Critical Care Medicine Fellowship

Critical Care Medicine Fellows

The Critical Care Medicine (CCM) Fellowship is an ACGME-approved program that provides a comprehensive one-year training program in both critical care medicine and transesophageal echocardiography (TEE), leading to board eligibility in both CCM through the American Board of Anesthesiology and in TEE through the National Board of Echocardiography. We offer eight ACGME-accredited positions per year.

CCM Fellowship utilizes the SF Match process, under the sponsorship of the Society of Critical Care Anesthesiologists (SOCCA). Please visit www.socca.org and www.sfmatch.org for additional information.

To be Considered for a Critical Care Medicine Fellowship Position:

All required clinical education for entry into ACGME-accredited fellowship program must be completed in an ACGME-accredited residency program, or in a Royal College of Physicians & Surgeons of Canada (RCPSC)-accredited or College of Family Physicians of Canada (CFPC)-accredited residency program located in Canada.

SF Match Common Application Service (CAS) application process:

SF Match CAS Requirements:

  1. Complete and submit CAS application form (online);
  2. Three letters of reference (One letter must be from a training Program Director or Chair and the others from objective physicians (with one preferably from an intensivist) who have direct personal knowledge of your skills and ethics

In addition to completing the CAS application, applicants will submit the following to the CCM Program*:

  1. Curriculum Vitae
  2. Copy of Medical School Transcript
  3. Copy of USMLE Transcript 1, 2, 3/COMLEX 1, 2, 3
  4. Copy of Basic Exam Results
  5. AKTs (if available)
  6. ITEs (if available)
  7. ECFMG Documentation (if applicable)

Canadian Medical Graduates – in addition to the required documents, we will need a valid copy of your diploma from an LCME-accredited Canadian Medical School. We may also require a copy of your Canadian examination equivalent.

NOTE: Applicants interested in both Critical Care Medicine and Adult Cardiothoracic Anesthesiology Fellowships must apply to each program separately through SF Match. Adult Cardiothoracic Anesthesiology application process: Adult Cardiothoracic Anesthesiology Fellowship

Important Dates for the 2019-20 Fellowship Application and Match Process:

November 2017: Applicant Registration Begins
January – May 2018:  Interviews Offered
March 1, 2018: Applications Due
May 24, 2018:
Rank List Submission Deadline
May 31,  2018: Results Released

Christopher C. Young, MD, FCCM
Christopher C. Young, MD, FCCM
Professor of Anesthesiology
Program Director,
Critical Care Medicine Fellowship
Department of Anesthesiology
Box 3094
Duke University Medical Center
Durham, NC 27710
E mail: christopher.young@dm.duke.edu

Quintin J. Quinones, MD, PhD
Quintin J. Quinones, MD, PhD
Assistant Professor of Anesthesiology
Associate Program Director,
Critical Care Medicine Fellowship
Department of Anesthesiology
Box 3094
Duke University Medical Center
Durham, NC 27710
Email: quintin.quinones@duke.edu

Jaime C. Cooke
Program Coordinator
Critical Care Medicine Fellowship
Department of Anesthesiology
Duke University Medical Center
DUMC 3094
2301 Erwin Rd, 5691M HAFS Building
Durham, NC 27710
Email:  jaime.cooke@duke.edu

Clinical Features: [9 months ICU training, 2 months CTOR/CTOR TEE]

  • 18 weeks in the Trauma/Surgical ICU at Duke University Hospital, including a full didactic program in point-of-care ultrasound (POCUS) and Advanced Critical Care Echocardiography
  • 4 weeks in the Cardiothoracic ICU at Duke University Hospital managing postoperative cardiothoracic patients and patients receiving treatment with ECMO and advanced mechanical circulatory assist devices
  • 8 weeks in the Durham VA SICU, including postoperative management of cardiothoracic surgical patients; daily TEE exams; weekly TEE teaching conference
  • 12 weeks of dedicated TEE training, including 6-8 weeks providing cardiac anesthesia in the OR and remaining time covering TEE in and out of the OR
  • 2-4 week rotations in Medical ICU, Neuro ICU, and Palliative Care consultation service
  • Additional elective time may be available
  • Total echocardiographic experience that will significantly exceed current National Board of Echocardiography recommendations for qualification
  • Weekly Critical Care conferences, case presentations, and lectures covering the Critical Care core curriculum

All fellows will receive training in TEE both in the OR and in the ICU. Fellows will attain proficiency in echocardiography through hands-on experience coupled with weekly didactic sessions including lectures and case conferences.

Promotion:

Successful completion of the one-year continuum requires:

  • Nine months of clinical exposure in designated intensive care units
  • 60% attendance rate at mandatory conferences
  • Overall satisfactory evaluations of clinical skills

The goal of the Critical Care Medicine Fellowship is to provide trainees with background knowledge necessary for the care of critically ill patients and an appreciation of management issues unique to this patient population, in the perioperative period and elsewhere. Critical care medicine is a multidisciplinary field concerned with patients who have sustained, or are at risk of sustaining, life threatening, single or multiple organ system failure due to disease or injury. Critical care medicine seeks to provide for the needs of these patients through immediate and continuous observation and intervention so as to restore health and prevent complications. Fellows will become competent in all aspects of recognizing and managing acutely ill adult patients with single or multiple organ system failure requiring ongoing monitoring and support.

The objective of the Critical Care Medicine Fellowship at Duke University Medical Center (DUMC) and the Durham Veterans Affairs Medical Center is to provide complete training experience in all aspects of providing care to critically ill patients. Broad familiarity and expertise in the multidisciplinary approach to critical care medicine will be emphasized. Nine months of training in the intensive care units at DUMC and the Durham Veterans Affairs Medical Center are required; the remaining three months are dedicated to cardiothoracic TEE/OR training. Direct faculty supervision is provided. Didactics are emphasized with daily teaching rounds with attending intensivists from the departments of Anesthesiology, Medicine and Surgery. Weekly faculty led didactic lectures, bi-weekly faculty facilitated journal clubs, problem-based critical care board review, research seminars, sub-specialty pro-con debates, morbidity and mortality and ethics conferences are regularly scheduled. Fellows in Critical Care Medicine (Anesthesiology, Medicine and Surgery) participate in these formal didactic sessions. Ample opportunities to participate in ICU administrative duties will be made available. At the completion of training, the fellow will have gained proficiency in the diagnosis and treatment of a wide range of illnesses and will be able to function in the role of consultant intensivist.

Summary Goals and Objectives:

At the completion of the training program, the successful fellow will:

  • Demonstrate competence and professionalism all aspects of the management of the patient with critical illness
  • Provide evidence of proficiency in critical care procedures
  • Demonstrate the ability to function as part of a multi-disciplinary ICU team
  • Participate in bed triage, quality assurance, and other administrative functions required of a successful intensivist

Fellows will have the option of using elective time to gain expertise in Point-of-Care Ultrasound (POCUS) and Advanced Critical Care Echocardiography (ACCE), supervised by faculty with expertise in these fields.

Point-of-Care Ultrasound (POCUS)

Fellows choosing to pursue the POCUS elective will participate in a structured curriculum that adheres to training guidelines endorsed by all three U.S. critical care societies (SCCM, ACCP, ATS). POCUS training will cover the following organ systems: focused cardiac; focused pleural/pulmonary; focused renal/GU; focused DVT; and FAST exam. To complete the POCUS curriculum and receive a letter of completion, the fellow will need to do all of the following:

  • Complete computer-based modules
  • Attend live lectures
  • Perform hands-on scanning in a workshop format
  • Perform hands-on scanning of ICU patients and submit written interpretations of findings to designated faculty
  • Submit a log of POCUS exams performed & interpreted that meets SCCM and Duke minimum standards

Advanced Critical Care Echocardiography (ACCE)

Starting in January 2019, the National Board of Echocardiography will release a new board exam in advanced transthoracic echocardiography targeted toward non-cardiologist acute care providers (mainly intensivists and EM physicians).  This board certification will be called: Advanced Critical Care Echocardiography (ACCE). Although the full details of the board certification pathway have yet to be finalized, it is known that achieving board certification in ACCE will require applicants to pass a cognitive exam and to submit a log of supervised studies. We will support fellows in the pursuit of both of these goals and have set up the necessary infrastructure to make that possible.

The fellow will participate in research projects in the intensive care units at Duke and the VA. Education in hypothesis development, study design, ethics of performing studies on human subjects, Institutional Review Board processes, and project funding will be incorporated into the training. The fellow will have ample opportunity to assist in obtaining patient consent and data collection. Opportunities for review and publication of results will be available. In addition, Journal Club conferences will be scheduled into the didactic program. The fellow will learn to critique published studies through critical review of journal articles. This experience will aid in the development of interpretive skills that will serve in the critical assessment of the medical literature.

Mentor-Guided Anesthesia Research Assures Skill Development In:

  • One-on-one mentorship  by a leader in anesthesia and critical care research
  • The ability to formulate clinically relevant hypotheses in critical care medicine and anesthesiology
  • Project design skills, to create achievable studies able to answer questions according to scientific method
  • Execution of research project
  • Introduction to statistical analysis techniques
  • Interpretation of results and preparation of a manuscript
  • Presentation of research at national meetings
  • Introduction to research funding and grants
  • Ability to critically evaluate the research of other investigators

In addition to its emphasis on learning patient care, the Critical Care Medicine Fellowship program is structured to provide opportunities in teaching, research, and administration. In learning to be a consultant, the fellow must learn how to be a teacher. The fellow will be asked to prepare formal lectures for medical student, resident, and fellow level conferences. The fellow will also provide daily teaching to nurses, respiratory therapists, and other ancillary personnel in the Intensive Care Unit. In the last several months of training, the fellow will be asked to act in the role of “junior attending” and will have increased responsibility in patient management decisions and teaching.

CCM Division-2018

Left to Right: Drs. Sharon McCartney, Mihai Podgoreanu, Mandisa-Maia Jones-Haywood, J. Mauricio Del Rio, Nazish Hashmi, Jamie Privratsky, John Whittle (Back), Christopher Young, Raquel Bartz (Chief), Eleanor Vega, Nancy Knudsen, Annemarie Thompson, Madhav Swaminathan, Loreta Grecu, Paul Wischmeyer, and Vijay Krishnamoorthy
Not Pictured: Drs. Atilio Barbeito, Yuriy Bronshteyn, Michael Fierro, Kamrouz Ghadimi, Ehimemen Iboaya, Michael James, John Lemm, Jerrold Levy, Nitin Mehdiratta, Colleen Moran, Eugene Moretti, Okoronkwo Ogan, Quintin Quinones, Karthik Raghunathan, Arturo Suarez, Shelly Wang, Ian Welsby

CCM fellows are mentored and taught by faculty from the Critical Care Medicine Division.

After graduation, Duke fellowship graduates enter either private or academic practice, which varies slightly with each graduating class. To get a first-hand account of our fellowship program, we encourage you to ask our current fellows or alumni about their experiences.

Meet our CCM fellows

Nawar Al-Rawas (Baylor University Dallas TX)
Hassan Amhaz (Private Practice)
Vinca Chow (Darmouth-Hitchcock Medical Center, Lebanon, NH)
Thomas Christianson (Duke 2017-2018 Neurocritical Care Fellowship)
Benjamin Dunne (Private Practice, Anesthesia Practice Consultants, Grand Rapids, MI)
Jamie Privratsky (DUMC)
Matthew Read (Academic & Military Practice, San Antonio TX)
Suraj Yalamuri (Mayo Clinic, Rochester, MN)
Eric Ehieli (Regional Anesthesia, PLLC/Duke Regional Hospital)
Haley Goucher (The University of Kansas Hospital, Kansas City, KS)
Nazish Hashmi (DUMC)
Sharon McCartney (DUMC)
Brian Titus (University of VA, Charlottesville, VA)
Michael Fierro (DUMC)
Ali Rashid (Holy Cross Hospital, Fort Lauderdale, FL)
Mandeep Singh (USC Medical Center, Los Angeles, CA)
Arturo Suarez (DUMC)
Xueyuan Shelly Wang (Virginia Hospital Center, Arlington, VA)
Anthony Bonavia (Penn State Medical Center, Hershey, PA)
Megan Krajewski (Beth Israel in Boston, MA)
Kunal Panda (Baylor St Luke’s Medical Center, Houston, TX)
Quintin Quinones (DUMC)
Lauren Zanotti (Greater Colorado Anesthesia Private Practice, Denver, CO)
Nasrin Aldawoodi (Duke Raleigh-Rex Hospital/American Anesthesiology of NC, Raleigh, NC)
Karsten Bartels (UC Denver, CO)
Kandis Johnson (Jewish Hospital, Louisville, KY)
Soo Kim (University of Texas at Galveston/Medical Branch Galveston, TX)
John Lemm (DUMC)
Ryan Fink (Oregon Health and Sciences University, Portland OR)
John Nardiello (Duke Raleigh-Rex Hospital/American Anesthesiology of NC, Raleigh, NC)

Russell Roberson (UNC Chapel Hill)
Robert Thiele (University of VA, Charlottesville, VA)
Noelle DeSimone (University Anesthesiology Associates, Augusta, GA)
Roman Dudaryk (University of Miami Health System, Miami FL)
David Joseph (Scott &White Healthcare, Temple Hospital and Continuing Care Hospital, TX)
Arvin Trippensee (Jacksonville, FL)
Matthew Atkins (Duke Raleigh-Rex Hospital/American Anesthesiology of NC, Raleigh, NC)
Jordan Cuthbert (University of Ottawa, Canada)
Brendan Howes (American Anesthesiology of NC, Cary/Raleigh, NC)
Robert Preston (University of Utah)
Daniel Amitie (Jersey Shore University Medical Center, Neptune, NJ)
Larry Field (MUSC, Charleston, SC)
Duane Funk (University of Manitoba, Winnipeg, Canada)
Eugene Lujan (US Naval Medical Center, San Diego, CA)
David Coy (Flagstaff, AZ)
Mihai Podgoreanu (DUMC)
Maher Albaharani (The Royal Hospital Ministry of Health, Sultanate of Oman)
Marcella Lanzinger (Technische Universität München, Germany)
Patrick Neligan (University of Pennsylvania, Philadelphia, PA)
Angela Joseph (Huron Medical Center, Bad Axe, MI)
Chiedozie Udeh (University of Iowa School of Medicine, Iowa City, IA)
Albert Hasson (Arizona Anesthesia Consultant, Glendale, AZ)
Kevin Patrick (Piedmont Hendersonville Anesthesia, Hendersonville, NC)
Eugene Moretti (DUMC)
Faisal Masud (Methodist Hospital – Houston, Houston, TX)
Ian Welsby (DUMC)
Elliott Bennett-Guerrero (SUNY Stony Brook, NY)
Nancy Knudsen (DUMC)
Clarence “Tony” Huggins (Rex Hospital/American Anesthesiology of NC, Raleigh, NC)

Find out why Durham, North Carolina is a great place to work and play.

ChrisCritical Care Medicine Fellowship