Dr. Ryan J Fink, Program Director, Critical Care Anesthesiology Fellowship
Thank you for your interest in our Anesthesiology Critical Care Medicine (CCM) fellowship program.
Our program has two, 1-year ACGME-accredited fellowship positions in Critical Care Medicine for anesthesiology-trained applicants. For academic-year 2022-2023, we will only be recruiting one fellow. Our program is participating in the SOCCA Fellowship Match through SF Match utilizing the Centralized Application Service. All anesthesiology department fellowships, including the Critical Care Fellowship, will have a start date of August 1st.
If you would like to learn more about the program, please read below but also please join us for one of two information sessions:
Thursday, January 14th, 2021: 9:00 – 10:45am Pacific Standard Time
Saturday, January 30th, 2021: 12:00 – 1:45pm Pacific Standard Time
Please contact us at apomfellowships to sign-up for one of these sessions with program leadership and a current fellow.
Unfortunately, this application cycle we are not able to accept Emergency Medicine-trained applicants. For this application cycle, if you are interested in training in both critical care medicine and adult cardiothoracic anesthesiology, critical care medicine training will occur first (academic year 2022 – 2023) and cardiothoracic anesthesiology training will follow (academic year 2023 – 2024).
The mission of the Anesthesiology Critical Care Fellowship at OHSU is to provide a comprehensive critical care education to develop fellows into excellent clinicians with the skills to build fulfilling careers that include the expertise to care for a wide variety critically ill patients. We strive to provide this training in an inclusive and collegial educational environment where trainee well-being and professional development are prioritized and in alignment with the institution’s aims of “healing, teaching and discovery.”
The Anesthesiology Critical Care Fellowship program aims to:
- Provide a diverse, well-rounded clinical experience that includes both subspecialty-surgical ICU (cardiothoracic, neurosurgical, and general surgery) and specialty-medical (neurologic, cardiac, and general medical) ICU patient populations, and which emphasizes the life-long learning skills required to maintain competency in all areas of critical care medicine.
- Provide the opportunities for proficiency in critical care ultrasound and critical care echocardiography that will help develop leaders in critical care ultrasound.
- Encourage and support an environment of educational, clinical, and quality improvement/patient safety scholarship among fellows and critical care faculty.
- Educate critical care fellows in managing goals-of-care conversations that provide patient-value aligned care.
- Strive to educate fellows in a culture that values community, interconnectedness, wellness and self-care, and self-efficacy in the challenging field of critical care medicine, as well as educate fellows in ways to create and sustain this culture for themselves and their peers.
To help accomplish these aims, the OHSU Anesthesiology Critical Care Medicine fellowship offers trainees the opportunity to learn critical care in a variety of general and specialized high-volume, high-acuity ICUs. Core rotations adhere to ABA and ACGME guidelines and include rotations in the Cardiovascular ICU, Neurosciences ICU, Medical ICU, and the VA Surgical ICU. ICU electives include the Pediatric ICU, Trauma/General Surgical ICU, OHSU Hillsboro ICU (community hospital partner, mixed medical-surgical critical care experience), and our new Virtual ICU (consulting on ICU patients in multiple smaller hospitals in the state of Oregon).
Critical care education is enhanced with other elective rotations tailored to the interests of the individual fellow. Some of the more popular elective opportunities include nephrology, radiology, palliative care, scholarly activity/research, medical ethics, echocardiography, and ICU/Hospital administration. Research opportunities abound in our department, which ranks highly in the country for NIH funding.
Fellows learn from a wide variety of attending critical care physicians, including those from anesthesiology, surgery, neurology, medicine/pulmonary, emergency medicine, and cardiology. All supervising attending physicians are completed specialized training in Critical Care Medicine. In addition, the University has a strong group of Advanced Practice Providers in many of the ICUs, providing more educational and clinical care support.
Didactic experiences are plentiful. A multidisciplinary critical care didactic conference occur on a daily basis for the first six weeks of the academic year, then weekly for the remainder of the year. This series covers all major topics in critical care medicine, and we strive to have our local experts present at this conference. Monthly conferences include a topic-centered presentation and a journal club, in collaboration with the Neurosciences ICU fellowship program, and multidisciplinary fellow’s POCUS conference, and a fellow’s leadership conference.
Our ultrasound training program aligns with recommendations from the Society of Critical Care Anesthesiologists and occurs over the entire course of fellowship training. The curriculum includes a self-guided, faculty-facilitated ultrasound checklist, availability of daily ultrasound scanning and image review, every-other-week echo review conference with our cardiology department, and TTE and self-directed ultrasound electives. In addition, weekly TEE review with the Cardiothoracic Anesthesia fellowship is available for those who are interested. Our goal is to graduate critical care physicians competent in critical care ultrasound.
Our department plays a significant role in Critical Care Medicine at OHSU. We are a 501-bed hospital and have 80 adult ICU beds in total with four adult ICUs at the University hospital:
- 26 bed Cardiovascular unit
- 21 bed Trauma/General Surgery unit
- 17 bed Neurosurgical unit
- 16 bed Medical ICU
All of our core units operate as closed-type ICUs, with emphasis on multidisciplinary and collaborative care. As OHSU is the ultimate referral center for Oregon and several neighboring regions, exposure to high acuity and clinically complex case material is abundant. There are two additional ICUs at our affiliated VA Hospital and one at our community hospital partner, Hillsboro Medical Center.
To get a sense of OHSU, please see this video.
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For more information, please see these FAQs.
If you are interested in a dual-training pathway, such as in Critical Care Medicine and Cardiothoracic Anesthesiology, or Critical Care Medicine and Neurocritical Care, please mark this on the SF Match application, as well as email us directly so that we can coordinate with you and our colleagues.
Please do not hesitate to contact us if you have further questions.
Ryan J. Fink, M.D.
Anesthesiology Critical Care Medicine Program Director
To apply, please complete the application submission form through SF Match. Included in your SF Match Application should be:
- Application form
- Personal Statement
- Letters of Recommendation (including one from your residency program director)
Additionally, please arrange for the submission of:
- Dean's Letter/MSPE
- Medical school transcripts (unofficial/copies accepted)
- USMLE and/or COMLEX score reports (unofficial/copies accepted)
Please send these application materials to:
If you have any questions or concerns, please contact our Education office at (503) 494-4878.
Title IX compliance
OHSU provides equal opportunities to all individuals without regard to race, color, religion, national origin, disability, age, marital status, sex, sexual orientation, gender identity or expression, military service, or any other status protected by law. It does not discriminate on any status protected by law. This policy applies to all employment, education, volunteer, and patient care related activities or in any other aspect of OHSU's operation. Such compliance efforts are coordinated by the OHSU Affirmative Action and Equal Opportunity (AAEO) Department. OHSU complies with Title IX of the Education Amendments Act of 1972 and 34 CFR Part 106 by prohibiting discrimination on the basis of sex or gender in education programs, activities, employment, and admissions. Inquiries about Title IX compliance or sex/gender discrimination may be directed to the OHSU Title IX Coordinator: Michael Tom, AAEO Director, 503-494-5148, Mailing address: Mail code MP240, 3181 SW Sam Jackson Park Rd, Portland, OR 97239. Office: Marquam Plaza Suite 240, 2525 SW 3rd Ave, Portland, OR 97239. AAEO ; AAEO website. Title IX inquiries may also be directed to the U.S. Department of Education Office for Civil Rights, 1-800-421-3481