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Critical Care Medicine: Anesthesiology Fellowship

The Section of Critical Care Medicine at Dartmouth-Hitchcock Medical Center provides two ACGME fully-accredited Fellowship programs. One is specifically designed for physicians who are board-eligible/certified (BC/BE) in Anesthesiology, and the other for those BC/BE in Internal Medicine (Internal Medicine and Emergency Medicine candidates).

In addition, we work closely with the Section of Pulmonary Medicine to provide Critical Care Medicine training for Pulmonary/Critical Care Medicine Fellows. We also provide opportunities for individuals who are BC/BE in General Surgery to obtain Critical Care certification from the American Board of Surgery or Obstetrics and Gynecology.

Mission

Our mission is to guide and educate physicians as they develop the skills and expertise to provide safe, high value critical care through professional, ethical and compassionate behavior. We empower physicians to address healthcare disparities, and to continuously improve their education, practice, and the community health care system as a whole.

Program aims

  • To provide training based on a multi-disciplinary philosophy of critical care that will allow graduates to excel as clinicians and educators in any critical care environment.
  • To train clinicians to recognize the complex social, ethical and professional challenges prevalent in critical care, and to develop the necessary communication skills to navigate these challenges successfully as part of a high-functioning team.
  • To provide training in the specific challenges that confront a primarily rural patient population.
  • To provide exposure to research and quality improvement opportunities that will allow graduates to contribute as active members of academic medicine.

Education

The Critical Care Fellowship is designed to foster both the clinical and the leadership skills necessary to develop and promote a multi-disciplinary approach to Critical Care Medicine.

The specific goals of the program are to:

  • Understand the physiology and pathophysiology of critical illness
  • Evaluate and manage the critically ill patient equally across disease and discipline spectrum
    • Surgical
    • Medical
    • Neurosurgical
  • Develop the procedural skills necessary for the care of the critically ill
    • Point of Care Critical Care Ultrasound
    • Transesophageal Ultrasound
    • Hemodynamics
  • Understand the administrative aspects of Intensive Care Unit management
  • Understand ethical and legal aspects of Critical Care and Palliative Medicine
  • Understand research design and data interpretation

We are well-established and one of the original ICU Fellowship programs. We have been very successful in recruiting highly qualified Fellows to our program, and since 1980 we have graduated >50 Anesthesia and Critical Care Fellows. Concurrent with increased clinical activity, the Fellowship educational program has developed and expanded over the years.

Our Fellows receive training in broad-based Critical Care Medicine across Surgery and Medicine. This training diversity makes our Fellows uniquely marketable to any post-graduate career market. Our program is hands-on and teaches broad-based competence and independence with an engaged Faculty that fosters the Fellow’s growth, offering encouragement and individualized development throughout the Fellowship program.

Looking Forward

The Critical Care Fellowship program at Dartmouth-Hitchcock Medical Center continues to grow as the size and structure of our ICU grows. We continue to change with the specialty and incorporate newer trends and opportunities including teleICU, point of care Critical Care ultrasound, aeromedical transport of the critically ill patient, and ECMO. Because of their excellent academic and clinical training, our Fellows successfully pass the board exams necessary for practicing Critical Care Medicine. All our Fellows find outstanding career opportunities in both Academic and Private healthcare facilities after graduation.

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