Cardiology Critical Care Medicine Fellowship Clinical Training
The one-year Cardiology Critical Care Medicine Fellowship, offered in NYU Langone’s Division of Pulmonary, Critical Care, and Sleep Medicine, trains physicians to manage the treatment of cardiac patients in a range of critical care settings.
Clinical Rotations for Fellows
Our fellows participate in several rotations at Bellevue.
Bellevue Intensive Care Unit
As a fellow in the Bellevue medical intensive care unit (MICU), you supervise medical house staff, consisting of four interns and three residents. You oversee morning rounds, where you formulate MICU patient management plans that you and the resident team then implement. You perform any necessary procedures under the supervision of the MICU attending. Taking the lead in conducting interdisciplinary family meetings is another responsibility. Twice a month, you present cases at a weekly ICU physiology conference.
Bellevue Critical Care Consults
As a fellow in the Bellevue MICU, you provide support to the first-year MICU fellow and are responsible for critical care consults in the other adult Bellevue ICUs. These include the cardiac care unit (CCU), the surgical ICU (SICU), the neurosurgical ICU, and the emergency ward.
Kimmel Pavilion Surgical Intensive Care Unit
In the Kimmel Pavilion SICU, you lead and coordinate a closed SICU that specializes in managing specific organ failures, acute or acute-on-chronic illness, and major surgeries or complications of major surgeries. You engage in preoperative assessment and postoperative care of critically ill surgical patients. You are supervised by highly trained faculty board-certified in critical care, and work alongside of advanced-practice providers, residents, and medical students.
Tisch Hospital Medical Intensive Care Unit
While rotating in Tisch Hospital’s MICU, you are assigned to a MICU team and supervise house staff and advanced-practice providers in the care of all MICU patients. Fellows perform all critical care procedures under faculty supervision. You care for a wide variety of medical critical care diseases, including respiratory failure and ventilator management, septic shock and hemodynamic monitoring, renal failure, cardiac disorders, cancer and cancer complications, gastrointestinal and hepatic disorders, endocrine emergencies, and infectious diseases.
Kimmel Pavilion Coronary Care Unit
During your rotation in Kimmel Pavilion’s coronary care unit, you care for patients with circulatory failure, arrhythmias, hypertensive emergencies, complications from advanced cardiac illness, organ failures, hemodynamic and ventilatory dysfunction, and cardiac and undifferentiated shock syndromes. You gain experience in echocardiography, mechanical circulatory support, and cardiac arrest management and hypothermia protocols. You also manage and teach house staff and advanced-practice providers and are supervised by board-certified cardiologists and cardiac intensivists.
Kimmel Pavilion Cardiovascular Intensive Care Unit
On rotation in Kimmel Pavilion’s cardiovascular ICU, you care for patients having cardiovascular surgeries, pre- and postoperatively, and for critically ill patients requiring procedures such as coronary artery bypass surgery, cardiac valve repair or replacement, endovascular aneurysm repair, and ventricular assist device placement. You are supervised by trained intensivists and collaborate with cardiologists, consultants, nurses, pharmacists, and social workers. You are responsible for managing and teaching house staff and advanced practice providers.
NYU Langone Hospital—Brooklyn Surgical Intensive Care Unit
At NYU Langone Hospital—Brooklyn, you oversee and coordinate a closed SICU. The SICU specializes in preoperative assessment and postoperative care of critically ill trauma patients. You provide diagnostic and therapeutic evaluations during daily teaching rounds with an organ system approach.
Each fellow has a bronchoscopy introductory rotation supervised by interventional pulmonology faculty.
Tisch Hospital Advanced Pulmonary: Pulmonary Hypertension and Lung Transplant
During this rotation, fellows learn about solid organ and lung transplant and pulmonary hypertension. You gain both inpatient and outpatient experience in pulmonary hypertension and transplant, and have the opportunity to perform right heart catheterization in the Cardiac Catheterization Laboratory.
Tisch Hospital and Bellevue Anesthesiology
During your rotation on the Tisch Hospital and Bellevue anesthesiology service, you learn about airway inspection, nasal and oral airway insertion, bag–mask ventilation techniques, and endotracheal intubation. You become skilled in direct and video laryngoscopy and gain exposure to the management of difficult airways. You also evaluate patients preoperatively, perform airway assessments, and learn about pre- and postoperative medications related to airway management. In the near future we hope to expand with exposure to cardiac anesthesia cases as well. This rotation is supervised by an anesthesiology attending.
Kimmel Pavilion Neurointensive Care Unit
On the Kimmel Pavilion neuro-ICU rotation you become proficient in the diagnosis, treatment, and medical management of critically ill neurology and neurosurgical patients. You manage disease states such as ischemic stroke, head trauma, status epilepticus, and intracranial hemorrhage. Postoperative neurosurgical care, hyperosmolar therapies, intracranial pressure monitoring, and ventriculostomy management are additional areas of training. Fellows must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social–behavioral sciences and apply this knowledge to patient care. You work with neuro-intensivists and neurology and neurosurgical consultants in clinical decision-making and management.
Bellevue André Cournand Respiratory Physiology Research Laboratory
As a fellow at the André Cournand Respiratory Physiology Research Laboratory, housed in Bellevue, you learn the basics of lung function measurements (spirometry, plethysmography, and diffusion studies), as well as measurements and concepts related to airway hyper-reactivity, ventilatory control, exercise physiology, and lung compliance.