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Emergency Medicine Critical Care Fellowship

Program Director: Lillian L. Emlet, MD, MS, FACEP

"We have defined "critical care medicine" as the triad of 1) resuscitation, 2) emergency care for life-threatening conditions, and 3) intensive care; including all components of the emergency and critical care medicine delivery system, prehospital and hospital."-Peter Safar

The ultimate goal of the MCCTP is to develop leaders in Critical Care Medicine through critical care research, critical care education, and the delivery of high quality clinical care for critically ill patients.  This multidisciplinary critical care training program is open to individuals who have completed a three- or four-year ACGME-accredited residency program in Emergency Medicine and are ABEM eligible or certified. This is a two-year fellowship program that follows the curricular structure of IM-CCM.

First Year Curriculum


The first year of the fellowship will expose the fellow to the full range of critically ill patients. Core clinical rotations are approximately two-thirds surgical critical care (Cardiothoracic ICU, Neurosurgical ICU, Trauma/Surgical ICU, Transplant ICU) and one-third medical critical care (Medical ICU, VA ICU). All of our ICUs have a mix of medical and surgical patients.  Fellows will take in-house night call in most ICUs 5-6 nights per month. The responsibilities of the fellow in each unit will include all aspects of patient care. Fellows are also responsible for responding to in-house Rapid Response Team as team leader and/or airway manager.  The didactic curriculum covers an extensive range of topics encountered during the management of critically ill patients, with over 130 lectures and case conferences and over 10 formal workshops that use simulation to teach skills such as Difficult Airway Management, Critical Care Communication, and Bedside Ultrasound.  The curriculum also includes Journal Club, Quality Improvement and Morbidity/Mortality Conferences, and CCM Grand Rounds.

Second Year Curriculum


During the second year, the focus is development of fellow in the following areas/ “tracks”: research, education, or clinical administration.  The second year has its own didactic curriculum including the CCM Leadership and Professionalism Course.  This purpose of this course is to familiarize trainees with basic non-clinical knowledge and skills that are vital to success during the first years as an attending intensivist.  The goal of the second year is to create the mix of clinical and academic pursuits in both Critical Care Medicine & Emergency Medicine to meet the individual career goals of each fellow.  Second year curriculum is developed with your chosen faculty mentor and overseen by the Program Director.  Involvement with the University of Pittsburgh Affiliated Emergency Medicine Residency is encouraged.  Opportunities for select fellows in the Clinical Research Training Program, Clinical Educator Training Program, and Graduate School of Public Health are available for Certificate and Masters programs.  The majority of clinical electives are available during the second year, such as: Transplant ID, Critical Care Ethics, Toxicology, Renal Replacement Therapy, Echocardiography or Bronchoscopy. 

Clinical Instructor Year

After graduation from the CCM fellowship, select motivated fellows may have the opportunity to be appointed as faculty while completing advanced training programs to further developing their skills in research, education, or clinical-administration.  During this year, clinical duties are reduced in order to facilitate overall professional development and completion of the advanced training program.

 

For fellowship inquiries, please contact the CCM Education Office.