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Welcome to the University of Colorado Anesthesiology critical care medicine fellowship
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Program Overview Faculty Introductions Rotations Curriculum
Salary / Benefits Wellness Keys to Success
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Core Faculty – Anesthesiology
Jason Brainard – Program Director Benjamin Scott – Associate Program Director Fareed Azam Karsten Bartels Maung Hlaing Sam Gilliland Pierre Moine Breandan Sullivan Jean Hoffman (Dual EM Faculty) Paul Wischmeyer Scott Wolf 100% Board-Certified Intensivists
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100% Board-Certified Intensivists
Core Faculty – Surgery Frank Wright - APD Robert McIntyre - MD Erik Peltz Arek Wiktor 100% Board-Certified Intensivists Core Faculty – Medicine Abigail Lara - APD Ellen Burhnam - MD Core Faculty – Neurosurgery Robert Neumann - MD
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Jason Brainard, MD Clinical / Administrative
Program Director, Critical Care Fellowship Co-Director Surgical Trauma Intensive Care Unit STICU and BurnICU Intensivist, MICU Overnight Intensivist Education Medical School – Saint Louis University Residency – University of Pennsylvania Fellowship – University of Pennsylvania Academic Interests Quality Improvement and Patient Safety Critical Care Education and Outreach Circadian Rhythms in Critical Illness Outside Interests Snowboarding / Indoor Soccer / Road Biking Smoking (BBQ, Not “Recreational”) Microbrew Tasting
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Benjamin Scott, MD Clinical / Administrative
Associate Program Director, Critical Care Fellowship STICU and BurnICU Intensivist Education Medical School – Columbia University Residency – University of Pennsylvania Fellowship – University of Pennsylvania Academic Interests Neuroanesthesia and Neuromonitoring ICU Database and Outcomes Research Circadian Rhythms in Critical Illness Outside Interests Skiing / Snowboarding Coaching Basketball Race Car Driving
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Fareed Azam, MB ChB Clinical / Administrative
Block Director, Surgical Trauma Intensive Care Unit STICU and BurnICU Intensivist, MICU Overnight Intensivist Education Medical School – University of London (UK) Residency – Northwestern University (Chicago) Fellowship –Northwestern University (Chicago) Academic Interests Liver Transplant Anesthesia ICU Education Trauma Critical Care Outside Interests Road Biking / Hiking Relaxing with Family and Friends
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Karsten Bartels, MD Clinical / Administrative
Co-Director, Critical Care Research CTICU Intensivist Education Medical School – Albert Ludwigs University (GER) Residency – Massachusetts General Hospital Fellowship – Johns Hopkins – Pain Medicine Fellowship – Duke University Cardiac Anesthesia and Critical Care Academic Interests Adverse Outcomes from Postoperative Opioid Prescriptions Novel Approaches to Echocardiographic RV Evaluation Early Recovery After Surgery (ERAS) and Goal-Directed Fluid Therapy Outside Interests Hiking / XC Skiing Sailing
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Maung Hlaing, MD Clinical / Administrative
Director, Ultrasound and Echocardiography Education CTICU Intensivist Education Medical School – Case Western Reserve Residency – University of California, San Francisco Fellowship – Columbia University Cardiac Anesthesia and Critical Care Medicine Academic Interests Critical Care Ultrasonography Mechanical Circulatory Devices Fast Track Cardiac Surgery / Perioperative Surgical Home Outside Interests Road Biking / Skiing / Hiking / Running Coffee Enthusiast
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Sam Gilliland, MD Clinical / Administrative
Director, Critical Care Simulation CTICU Intensivist, MICU Overnight Intensivist Education Medical School – University of Kansas Residency – University of Colorado Fellowship – Washington University (St. Louis) Academic Interests Critical Care Ultrasonography Outside Interests Road Biking / Skiing / Hiking / Running
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Jean Hoffman, MD Clinical Dual Staffing in EM and Critical Care
STICU and BurnICU Intensivist Education Medical School – Tulane University Residency – Emory University Fellowship – Emory University Academic Interests ECMO Novel Agents for Sedation EM-Critical Care Education Outside Interests 2 Dogs – Eloise & Henry Skiing Floral Design
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Abigail Lara, MD Clinical / Administrative
Assistant Program Director, Anesthesia Critical Care Fellowship Program Director, Pulmonary Critical Care Medicine Fellowship Block Director, Medical Intensive Care Unit Rotation MICU Intensivist Education Medical School – University of Wisconsin Residency – Cleveland Clinic Fellowship – University of Colorado Academic Interests Lymphangiogenesis in Pulmonary Fibrosis Genetics and Genomics of Lung Disease Medical Ethics Outside Interests Traveling / Scuba Diving Coffee Enthusiast
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Robert McIntyre, MD Clinical / Administrative
Co-Director, Surgical Trauma Intensive Care Unit Director, Trauma and Acute Care Surgery Program STICU Intensivist, Trauma Surgeon Education Medical School – Tulane University Residency – University of Colorado Academic Interests Thyroid Cancer Research Trauma Outcomes Quality Improvement Outside Interests Skiing Whitewater Kayaking Road Biking
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Pierre Moine, MD PhD Clinical / Administrative
Co-Director, Critical Care Journal Club STICU and BurnICU Intensivist Education Medical School – Paul Sabatier University (France) Residency – Rene Descartes University (France) Fellowship – Rese Descartes University (France) Academic Interests Infectious Disease and Antimicrobial Selection Antimicrobial Pharmacokinetics and Pharmacodynamics Outside Interests Ice Hockey / Rugby / Soccer Classical Music World History
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Breandan Sullivan, MD Clinical / Administrative
Block Director, Cardiothoracic Intensive Care Unit Co-Director, Cardiothoracic Intensive Care Unit CTICU Intensivist Education Medical School – Loyola University Residency – Washington University (St. Louis) Fellowship – Washington University (St. Louis) Cardiac Anesthesia and Critical Care Academic Interests Ventricular Assist Devices and ECMO Non-Invasive Hemodynamic Monitoring Transesophageal Assessment of Right Heart Function Outside Interests Road and Mountain Biking / Running / Skiing Wine Tasting
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Scott Wolf, MD Clinical / Administrative
Director, Resident and Medical Student Education CTICU Intensivist Education Medical School – University of Texas Residency – University of Texas Fellowship –University of Texas Academic Interests Protocol and Clinical Pathway Development ICU Administration and ICU Throughput ICU Outcomes Measures Outside Interests Tennis / Golf / Biking Spending Time With Wife and Dogs
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Paul Wischmeyer, MD Clinical Co-Director, Critical Care Research
Director, UCH Nutrition Services STICU and BurnICU Intensivist, MICU Overnight Intensivist Education Medical School – University of Chicago Residency – University of Chicago Fellowship – University of Chicago Critical Care and Clinical Pharmacology Academic Interests Perioperative and Critical Care Nutrition Microbiome Analysis and Probiotic Therapy in Critical Care Immunosuppression and Prevention of ICU Acquired Infections Outside Interests Spending Time with Kids and Family Exercise / Running / Sports Nutrition
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Frank Wright, MD Clinical / Administrative
Assistant Program Director, Anes Critical Care Fellowship Co-Director, Critical Care Journal Club STICU Intensivist, Trauma Surgeon Education Medical School – University of Southern California Residency – University of Colorado Fellowship – Loyola University Critical Care and Trauma Surgery Academic Interests Trauma Delivery Research Quality Improvement Surgical Education Outside Interests Skiing Hiking / Biking
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Other Faculty to Know… Resa Lewiss, MD Vaughn Browne, MD
Juliana Wilson, MD Ultrasound Faculty from the Dept of Emergency Medicine Robert Quaife, MD Rhonda Miyasaka, MD Ultrasound Faculty from Division of Cardiology Adit Ginde, MD Co-Director, Critical Care Research for ACCM Fellowship Director Clinical Research, Dept of Emergency Medicine Bryan Ahlgren, DO Program Director, Cardiothoracic Anesthesia Fellowship Sarah Perman, MD Mentor, Dept of Emergency Medicine
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Fellowship Rotations and Curriculum
Core ICU Rotations Non-Core ICU Rotations Additional Core Rotations for EM Graduates Ultrasound Education Career Development Curriculum Teaching and Education Leadership and Administration Research and Scholarship Didactic Curriculum
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Fellowship Rotations 1-Year Curriculum 2-Year Curriculum
4 Blocks – STICU 4 Blocks – CTICU 1 Block – MICU 1 Block – NeuroICU 1 Block – Ultrasound 1 Block – Research 1 Block – Elective 2-Year Curriculum 4 Blocks – STICU 4 Blocks – CTICU 4 Blocks – MICU 4 Blocks – NeuroICU 1 Block – BurnICU 1 Block – Ultrasound 2 Blocks – Research 2 Blocks – Surgery Trauma and Acute Care 2 Blocks – Subspecialty (2nd yr) Bronch/Renal/ID/Nutrition 2 Blocks Elective
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Rotation Schedule Patz Nelson Hansen Block 1 SICU CTICU TACS Block 2
Patz Nelson Hansen Block 1 SICU CTICU TACS Block 2 Utrasound Block 3 Ultrasound Block 4 Block 5 Research NeuroICU Block 6 Block 7 MICU Block 8 Block 9 Block 10 Block 11 Elective Block 12 Subspec Block 13
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ICU Rotation Schedule
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Core ICU Rotations UCH CTICU 18-bed unit
Admits all patients on cardiac, thoracic, and vascular surgery services C0-Director – Breandan Sullivan Intensivists from Department of Anesthesiology and Surgery 1 attending intensivist, 6 APPs, 3 residents, medical students, pharmacist, nutritionist, RT Common patient population includes: CABG, valves, aortic repair, VAD, thoracotomy, esophagectomy, open vascular, ECMO UCH STICU 24-bed unit Admits patients from all surgical services and OB (excluding CTICU services) Co-Director – Jason Brainard Intensivists from Department of Anesthesiology and Surgery 1 attending intensivist, 3 APPs, 3 residents, medical students, pharmacist, nutritionist, RT Common patient population includes: pancreaticohepatobiliary, trauma, acute care surgery, liver transplant
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Non-Core/Core ICU Rotations
UCH MICU 24-bed unit Admits all patients from primary medicine and medical subspecialty services Intensivists from Division of Pulmonary Critical Care 2 attending intensivist, 2 fellows, 8 residents, 8 interns, medical students, pharmacist, nutritionist, RT Common patient population includes: acute respiratory failure, septic shock, liver failure, pulmonary htn… UCH NeuroICU 24-bed unit Admits patients from neurology and neurosurgical services Intensivists from Department of Neurosurgery 1 attending intensivist, 3 APPs, 2 residents, medical students, pharmacist, nutritionist, RT Common patient population includes: CVA, meningitis/encephalitis, trauma, post-operative NSG and Neuro- IR
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Responsibilities, Duty Hours, and ICU Call Schedules
Fellow Responsibilities Graduated Autonomy and Leadership of ICU Team “A Fellow is a Fellow” Fellows will supervise residents and APPs on ICU rotations All fellows are treated equally on each service regardless of 1° residency training (Anesth, Surg, EM, Pulm) All rotations are 100% ACGME duty-hours compliant All rotations are home-call * Expectation to Return In-House Based on Clinical Need Overnight Call 3-4 Days/Week, 2 Weekends/Month
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Ultrasound Education Dedicated Block Rotation
Didactic, Echo Simulator, Bedside Application Flipped Classroom Multidisciplinary TTE – Cardiology (MD and Echocardiographers) TEE – Cardiac Anesthesia Lung/Abd U/S/Echo/Procedure – EM & ICU Longitudinal Curriculum Monthly U/S Conferences Case Presentations and Expert Discussion
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Career Development Curriculum
Designed to Prepare Fellows for a Career in Academic Medicine Build Portfolio for Faculty Application and Interviews Targeted to 3 Areas of Focus Teaching and Education Leadership and Administration Research and Scholarship
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Teaching and Education
Teaching Certificate Program 12-Month Formal Curriculum Led by Experts in Medical Education from UCSOM Academy of Medical Educators Upon completion of this certificate program, faculty will be able to: Describe principles of effective teaching and learning Improve their teaching skills in the OR, ED, and ICU Provide feedback to learners using evidence-based principles Develop a strategy for documenting their accomplishments in teaching to support promotion
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Teaching and Education
Teaching Experience Surgical Critical Care Lecture Series Fundamental Critical Care Support (FCCS) Bi-Annual 3-Day Educational Course Designed to educate participants on the recognition, diagnosis, and early management of critically ill patients. Course participants include a multiprofessional group of respiratory therapists, critical care nurse, and medical residents UCSOM Critical Care and Procedures Elective Annual 4th Year Medical Student Elective Similar content to above with addition of instruction in performance of bedside procedures
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Leadership and Administration
GME IHQSE Quality and Safety Training (1 Day) COPIC (3 Consecutive Days) Medical Liability Insurer Case Studies and Claims Discussions Critical Care (+ Anesth/EM) Specific Patient Safety, Systems, and Risk Analysis Topics Participation on a Hospital Wide Critical Care Committee and ICU QI/Patient Safety Committees Critical Care Quality Improvement – Dr. Patz Resuscitation – Dr. Nelson Trauma – Dr. Hansen SCCM National Committees
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Research and Scholarship
12-Month Formal Curriculum Conference Topics Include: Foundations of Academic Scholarship, Study Design, Methodology, Writing, Data Management, IRB, Statistics, and Academic Productivity 1-4 Months* Dedicated Research Rotations Focus on Clinical and QI Research Basic research for those with previous experience Research Opportunities within the Departments of Anesthesiology, Surgery, Emergency Medicine, Medicine Goal is Publication / Poster Presentation at National Conference
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Didactic Curriculum Outlook Calendar Invitations
Surgical Critical Care Lecture Series* Weekly lecture provided by UCH and DH SICU faculty and ICU fellows 12 Month Curriculum MICU / Pulmonary Lecture Series* ~ Monthly full-day lecture series provided by PCCM Fellows excused from clinical duties on these days Critical Care Journal Club* Monthly journal club conference Held weekday evenings at faculty homes TRISAT Lecture Series SCCM Lecture Series Department of Anesthesiology, Surgery, Emergency Medicine, and Pulmonary Critical Care Grand Rounds Department of Anesthesiology and Surgery M&M and clinical case conferences Cardiac Anesthesia Fellowship Lecture Series (TEE) Outlook Calendar Invitations
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Salary and Benefits Salary Benefits PGY5 - $62,929 PGY6 - $65,450
Health, Dental, Life, Disability Insurance Available 403b or 457 Savings Plans Parking – Parking Cards Today, ? Lot Vacation – 3 Weeks + 1 Week Education Need Requests Next Week $2000 for Books / Travel / Education Additional funds for travel if presenting at national conference
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Salary and Benefits Office Space Cisco Phones Doctor Coat
5th Floor AIP2 (Outside the STICU) Pick A Desk And We Will Label It Cisco Phones Cellphone Only, No Pager Does Not Work Outside Hospital Need to Forward to Cell Phone Doctor Coat Give Your Measurements to Christine
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Wellness
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Denver Botanic Gardens
Denver Center for Performing Arts City Park Red Rocks Coors Field Denver Art Museum Denver Zoo Denver Aquarium City Park Concerts Union Station Colorado Ballet
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SCCM Annual Congress – 2015
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Keys to Success Communication, Communication, Communication…
Program Director s are best Goal 48 hour response time Critical Care Nurses and Non-MD Team Members BE NICE Learn to lead Surgical Teams Keep surgical chiefs in the loop Pick your battles Don’t be afraid to move up the ladder
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Keys to Success - APPs This relationship is unique among other multidisciplinary ICU providers. Our ICU APP group are faculty in the School of Medicine and have tremendous medical knowledge, expertise, and experience in critical care medicine. They will be a great resource for you during your ICU rotations and you will no doubt learn much from our talented group. A successful collaborative relationship is not only expected, but also vital to your education as a critical care fellow. Our APP group will formally evaluate your performance on the ICU rotation and also serve as members of our fellowship Clinical Competence Committee. Our goal is to concentrate on teamwork and partnership and to avoid discussions of hierarchy. Patient care is always our highest priority. As per ACGME fellowship guidelines and goals of training, you will transition to graduated autonomy and leadership of the entire multidisciplinary ICU team. Your relationship with our ICU APP group will similarly transition over the course of the fellowship. The entire APP team is committed to your education and excited for the opportunity to participate in your education. In the STICU, our ICU APPs follow patients primarily. As the fellow on service, they will communicate with you on admissions, daily care plans, updates on status, and planned interventions. This will include bedside discussion and primary phone calls from our APPs during scheduled call. As above, your communications should be collaborative. In almost all cases, there will likely be agreement on plans of care. In cases of disagreement, constructive discussions are valued, and ultimate authority lies with the faculty attending intensivist. Finally, all STICU providers (fellows, APPs, residents) can contact the attending intensivist directly when necessary to communicate critical patient care concerns.
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