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Home | Residency
& Fellowship | Fellowship Programs:
Critical Care Fellowship
Critical Care Fellowship
Staney Rosenbaum, MD,
Director
The critical
care fellowship is designed to provide a multidisciplinary exposure
to the care of critically ill patients and to offer adequate opportunity
for research experience. We seek aspiring academic anesthesiologists
with strong interests in clinical care and research. The fellowship
also includes some intraoperative anesthesia experience. Board Certification/Eligibility
in Anesthesiology is required, and additional background in Internal
Medicine or Surgery is strongly preferred.
The critical care anesthesiology fellow is expected to serve for
about eight months in the SICU of the Yale-New Haven Hospital of
the Y-NHH, and has three-four months of elective time in the other
ICUs of Y-NHH (this includes PICU, NICU, and MICU). Up to two months
of elective time can be in non-ICU settings, including operating
room anesthesiology or the various clinical or research laboratories
of the Medical Center.
While in the SICU, the critical care anesthesiology fellow is part
of a multidisciplinary fellowship team that includes two surgical
critical care fellows, and frequently a pulmonary medicine fellow
as well. At any given time, two surgery/anesthesiology fellows are
on-service in the SICU and one is on elective away. One of the two
fellows on the SICU serves as the "clinical fellow" and
runs the service, and the other is the "education" fellow
responsible for conferences, teaching, research and administrative
issues. All fellows share night and weekend call for the SICU. The
fellow on service has administrative control of SICU bed availability
for elective and emergency surgery, acting in concert with the ICU
nurse manager and the on-service faculty member. The fellow, in
conjunction with the SICU faculty member, is also responsible for
critical care consultation requests that come to the SICU service.
These include patients with complex problems on the Neurosurgical
service, and patients (generally from surgical subspecialties) who
are critically ill on the Medical Service.
There are daily formal morning faculty rounds on all patients and
formal weekday afternoon rounds. Faculty assigned to the unit do
not have other clinical responsibilities, are based in offices near
the ICU, and are available for discussion on a 24-hour basis.
The fellow supervises a team that includes residents from Surgery,
Anesthesiology and Emergency Medicine, plus medical students, and
regular participation by dieticians, pharmacists and social service
workers.
Additional surgical trauma faculty are part of our service and
are in the hospital 24 hours/day for urgent onsite backup.
Educational activities in the SICU include extensive daily teaching
and clinical rounds, frequent short teaching sessions, weekly formal
teaching conferences, weekly M&M rounds, monthly formal interdisciplinary
QI conferences, and quarterly formal ethics conferences.
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Department of Anesthesiology
Yale University
School of Medicine
333 Cedar Street, TMP 3
P.O. Box 208051
New Haven, CT
06520-8051 USA
Business Office
Tel: 203.785.2802
Fax: 203.785.6664
YALE UNIVERSITY
SCHOOL OF MEDICINE
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