates in the Central Application Service (CAS) of SF Match. In addition to the CAS application, SF Match requires three letters of reference. Our ACGME Program ID number is 0453504092. All applicants must apply through SF Match.

Fellowship training begins on July 1 of the year following the match and ends on June 30 of the next year.

For applicants interested in pursuing both the Critical Care Anesthesiology Fellowship and the Cardiothoracic Anesthesiology Fellowship at our institution, special consideration will be given. Please complete applications for each specialty and email our program coordinator.

Required Supplemental Materials

Please email the following supplemental materials to Amy Pazmino, program coordinator, at Amy.Pazmino@NYULangone.org:

• CV
• Medical school transcript
• U.S. Medical Licensing Examination scores or Comprehensive Osteopathic Medical Licensing Examination scores
• In-training examination scores
• U.S. medical school or Educational Commission for Foreign Medical Graduates certificate

Eligibility Criteria

Acceptance into the fellowship is conditional upon the following criteria:

• successful completion of a core residency in anesthesiology, or at least three clinical years in residency in one of the following: neurological surgery, obstetrics and gynecology, orthopedic surgery, otolaryngology, surgery, thoracic surgery, vascular surgery, or urology
• qualification to enter the certification process of the American Board of Anesthesiology
• certification in advanced cardiac life support (ACLS)
• an unrestricted license to practice medicine in the state of New York
• compliance with all policies established by NYU Langone Health and NYU Grossman School of Medicine
• successful background and social media check as per NYU Langone Health policy

We are not able to consider applicants with an emergency medicine training background at this time, or those on an H1-B visa.

Fellowship Faculty

Our fellowship faculty are experts in critical care anesthesiology.

Yohannes Constable, MD

Brian A. Chang, MD

Justin DeBiasio, MD

Anjali P. Dogra, MD

Tarek Elshazly, MD

Evelyne Gone, MD

Rachel Gray, MD

Thomas Jan, MD, MPH

Matthew Johnson, MD

Paul N. Lapis, MD

Gulnar Mangat, MD

Sana NaJaveed, MD

Mark E. Nunnally, MD

Amish Sheth, MD

Philip M. Sommer, MD

Contact Us

For questions about the Critical Care Anesthesiology Fellowship, please contact Dr. Jan at Thomas.Jan@NYULangone.org or Dr. Dogra at Anjali.Dogra@NYULangone.org.