Critical Care Medicine
A few of our program's strengths and special features include:
MultiDisciplinary: Our Critical Care Conference series is organized in conjunction with the surgical critical care and anesthesia critical care fellowships. It provides our fellows with a valuable multidisciplinary critical care experience. This interdisciplinary didactic experience is complemented by a very robust interdisciplinary clinical experience. Our fellows spend time both on the Cardio-thoracic surgical ICU (8CSI) with direct hands-on exposure to care of complicated cardiac surgical cases including LVAD and heart transplant. The 8CSI service also cares for all OB/GYN and ENT ICU related cases. Our fellows also now rotate in the Neurosurgical ICU. This service provides a robust experience in both surgical and non-surgical neurocritical care related issues.
Simulation Training: We use simulation training for Cardiac Arrest (weekly simulations in the OHSU MICU), bronchscopy and effective use of the electronic health record. In addition, this year we are instituting central line simulation training. OHSU has a dedicated simulation center and we plan to continue to expand this aspect of our training, with ultrasound and echocardiography modules to be instituted over the next 2 years.
Clinical Diversity: Our fellows are required to work in a quaternary care medical center (OHSU), a VA, a community hospital (Legacy health system) and an HMO based system (Kaiser). In addition, all of these systems have different call rotations, accurately reproducing the different types of clinical systems they will be working in upon completion of their training and thus allowing them to make better and more informed career choices.
Quality Improvement: All fellows, as part of their curriculum in the VA ICU, must perform a Quality Improvement Project under the guidance of the VA MICU director, Stephen Smith. This experience provides them with real time experience in how to design and perform QI and will place them in an excellent position to enter into leadership/management roles upon completion of their training.
Research: We offer research experiences in both clinical and basic science and the fellows’ time in research is sufficiently protected to allow for success. In addition, the ability to participate in the Human Investigator Program (HIP), which offers formal training in clinical study design, biostatistics etc. and, adds to the robust nature of this experience. Our program has an established track record of allowing fellows to participate in research in any suitable environment within OHSU. This greatly expands the number of opportunities available and ties back to our multidisciplinary approach to Critical Care Medicine.
Dr. Jeff Gold, Program Director
Dr. Stephen Smith, Associate Program Director in charge of Critical Care Medicine
3181 SW Sam Jackson Park Road
Mail Code UHN67
Portland, Oregon 97239-3098