Fellowship Structure

Fellowships for Critical Care Medicine are 2-4 years depending on the research component. The Critical Care Medicine fellowship of the Oregon Health & Science University includes the following training sites:

  • University Hospital (UH)
  • Portland Veterans Administration Medical Center (PVAMC)
  • Kaiser Permanente Hospital (KPH)
  • Legacy Good Samaritan Hospital (GSH)
  • Divisional research laboratories in the medical school
  • Divisional research Laboratories at PVAMC
  • Associated laboratories in the Department of Biochemistry, the Department of Cell and Developmental Biology, the Department of Physiology and Pharmacology, and the Oregon Cancer Institute

Each fellow is assigned a faculty mentor who provides guidance during the Fellowship and with career planning. This includes advice concerning the selection of rotations, discussion of the selection of research projects and mentors, and feedback during the course of the Fellowship.

Year 1

The first year is made up of seven distinct rotations on the clinical services of UH, and PVAMC and varies for each Fellow depending on their experience and interests. The goal of this year is to teach the trainee the basic aspects of critical care medicine and thus the rotations include:

  • CSI-Post Cardiac Surgery & Surgical Sub-Specialty, 2 month at UH
  • Anesthesiology, 1 month at PVAMC
  • Medical Intensive Care Unit, 3 months at UH
  • Medical Intensive Care Unit, 1 months, PVAMC

Years 2 and 3

The second and third years of the program are arranged to support the development of the Fellows research and clinical interests. Each of these years will provide 9 months protected time for research, with 3 months of clinical rotations. The major focus at this point in the program is to engage in research under the guidance of a research mentor. As described below, this can involve research projects ranging from investigations of the mechanisms of disease to the collection of outcomes data, and spans all aspects of Critical Care Medicine. The Human Investigations Program at OHSU may be undertaken during this period and provides a basic scientific foundation for those Fellows without postgraduate science training.

Rotations can include:

  • CSI Post-Cardiothoracic Surgery & Surgical Sub-Specialty, 1 month at UH
  • Medical Intensive Care Unit, 2 month at UH
  • Medical Intensive Care Unit/Critical Care Consult Service, 1 month at GSH
  • Sleep Medicine Rotation, 1 month at UH
  • Kaiser Sunnyside Intensive Care Unit, 1 month at KH
  • Research Rotation, 17 months at UH

Year 4

The fourth year has become increasingly common for those Fellows planning to continue as clinician-investigators. It ensures an additional year of protected time to further develop a strong foundation for a career in academic medicine. It consists primarily of research time.