Adult Critical Care Fellowship

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Quick Facts

• Application enrollment date(s) or deadline: The 2014-2015 Adult Critical Care Fellowship program is now full and we are not accepting new applications at this time.
  We will be joining the SF match for critical care anesthesia fellowships for the entering class of 2015; please check back in the early Fall of 2013 for information about applying for the 2015-2016 year.
• Accredited by: Accreditation Council for Graduate Medical Education(ACGME)
• Duration of Program: 1 Year fellowship Program (2 Year tracks with Surgery Critical Care, Cardiac Anesthesia or other Anesthesiology subspecialties are available)
• Positions Available: 9
• Applicant Qualifications: Experience in primary specialties of Anesthesiology and Surgery, Emergency Medicine

Overview

An overriding principle behind our program is that one does not specialize but "generalizes" in Critical Care Medicine. This multidisciplinary tenet resounds through all levels of these fellowship programs. This program reflects a cross-disciplinary perspective and highlights a significant commitment to critical care medicine as an independent subspecialty.

This program is an integrated fellowship with the Department of Surgery's Fellowship in Critical Care Medicine and utilizes all resources which presently reside at Johns Hopkins Hospital and its affiliate JHBMC.

The core program is centered in a surgical intensive care environment including the Surgical Intensive Care Unit (SICU, 16-beds), the Weinberg Intensive Care Unit (Weinberg ICU, 20-beds), and the cardiac Surgical Intensive care Unit (15 beds). Patients, representing more than 9,000 patient-days, are admitted from the adult trauma, transplant, vascular, cardiac, thoracic, orthopedic, plastic, obstetric, gynecologic-oncology, endocrine and general surgical services.

Rotations
Additional rotations in the Medical ICU, Neurosciences Critical Care Unit, Neurovascular ICU and Pediatric ICU are routinely provided. Rotations through the Oncology ICU and the Burn ICU (JHBMC) are available for appropriate candidates. Electives are available in all medical subspecialties as well as Pulmonary Physiology, Echocardiography and Infection Control.

Mission, Goals, & Objectives

The overall goal of the Anesthesia Critical Care Fellowship at Johns Hopkins University is to:

• Provide an educational environment optimized for the development of clinician/Basic science leaders in multidisciplinary critical care
• Allow fellow to build mastery in diagnosis and management of complex problems in critically ill patients;
• Allow fellow to acquire an appreciation for the depth and breadth of the specialty of critical care medicine including: scientific principles, medico-legal issues, ethical dilemmas, administrative duties, educator responsibilities and benefits, and performance improvement;
• Teach principles of study design and statistical analysis;
• Allow the fellow to appreciate the role of information management in the critical care setting; and
• Provide clinical and basic science research opportunities

Curriculum

Formal educational programs include a daily lecture series that covers an extensive list of critical care topics related to physiology, pharmacology, patient management, critical care billing, and unit administration. A multidisciplinary weekly journal club meets with participation from fellows and attendings from the SICU, MICU, CSICU, NCCU and PICU. Monthly performance improvement meetings, clinical research forums and multi-unit case conferences further enhance the educational environment. ICU Teaching Conferences include:

• Critical Care Journal Club
• ICU Morbidity and Mortality
• ICU Performance Improvement
• Critical Care Case Conference
• Critical Care Research
• ICU Fellow Seminar

Research

Typically individuals participating in the two-year tracks have a strong interest in clinical or basic science research.  Research integrating staff and support across all of the adult, pediatric, and neonatal ICUs and related Primary Departments demonstrates further our commitment to multidisciplinary CCM and its acceptance hospital and university-wide.  We provide research opportunities in:

Health Sciences	Informatics
Outcomes	Basic Sciences
Risk Factor Assessments	Sympathetic Nervous System
Process Assessment	Hemostatic Function
Clinical Sciences	Cytokine Responses
Sepsis	Vasomotor Reactivity
ARDS	Pharmacogenomics
Cardiovascular	Phospholipase Enzyme Systems

Faculty

Rebecca Aslakson, M.D. - Assistant Professor

Sean Berenholtz, M.D., MHS, FCCM – Associate Professor. Research Focus: applying rigorous clinical research methods to improve the quality of care in the intensive care unit.

Jeffrey Dodd-O, M.D., Ph.D. – Associate Professor

Todd Dorman, M.D., FCCM – Professor

David Efron, M.D., FACS – Associate Professor

Nauder Faraday, M.D. – Associate Professor. Research Focus: translational and clinical research programs in platelet biology and perioperative genomics.

Ralph Fuchs, M.D. – Assistant Professor

Samuel Galvagno, D.O. – Assistant Professor

Iosifina Giannakikou, M.D. – Clinical Associate

Adil Haider, M.D., MPH

Theresa Hartsell, M.D., Ph.D. – Assistant Professor

Elliot R. Haut, M.D., FACS – Associate Professor

Asad Latif, M.D. – Assistant Professor

Pamela Lipsett, M.D., FACS, FCCM – Professor

Pedro Mendez-Tellez, M.D. – Assistant Professor,

Julius Pham, M.D. – Assistant Professor. Research Focus: patient safety, patient care in the intensive care unit, quality health care, evidence-based medicine, and the measurement and evaluation of safety efforts.

Peter Pronovost, M.D., Ph.D., FCCM – Professor, Departments of Anesthesiology/Critical Care Medicine and Surgery, Professor, Department of Health Policy & Management, The Bloomberg School of Public Health, Professor, School of Nursing, Medical Director, Center for Innovation in Quality Patient Care, Director, Quality and Safety Research Group. Research Focus: patient safety, patient care in the intensive care unit, quality health care, evidence-based medicine, and the measurement and evaluation of safety efforts.

Aliaskei Pustavoitau, M.D. – Assistant Professor. Research Focus: models and mechanisms of impaired consciousness in patients with acute brain injury.

Mark Romig, M.D. – Assistant Professor

Adam Sapirstein, M.D. – Associate Professor. Research Focus: the roles of phospholipases A2 and their lipid metabolites in brain injury.

Kent Stevens, M.D., M.PH – Assistant Professor

Brad Winters, M.D., Ph.D. – Assistant Professor. Research Focus: patient safety, patient care in the intensive care unit, quality health care, evidence-based medicine, and the measurement and evaluation of safety efforts.

Adult Critical Care Fellows

Ranjit Deshpande
Tariq Kelker
Donald Park
Leigh Slater
Steven Tropello

Contact

Adult Critical Care Fellowship
Department of Anesthesiology and Critical Care Medicine
The Johns Hopkins Medical Institutions
600 N. Wolfe Street, Meyer 296
Baltimore, MD 21287
410-955-9080

Theresa L. Hartsell, M.D., Ph.D.
Program Director
thartsel@jhmi.edu

Euyna Cox
Program Coordinator
edeasco1@jhmi.edu