Fellowship in Critical Care Medicine
This short video can give you an overview of our program as well as a look at the ICUs you can rotate through during your time here at AdventHealth.
Our fellowship is located at one site in Orlando. AdventHealth Orlando has 180 adult ICU beds across 7 units.
Medical ICU: the MICU has 20 beds and sees a mix of medical and cardiac patients. Fellows rotate under the supervision of a critical care attending. Emergency medicine residents rotate here throughout the year as well.
Multispecialty ICU: this is a 20 bed unit and co-houses the Liver ICU. In addition to the hepatology cases, this until sees general medical patients with a focus on oncologic and bone marrow transplant cases. This unit is the primary ICU rotation site for the internal medicine residency.
Cardiac ICU: the CICU has 20 beds and sees cardiomedical patients, heart failure and pre-cardiac surgery patients. Fellows will be exposed to, and learn to manage cardiac support devices such as impellas, balloon pumps, temporary pacers, and pulmonary artery catheters.
Cardiovascular surgery ICU: this is a 28 bed ICU for general post-op cardiac and basic thoracic surgical patients. The fellow rounds with one attending and one APP.
Advanced Cardiothoracic Surgical Unit: this is a 32 bed ICU with more complex cardiothoracic surgical patients, post-transplant for heart and lung, LVAD implants, and more. This unit has the capacity to run over 20 ECMO circuits simultaneously. There are two attendings, one fellow, and a small army of APPs.
Neurology/neurosurgical ICU: the NSICU is a 40 bed unit with two attendings, two fellows, and one APP. Fellows work with the neurointensivists to manage critically ill patients with strokes, seizures, post-neurosurgical cases, and other disorders of the CNS
Surgical ICU: the SICU has 20 beds and sees post-operative patients, including abdominal organ transplant patients (liver, kidney, pancreas). Fellows rotate under the supervision of a surgical critical care attending.
Trauma ICU: AdventHealth Orlando is not a trauma center of any designation. We have partnered with the local level 1 trauma center to offer a rotation during the second year in the trauma ICU.
Medical and Surgical Services
We have a wide range of medical and surgical services, and as a fellow you will be exposed to and learn how to manage:
- Cardiac and pulmonary support devices such as ventilators, impellas, balloon pumps, LVADs, VA and VV ECMO, etc...
- Continuous renal replacement circuits
- Heart, lung, liver, kidney, and pancreas transplant patients
- Complex oncologic patients
- Shock, shock, and more shock
- The everyday patients of critical care as well as the rare and unusual cases.
We are a quaternary referral center for the region and the state hub of our hospital system
- Pulmonary/Critical Care
- Internal Medicine/Critical Care
- Emergency Medicine/Critical Care
- Anesthesia/Critical Care
- Neuro/Critical Care
We operate on a 13-block annual cycle
- Year 1
- Year 2
- Ultrasound (Procedural Expectations)