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
As a first-year fellow rotating at the Bellevue medical ICU (MICU), you supervise a medical house staff team of four 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
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
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
The first- and second-year fellow are each assigned to an ICU team and supervise medical residents and physicians caring for all MICU patients. The fellows perform all critical care procedures necessary with direct faculty supervision and with help from a second year critical care fellow.
NYU Langone Hospital—Brooklyn Medical and Surgical Intensive Care Units
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 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
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
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
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 with 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.