Critical Care Medicine Fellowship Program at AdventHealth Tampa

• Medical ICU: This 20-bed unit accommodates a diverse range of medical patients. Internal medicine residents rotate through this ICU, where the fellow leads rounds and instructs residents under the attending's supervision. Fellows will gain experience in critical care procedures such as intubation, central line placement, hemodialysis, arterial line placement, tube thoracostomy, thoracentesis, paracentesis, and more.
• Cardiovascular Surgical ICU: This 17-bed ICU is dedicated to postoperative cardiac and thoracic surgical patients, as well as those with cardiogenic shock and advanced heart failure. Fellows will manage and be exposed to ECMO (VV and VA), Impella, intra-aortic balloon pump, pulmonary artery catheters, and pacers. Cardiac ICU-specific procedures include pulmonary artery catheter placement and transvenous pacemaker insertion.
• Neuro/Surgical ICU: This 18-bed ICU handles neurological emergencies, neurosurgical, and postoperative surgical patients. Fellows will encounter a variety of neurosurgical and neurological conditions and devices, including EVD. General surgery patients requiring ICU care are also admitted here. General surgery residents rotate through this unit, with the fellow leading rounds and teaching under the attending's supervision.
• Trauma ICU: AdventHealth Tampa is not a trauma center of any designation. While fellows will get exposure to single-system trauma, we have partnered with Orlando Regional Medical Center, a level 1 trauma center, to offer a rotation during the second year in the trauma ICU.

• Emergency department
• Heart Failure
• Nephrology
• Infectious Diseases
• Pulmonary
• Cardiology
• Neurology
• Ultrasound
• Research
• Critical Care Transport
• Rapid Response
• Subspecialty ICU (Liver ICU, etc.)

In July of each year, didactic lectures are given every Tuesday from 12 pm to 1:30 pm. The didactics are mandatory and protected time for fellows. Lectures include and are not limited to core lectures from faculty, guest speakers on trauma and organ transplant, ICU pharmacology and more. Once a month, fellows are required to go to the simulation labs during didactic time to practice simulation clinical case modules. Board review sessions are also a part of the didactic sessions.

Here at AdventHealth, we provide access to the latest research studies, procedures and technologies, including exclusive medical, surgical and device-related clinical trials. At the Dr. Kiran C. Patel Research Institute, part of the AdventHealth Research Institute, we conduct numerous research studies annually across various clinical disciplines. Our mission is to advance patient care through innovative, patient-focused research. Today's research paves the way for tomorrow's breakthrough medical treatments and advancements.

Research is a very important element of fellowship training and every fellow is expected to publish at least one article during their two years of fellowship. Fellows are required in the first research block to complete all CITI research training provided by Advent Health Research Directorate and develop a study protocol for their proposed project, with the help and close collaboration with the Director of Research for Critical Care. Ample support is available with the IRB, Biostatistics and funding for research publication through AdventHealth.

For more information, please visit: Research Institute | AdventHealth Tampa

Learner burnout is becoming more recognized, and at AdventHealth, we take learner wellness very seriously. A meeting with AdventHealth Wellness counselors is arranged for all fellows at the start of the fellowship with a check-in after six months. The fellows have the opportunity to meet with wellness counselors at any time they wish, and attend any wellness retreats offered.

• Benefits | AdventHealth Graduate Medical Education
• Resident Wellness | AdventHealth Graduate Medical Education

The fellowship is a 2-year ACGME approved program and is open to graduates of an accredited internal medicine or emergency medicine residency program.

Sample Resident Agreement

• Implicit Bias Training: Faculty will undergo annual training to prevent unconscious biases, ensuring they stay updated on best practices.
• Holistic Review: We use standardized criteria and a holistic approach to evaluate applicants, considering their experiences, attributes, and academic metrics.
• Annual Evaluation: At the end of each recruitment season, the program will critically evaluate its selection criteria for potential sources of bias and implement necessary changes to promote equity and inclusion. A post-match survey will also be distributed to residents to gather insights about diversity and inclusion in the recruitment process from the applicants’ perspectives.
• Cultural Competency Training: To foster inclusion, throughout training we participate in annual training on diversity, equity, and inclusion; unconscious bias in the workplace; and review non-discrimination and anti-harassment policies.
• Ongoing Monitoring: The Program Evaluation Committee (PEC) will assess our diversity efforts regularly and address any barriers to recruitment and retention.