26
OCT
2014
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Welcome to the Orlando Regional Medical Center Medical Critical Care Fellowship program. We are pleased that you are considering this MCC fellowship program. Our program received accreditation from the Accreditation Council for Graduate Medical Education (ACGME) in early 2010, and our first two fellows started in July 2010.

Our fellowship’s mission is to produce the finest Intensivists who are able to excel in a wide range of post fellowship careers including clinical, academic and/or research positions. We provide comprehensive clinical training, including specialized rotations in Anesthesia, Trauma/Surgical ICU, Pharmacy, ER Ultrasound, Nutrition, Respiratory diseases and 4-6 months dedicated time for research and electives.

Orlando Health is expanding rapidly and new programs and affiliations are constantly under development. Central Florida is experiencing rapid growth in medical science with the establishment of a new medical school at the University of Central Florida, as well as the creation of a new research facility for Burnham Research Institute at the medical city in Lake Nona.

Throughout this site, you’ll find descriptions of the program, participating hospitals, application materials, and program requirements.

If you have questions, please contact Tania Silva, Senior Residency Coordinator at Tania.Silva@orlandohealth.com or call 321.843.5172.

We look forward to receiving your application to join us.


Sincerely,

Rakesh Gupta, MD
MCC Program Director


    Core Curriculum

    The mission of the Medical Critical Care Fellowship Program is to provide a balanced program of clinical, academic and investigative experience. Our goal is to train and develop physicians in the management of acute care conditions. Graduating intensivists will be able to excel in either private practice, public and/or academic teaching hospitals. Our full-time attending physicians are dedicated to directly supervising each fellow’s training experience. The program is structured so fellows have extensive one-on-one contact with faculty. Significant emphasis is placed on ongoing educational opportunities where faculty and fellows work together to explore and resolve clinical problems. Faculty members in the Medical Critical Care area are responsible for the care of all the ICU patients within Orlando Health’s main campus.

    The Clinical Training Program


    Orlando Health’s Medical Critical Care fellowship training program is accredited by the Accreditation Council for Graduate Medical Education (ACGME) for subspecialty training in the management of acute care illnesses. This two year program will lead to eligibility in American Board of Internal Medicine (ABIM) based critical care certifying examination.

    Clinical training for medical critical care fellows focuses on an in-depth clinical experience that utilizes a multidisciplinary approach to the care of critically ill patients. Faculty members share in caring and managing each patient and provide direct supervision to fellows.

    PGY 4

    Medical ICU (includes CCU, vascular surgery and neurosurgery) - 5 months
    Trauma/Surgical ICU - 1 month
    Anesthesia – 1 month
    Nutrition – 1 month
    ER Ultrasound – 1 month
    Respiratory – ½ month
    Pharmacy – ½ month
    Research/Elective – 2 months

    PGY 5

    Medical ICU – 4 months
    Trauma/Surgical ICU – 2 months
    Pulmonary (including interventional procedures)
    Research/Elective – 4 months


    Clinical Responsibilities


    All fellows spend a total of twelve clinical months during the two year training in the medical and surgical ICU. Fellows take responsibility of assigned patients and participate daily in teaching rounds with the attending physicians. The critical care team is also integrated with physician assistants, nurse practitioners, pharmacists, research nurses, respiratory therapists and a dietician.



    On-call Coverage


    ICU’s within Orlando Health main campus are covered on-site 24/7 by board certified attending physicians. Fellows also perform in house night call duties. The on-call faculty member is readily available to provide backup as needed. Fellows do not take calls from home. When fellows are not on-call at night or over the weekend, they have no responsibilities for patient coverage.


    Conferences

    The MCC fellowship program features daily noon conferences, some of which are combined with other academic programs such as Infectious Disease, Surgical Critical Care and Emergency Medicine.

    A monthly journal club with presentations on recent key articles regarding aspects of acute care illnesses and complications are reviewed. Focused literature reviews are presented by staff and fellows.

    Internal Medicine grand rounds occur weekly and fellows are strongly encouraged to attend.



    Courses and Meetings


    MCC fellows will become members of the Society of Critical Care Medicine. They will be registered to take the multidisciplinary critical care knowledge assessment program as in-training exam. Orlando Health supports travel to one national meeting during the year and fellows will be given protected time to present cases and abstracts.


    Research


    Acute Respiratory Distress Syndrome (ARDS)
    The Oscillation for ARDS Treated Early Trial (Canadian Institute of Health Research – CIHR)

    H1N1 flu

    Double-blind randomized phase III drug trial

    Rapid Response Teams/Critical Care Outreach

    Collaboration with Philips Healthcare

    Informatics/Monitoring Devices
    Collaboration with Rothman Healthcare

    Therapeutic Hypothermia

    Retrospective review

    Prognostication

    SAPS 3 validation

    Interventional Pulmonary

    Endobronchial valves

    Translational Laboratory – Research and Training Center

    Transpulmonary pressures
    Electrical Impedance Tomography
    Respiratory Impedance Plethysmography
    High Frequency Oscillatory Ventilation


    Vacation and Sick Leave

    Each fellow is entitled to three weeks paid vacation each year. All vacations must be scheduled in advance with the Program Director to provide appropriate coverage. No two fellows in the same year may take vacations at the same time unless approved by the Program Director.

    In the event of illness, it is the fellow’s responsibility to inform the Program Director of the problem. Coverage arrangements will be made for unexpected absences.


    Team Approach/Extenders

    Orlando Health is a comprehensive multidisciplinary medical center which has extensive ancillary services available. ICU patients are divided and distributed into several medical teams. Each team is lead and guided by an attending physician who is primarily responsible for the overall management decisions. However, the fellow assumes increasing responsibility for many of the day-to-day care issues as they advance in their training and education. Other team members include advance registered nurse practitioners and physician assistants who have advanced training in the management of critically ill patients. Extenders serve as liaisons for the medical teams.


    Application Information


    What you need to know to apply

    If you are interested in a fellowship in medical critical care, we invite you to apply through ERAS (Electronic Residency Application Service). ERAS is an internet based application process developed by the Association of American Medical Colleges to transmit fellowship applications, letters of recommendation, program director letters, medical transcripts and other supporting credentials from applicants, residency programs and medical schools to fellowship program directors using the internet. For information about the process or to register for ERAS online, visit www.aamc.org/eras.

    Note: All qualified applicants are considered for interviews. However, the volume of applicants precludes us from offering interviews to all qualified candidates.