Curriculum

Fellowship Structure

Fellowships for Critical Care Medicine are typically 2 years. A limited number of 1 year fellowship positions are available for those that have completed a 2-4 year ACGME accredited medicine subspecialty fellowship. In additional, fellows may extend their fellowship by 1 year to focus on research and build towards a physician scientist career.

 The Critical Care Medicine fellowship of the Oregon Health & Science University includes the following local training sites:

  • University Hospital (UH)
  • Portland Veterans Administration HealthCare System (VAPORHCS)ICU Rounding
  • Kaiser Permanente Hospital (KPH)
  • Legacy Emanuel Hospital (EM)
  • Providence St Vincent Medical Center (PSV)
  • Divisional research laboratories in the OHSU medical school
  • Divisional research Laboratories at VAPORHCS
  • 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 13 four week rotations (blocks) on the clinical services of UH, and VAPORHCS 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:

  • Medical Intensive Care Unit, 2-3 block at UH
  • Medical Intensive Care Unit, 2-3 blocks, VAPORHCS
  • Medical Intensive Care Unit, 1 block, EM or KPH
  • Neurosurgery Intensive Care Unit, 1 block at UH
  • Cardiovascular Intensive Care Unit, 1 block at UH
  • Critical Care Elective, 2 blocks
  • Anesthesia, 1/2 block PSV (not required for EM trained physicians)
  • Trauma Intensive Care Unit, 1/2 block UH (1 full block for EM trained physicians)
  • Respiratory Therapy, 1/2 Block UH
  • MICU Nursing, 1/2 Block UH

Years 2 and 3

The second and optional third year of the program are arranged to support the development of our fellows' research and clinical interests. The number of research and clinical blocks during these years vary by fellow. 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.

In the second year of fellowship CCM fellows receive about 8 research blocks, 1 Critical care Elective block and 4 blocks of clinical rotations that vary based on the fellows interests. These clinical blocks can take place in any of the ICU's mentioned above.