Our two year curriculum includes:
- 8 months medical intensive care
- 2 months surgical intensive care
- 2 months neurocritical care
- 2 months cardiovascular critical care (surgical and medical)
- 1 month anesthesia
- 9 months electives/research
- Weekly conferences: core curriculum series, critical care research, internal medicine grand rounds
- Monthly conferences: simulation (cognitive and procedural), journal club, morbidity & mortality, fellows’ case presentations, critical care grand rounds, multi-disciplinary ECMO
- Annual calendar is constructed of 13 x 4 week blocks (26 in total)
- Fellows complete 14 blocks of critical care during the course of training
- 12 blocks of electives, including clinical and research opportunities
- Fellows participate in academic activities
- Fellows play an important role in educating residents and students while also providing education to all Critical Care team members
- 1500 – 1700 Wednesdays: Combined Pulm/CCM and CCM core curriculum didactic sessions
- 1200 1st Tuesday: Journal Club
- 0700 2nd Tuesday: GME Fellow Seminar
- 1200 2nd Tuesday: Case conference
- 1200 3rd Tuesday: Morbidity and Mortality
- 1200 4th Tuesday: Monthly CCM fellowship meeting
- 1200 5th Tuesday: Board review, classic article review, potpourri
- 1200 Wednesdays: Weekly Department of Medicine Grand Rounds
- 1200 Fridays: Neurocritical care rounds –imaging review
- 1300 1st or 2nd Monday: Simulation laboratory for fellows at Brighton Campus
- 0800 3rd Thursday (every other month): ECMO conference
- 1600 1st Thursday: Critical Care Grand Rounds
Medical Critical Care
MMC incorporates a multi-disciplinary approach to treating critically ill patients in the ICU. The fellow supervises the delivery of care to this patient population with the objectives of developing medical decision making, acquiring the necessary skills for commonly performed procedures, recognizing the complexity of end of life care on shared decision making and developing along the ACGME sub-specialty milestones towards independent practice.
Neurocritical Care
MMC is a comprehensive stroke center and the primary referral center in the state of Maine for patients with neurological conditions requiring ICU level of care. Fellows develop a level of competence in Neurocritical Care to treat patients with stroke, intracerebral hemorrhage, subarachnoid hemorrhage, hypoxic-ischemic brain injury, status epilepticus, CNS infections and neuromuscular respiratory failure. The Neurocritical Care service collaborates closely with Neurology and Neurosurgery.
Surgical Critical Care
Fellows gain clinical experience with critically ill surgical, trauma and burn patients while developing competency in related procedures.
Cardiovascular Critical Care
Cardiovascular Critical Care encompasses both the Cardiac and Cardiac Surgery Intensive Care Units. Fellows gain experience in evaluating and managing patients with acute coronary syndromes along with related interventional procedures, insertion and interpretation of PA catheters and advancing their knowledge around the indications, contraindications and management of circulatory assist devices (IABP, Impella, etc) commonly employed in this patient population. Fellows also learn of the indications, contraindications and management of patients on ECMO while developing an understanding of the unique management and complications of cardiac surgery patients.
Electives and Research
The fellowship provides many opportunities to rotate on a variety of electives and provide time to complete academic projects. Elective examples include, but are not limited to, Pulmonary, Nephrology, Anesthesia, Infectious Disease, Nutrition, Ultrasound/Echocardiography and community ICU.
Called the “Jewel by the Sea” by its celebrated native, Henry Wadsworth Longfellow, Portland combines vibrant city life with natural beauty and abundant recreation opportunities.
