Anesthesiology Critical Care Medicine Fellowship
at the University of California, San Diego
…… A Unique Educational Experience
in America’s Finest City……….
UCSD ACCM FELLOWSHIP
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HOSPITAL LOCATIONS
FACULTY
EDUCATIONAL OVERVIEW
TEE and SURFACE ECHO
BRONCHOSCOPY TRAINING
RESEARCH OPPORTUNITIES
SAN DIEGO AREA ATTRACTIONS
APPLICATION PROCESS
CONTACT INFORMATION
4 UCSD Staffed Hospitals
UCSD Thornton Hospital
UCSD Cardiovascular Center
UCSD Medical Center, Hillcrest
San Diego VA Medical Center
Clinical ICU Training at Thornton ICU
& Sulpizio CV Center, La Jolla, CA
• Thornton ICU - 12 Bed Med-Surg ICU
• Sulpizio CVC - 12 Bed Med-Surg ICU
Options for Electives at Hillcrest Units
• SICU (Hillcrest) – 20 Bed Surgical /Trauma
• BICU (Hillcrest) – 8 Bed Burn
Future Expansion may include: VA-ICU and
Pediatric ICU Rotation at Rady Children’s Hospital
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EDUCATIONAL OVERVIEW
TEE and SURFACE ECHO
BRONCHOSCOPY TRAINING
RESEARCH OPPORTUNITIES
SAN DIEGO AREA ATTRACTIONS
APPLICATION PROCESS
CONTACT INFORMATION
Critical Care Faculty
William C. Wilson, MD, MA – Division Chief/Fellowship Director
Medical School: Temple, Anesthesiology Residency & CT Anesthesia Fellowship: UCSD, CCM Fellowship: UCSF
Interests: Airway, Lung Disease, CT Anesthesia, Neurological Disease, Transfusion Medicine, Trauma, Resuscitation
Anushrivan Minokadeh, MD – Journal Club Coordinator
Medical School: LSU, Anesthesiology Residency: SUNY Downstate Hospital, CCM Fellowship: Johns Hopkins
Interests: Liver Failure and Liver Transplantation, Endocrinological Emergencies, Mechanical Ventilation & Weaning
Beverly Newhouse, MD – Education Director
Medical School: U. North Carolina, Anesthesiology Residency: UCSD, CCM Fellowship: MGH
Interests: Medical Education, Mechanical Ventilation & Weaning, Resuscitation Physiology
Erik Kistler, MD, PhD – Director of Research
Medical School: George Washington University, PhD & Anesthesiology Residency: UCSD, CCM Fellowship: MGH
Interests: Sepsis and Shock (Mechanisms, Diagnosis and Treatment),
E. Orestes O’Brien, MD – Currently at Yale, Joins UCSD Faculty 7/1/11
Medical School: Harvard, Anesthesiology Residency: UCSF, CCM Fellowship: MGH
Interests: Monitoring and hemodynamic optimization. Has ongoing research project involving PICCO monitoring.
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HOSPITAL LOCATIONS
FACULTY
EDUCATIONAL OVERVIEW
TEE and SURFACE ECHO
BRONCHOSCOPY TRAINING
RESEARCH OPPORTUNITIES
SAN DIEGO AREA ATTRACTIONS
APPLICATION PROCESS
CONTACT INFORMATION
Educational Overview:
Core and Elective Rotations
• Each fellow will spend 9-11 months of clinical training in
Thornton ICU (T-ICU) and Sulpizio Cardiovascular
Center (S-CVC) ICU. The bulk of primary patient
management will occur in the T-ICU, most of the clinical
experience in the S-CVC ICU will be consultative, but for
certain surgeons, the Fellow will have primary
management responsibilities as well.
• In addition, the Fellow can opt for 1-2 months of elective
time either on corollary services with relevance to critical
care (e.g. Infectious Disease, Cardiology Service, TEE
Service), or they can spend time in the UCSD Burn Unit
at Hillcrest or the UCSD Trauma/SICU also at Hillcrest.
Educational Overview (cont.).
Expectations & Goals
• The primary goal of the core fellowship training
(occurring at T-ICU/S-CVC ICU) is to provide the
fellow with clinical experience in the management
of critically ill surgical &(some) medical patients.
• The Fellow will also develop expertise in
coordinating a multidisciplinary team, and in all of
the common procedures used in CCM.
• Training in TEE, TTE, & Bronchoscopy will be
specifically emphasized & provided to all fellows.
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BRONCHOSCOPY TRAINING
RESEARCH OPPORTUNITIES
SAN DIEGO AREA ATTRACTIONS
APPLICATION PROCESS
CONTACT INFORMATION
TEE and TTE Training
(All Fellows will become competent in both modalities)
Echo Training Includes:
• Principles of 2D and Doppler echo, workings of the Echo
machine & physics governing use of various probes.
• Expertise in obtaining 20 view TEE exam & abbreviated
exam for HD unstable patients.
• Competence in Echo-assisted invasive line placement.
• Imaging of all cardiac & vascular structures. Recognition
of common pathological echo findings (e.g. LV function, volume,
RWMA, tamponade, Mitral, Aortic & tricuspid valve evaluation, etc. )
• Proficiency in Doppler measurements & calculations.
• TEE & TTE Simulator available, and incorporated in curriculum.
• At Fellowship completion, each Fellow should be eligible to
attain the American Board of Echocardiography’s certification.
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RESEARCH OPPORTUNITIES
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CONTACT INFORMATION
Fiberoptic Bronchoscopy
(FOB) Training
• FOB Training and experience is one
of the Core CCM Procedures that will
be mastered by ACCM Fellows.
• All Faculty are proficient in FOB use
and teaching.
• In addition, Dr. Jonathan Benumof,
“originator of the ASA Difficult Airway
Algorithm”, will personally teach FOB
techniques in his Difficult Airway Lab.
• An Airway Simulator is available.
• All Fellows will become expert
bronchoscopists.
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Research Opportunities
• Abundant research opportunities are available.
• All Fellows will be expected to graduate with one completed research
project, including the production of a manuscript suitable for publication.
• Several ongoing projects are available to Fellows, or they can choose
topics of their own.
• A list of current research projects will be provided during interview.
• UCSD belongs to the “UC Goal Directed Therapy Consortium”. As a
member of this research group, we are actively involved in trials focused on
optimizing the endpoints of resuscitation.
• CCM Faculty will closely assist the fellows in all aspects of research.
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HOSPITAL LOCATIONS
FACULTY
EDUCATIONAL EMPHASIS
TEE and SURFACE ECHO
BRONCHOSCOPY TRAINING
RESEARCH OPPORTUNITIES
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SAN DIEGO ATTRACTIONS
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APPLICATION PROCESS
CONTACT INFORMATION
San Diego Area Attractions
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HOSPITAL LOCATIONS
FACULTY
EDUCATIONAL EMPHASIS
TEE and SURFACE ECHO
BRONCHOSCOPY TRAINING
RESEARCH OPPORTUNITIES
SAN DIEGO AREA ATTRACTIONS
APPLICATION PROCESS
CONTACT INFORMATION
Eligibility Criteria and
Application Process
The Eligibility Criteria For ACCM Fellowship are as follows:
• Board certification (or eligibility) in Anesthesiology by the ABA (or
equivalent if non-American trained).
• Possess (or be eligible for) a California medical license (must have
current license in State of Residence at time of application).
• Be intellectually curious, and of strong personal & moral character.
• Demonstrate interest in pursuing a career in critical care medicine.
Application Process
• Submit a CV and letter of interest addressed to the program director by
October prior to expected July start date. Some January starts
available (inquire with Program Director – if interested).
• Have certification in ACLS (or equivalent), ATLS is also advised.
• Strong Letters of Recommendation from current and prior program(s).
• Address Inquires to: JUNguyen@UCSD.edu
ACCM Fellowship Contact Information
Julie Nguyen, ACCM Fellowship Coordinator
Department of Anesthesiology and Critical Care
University of California, San Diego
200 West Arbor Drive, #8770
San Diego, CA 92103-8770
Phone (619) 543-5720
Fax: (619) 543-6476
JUNguyen@UCSD.edu