
Critical Care Medicine Fellowship Clinical Training
As part of our two-year Critical Care Medicine Fellowship, faculty in NYU Langone’s Division of Pulmonary, Critical Care, and Sleep Medicine offer fellows comprehensive clinical training in critical care pulmonology, neurology, cardiology, and post-surgical care.
Before starting clinical rotations, the first-year fellow attends mandatory simulation workshops to develop competency in airway assessment, code situations, line placement, point-of-care ultrasound, bronchoscopy, and leadership skills. This training is complemented by on-site clinical training in our intensive care units (ICUs).
As a fellow, you benefit from the breadth of the critical care rotations available at NYU Langone and our affiliates. Training sites include NYC Health + Hospitals/Bellevue, the VA NY Harbor Healthcare System, NYU Langone’s Tisch Hospital, and NYU Langone Hospital—Brooklyn.
Clinical Rotations for Fellows
We offer several critical care rotations as part of your clinical training.
Bellevue Medical Intensive Care Unit and Critical Care Consult Service
Supervisors: Kerry Hena, MD, and Radu Postelnicu, MD
As a first-year fellow rotating at the Bellevue medical ICU (MICU), you supervise a medical house staff team of our interns and three residents. You oversee morning rounds, during which management plans are formulated for all MICU patients. You and a resident team are responsible for carrying out these plans. You also perform procedures under the supervision of the MICU attending and lead interdisciplinary family meetings. Twice a month, you present cases at a weekly ICU physiology conference.
During your second year at the Bellevue MICU, you support the first-year MICU fellow and conduct critical care consults in other adult ICUs within Bellevue. These include the cardiac care unit (CCU), the surgical ICU (SICU), the neurosurgical ICU, and the emergency ward. Your consults are supervised by the critical care service.
VA NY Harbor Healthcare System Medical Intensive Care Unit
Supervisor: Anil Vachani, MD
Your rotation at the VA NY Harbor Healthcare System MICU occurs during your first year of training. You supervise house staff assigned to the ICU who have primary patient care responsibility. You review each case with a pulmonary and critical care medicine attending, oversee the diagnostic workup, conduct procedures, and direct therapy. Preliminary interpretation of all pulmonary function tests performed by the pulmonary function laboratory is another one of your responsibilities.
VA NY Harbor Healthcare System Surgical Intensive Care Unit
Supervisor: Beno W. Oppenheimer, MD
As a first-year fellow in the VA NY Harbor Healthcare System SICU, you learn about surgical critical care under the supervision of a pulmonary and critical care medicine attending. You gain exposure to general surgery, cardiac, thoracic, and orthopedic procedures, and neurosurgical cases, as well as anesthesiology in the operating room. Once a month, you present a case during a weekly ICU physiology conference.
Tisch Hospital Medical Intensive Care Unit
Supervisor: Nancy E. Amoroso, MD
The first- and second-year fellows are each assigned to an ICU team. They supervise medical residents and physicians caring for all MICU patients. The fellows perform all critical care procedures necessary with direct faculty supervision and help from a second- year critical care fellow.
NYU Langone Hospital—Brooklyn Medical and Surgical Intensive Care Units
Supervisor: Tshering D. Amdo, MD, and Mark H. Adleman, MD
During your rotation in NYU Langone Hospital—Brooklyn, you are responsible for oversight and coordination of the MICU and closed SICU. The SICU specializes in the preoperative assessment and postoperative care of critically ill trauma patients with a wide variety of medical problems. During your training, you conduct evaluations during daily teaching rounds using an organ system approach.
Tisch Hospital Advanced Pulmonary: Pulmonary Hypertension and Lung Transplant
Supervisor: Roxana Sulica, MD, and Luis F. Angel, MD
During these rotations, you learn about solid organ transplant with a focus on lung and pulmonary hypertension. As a second-year fellow, you have both inpatient and ambulatory exposure and spend time in outpatient clinics for pulmonary hypertension and transplant. You also have the opportunity to perform right heart catheterization in the Cardiac Catheterization Laboratory.
Tisch Hospital Interventional Bronchoscopy
Supervisor: Jamie L. Bessich, MD
First-year fellows have a bronchoscopy introductory rotation supervised by interventional pulmonology faculty. During the second and third year, fellows rotate on our interventional pulmonary service.
André Cournand Respiratory Physiology Research Laboratory
Supervisor: Beno W. Oppenheimer, MD
At the André Cournand Respiratory Physiology Research Laboratory, located at Bellevue, first-year fellows are exposed to the basics of lung function measurements and concepts related to airway hyper-reactivity, ventilatory control, exercise physiology, and lung compliance. As a fellow, you also consult with patients who have respiratory failure and obesity hypoventilation. Another responsibility is holding a weekly physiology case review for rotating chest service, second-year residents. Learn more about the pulmonary physiology research at this laboratory.
Electives
Kimmel Pavilion Cardiac Anesthesia
Rotation Supervisor: Jennie Y. Ngai, MD
Cardiac Anesthesia is a two- or four-week elective offering within the fellowship where fellows continue to strengthen skills in airway management. This includes inserting endotracheal tubes, managing airways, and gaining increased understanding of the medications involved. The setting for the rotation will mainly be the operating room, including cardiac and thoracic ORs.
Toxicology
Rotation Supervisor: Rana Biary, MD
Toxicology is a two-week elective offering providing fellows with comprehensive exposure to medical toxicology through clinical consultations, didactics, and hands-on patient care. Rotators engage with the New York City Poison Control Center, hospital-based toxicology services, and occupational/environmental clinics to develop expertise in managing poisonings, overdoses, and toxic exposures. The curriculum emphasizes clinical skills, scientific literature review, public health roles, and patient safety. Training includes bedside consultations, risk communication, and interprofessional collaboration. Fellows will also engage in medical toxicology clinical consultation at NYU Langone’s Manhattan campus, Bellevue, and the Manhattan campus of the VA NY Harbor Healthcare System.
Bellevue Nocturnal ICU
Rotation Supervisor: Radu Postelnicu, MD
Nocturnal ICU is a two-week elective in the Bellevue medical ICU at night, 7:00PM to 7:00AM, designed to provide the fellow with increased autonomy and independence in caring for critically ill patients. Nighttime affords increased responsibilities, decreased hospital staffing, and more opportunity to engage in clinical decision-making, patient work-up, and procedures. Developing these skills will be advantageous to becoming a confident intensivist after fellowship graduation, as well as those fellows looking to grow their independent practice caring for critically ill patients. Fellows complete a total of 8 nights over 14 days. There is a 24/7 in-house intensivist who will supervise all aspects of the rotation and provide education in real time.
Many other electives can be crafted/developed depending on the interests of the individual fellow.