Vanderbilt’s Anesthesiology Critical Care Medicine fellowship is an ACGME-accredited one-year program which provides an unparalleled innovative and in-depth critical care training opportunity in one of the country’s best medical centers and best cities to live. The fellowship is designed to meet the individual needs of each fellow in preparation for board certification, evidence-based critical care practice, and the additional professional aspects required to be a successful consultant physician. Vanderbilt University Medical Center (VUMC) is the tertiary referral and Level I trauma center for Nashville, all of Middle Tennessee, and parts of four surrounding states. The facility is designed for advanced remote patient monitoring to improve the timeliness and efficiency of patient care. Currently, the critical care units at VUMC include a 26-bed Cardiovascular Intensive Care Unit (CVICU), a 23-bed Surgical Intensive Care Unit (SICU), a 24-bed Neuro-Care ICU (NCU), a 31-bed integrated Acute and Sub-Acute care Trauma unit, and a 10-bed expandable Regional Burn Center ICU. Our faculty and fellows also staff the 13-bed Nashville VA Medical Center SICU.
Core rotations for the fellowship include the CVICU, SICU, NCU, Trauma ICU, Burn ICU, VA-SICU, and ECHO/Ultrasound rotation with additional elective months. The fellowship program offers a diverse array of electives such as intraoperative TEE, MICU, PICU, palliative care, medical subspecialties (e.g., nephrology, infectious disease, and cardiology), nutrition, and the Medical Examiner's Office. Fellows who have academic interests are strongly encouraged to use elective time to develop and pursue clinical or basic science investigations and are expected to present their work at national conferences. Additionally, the Vanderbilt International Anesthesiology (VIA) program provides anesthetic and critical care services to poorly-served countries around the world, including Gyuana, Kenya, and other locations. Fellows may take one elective month to participate in VIA which presents opportunity for trainees to experience the challenges and rewards of practicing and educating in the developing world.
In the ICUs, our fellows organize teaching/work rounds, formulate care plans, and facilitate communication between the ICU team and surgical services, consultative services, and family members. Our fellows serve as instructors for residents, medical students, nurse practitioners, and nursing staff. This includes formal CME-approved presentations, simulation sessions, and educational conferences throughout the year. Fellows also serve as instructors for Fundamentals of Critical Care Support (FCCS) and our nationally-recognized Critical Care Skills Week which exposes junior medical students to topics in anesthesiology and critical care. All fellows will also have an administrative responsibility within the fellowship (e.g., scheduling, journal club, morbidity and mortality).
The teaching curriculum includes daily didactic sessions that consist of lectures, research conferences and studios, quality improvement training, echo lecture and case review, journal clubs, mortality and morbidity conferences, board preparation, and many others. Fellows will participate in ‘boot camp’ sessions for topics such as critical care ultrasound, ECMO, and ICU procedures. In addition, all fellows will gain ATLS training if needed. Fellows participate in a defined echocardiography curriculum for diagnosis and guidance of therapy in critically ill patients and will gain proficiency in applications of ultrasound to include but not limited to the FATE, FAST, VTE assessment, lung and pleural examinations. Fellows also participate in monthly simulation training at Vanderbilt’s cutting-edge Center for Experiential Learning and Assessment (CELA).
We participate in the San Francisco Match. The central application process and its requirements can be found here:
Application Registration Date: Opens November 4, 2019
Application Deadline: March 15, 2020
Interview Dates: January 2, 2020 - March 31, 2020
Match Results: May 26, 2020
For additional information, please contact:
Thank you for your interest in our innovative ACGME-accredited one-year critical care fellowship in Anesthesia Critical Care Medicine (ACCM). We are committed to providing the highest quality training and education in multiple specialized surgical critical care units and provide a depth and breadth of experience found few places else. Our goal is to train the future leaders, educators and innovators in Critical Care.
Your clinical experience will include ECHO/TEE and rotations through Surgical, Burn, Trauma, Cardiovascular and Neuro ICUs at Vanderbilt University Medical Center and a mixed surgical ICU at the Tennessee Valley VA. Our elective ICU rotations include Medical and Pediatric ICU, and non-ICU electives include radiology, nutrition, nephrology, cardiology, palliative care, infectious disease, research and many others. We also provide international anesthesia and critical care opportunities through the Vanderbilt International Anesthesia program.
The Vanderbilt University Anesthesia Critical Care Medicine fellowship has a strong didactic component that includes system-based pathophysiology, ultrasound, journal clubs, problem-based learning, board review, morbidity and mortality conferences, research, simulation and hands-on courses such as ATLS and echo boot camp. We strive to provide fellows with insights and skills to manage ICU environments and develop skills to perform quality improvement projects and research which impact outcomes in the ICU.
Our fellows are expected to complete at least one academic project with a faculty mentor during their fellowship year. Our faculty are willing to facilitate this research process with a variety of different research ideas and ongoing projects. A fellow can also pursue advanced research training through a T32 grant mechanism after his or her fellowship.
We look forward to hearing from you soon, and thank you for your interest in our program.
Dr. Christopher G. Hughes, MD, MS
Program Director VUMC ACCM
Christopher Hughes, MD, MD
Director, Critical Care Fellowship