The Anesthesia Critical Care Medicine Fellowship
An interview with Maurizio Cereda, MD, Assistant Professor, and Fellowship Director for the Penn Anesthesia Critical Care Medicine Fellowship Program.
HaPENNing Fast! Q: What is the goal of the Critical Care Medicine Fellowship (ACCM)?
Maurizio: The goal of our fellowship is to produce outstanding intensivists with an emphasis on creating future academic and clinical leaders in our subspecialty.
HaPf Q: What specific ICU training is offered to the fellows?
Maurizio: The fellows rotate through all of the intensive care units, including the surgical, neurological, trauma and surgical, and our two heart and vascular ICUs (HVICU), where they learn to manage complex critically ill patients in a true multidisciplinary environment, under the supervision of a large number of physicians certified in Critical Care and/or Cardiac Anesthesia. The rotations in the HVICUs provide additional experience managing patients following complex cardiac procedures. A variety of elective rotations are also available to the fellows.
HaPf Q: How has the fellowship program been enhanced?
Maurizio: The fellowship curriculum has been enhanced with an expanded lecture schedule and the creation of a year-long curriculum in ICU ultrasound, with formal teaching and monthly case review sessions, in addition to a month-long echocardiography rotation.
HaPf Q: What is the AGCME track?
Maurizio: In addition to the core curriculum, Penn's ACCM fellowship has designed an AGCME track dedicated to prepare clinicians for a career in Cardiac and Vascular Critical Care Medicine. With the increasing demand for highly trained intensivists in this field of Critical Care, the additional fellowship track, with a special focus on Cardiothoracic Critical Care Medicine, is accessible to physicians with primary specialties in Anesthesia, Surgery, and Cardiothoracic Surgery.
HaPf Q: What is the Penn Lung Rescue Program? https://www.pennmedicine.org/for-health-care-professionals/for-physicians/emergency-and-transfer-services/lung-rescue
Maurizio: The Lung Rescue Program is unique to Penn. This mobile program was designed to serve patients with severe respiratory insufficiency that are too unstable to transport. We go directly to other hospitals to initiate extracorporeal membrane oxygenation (ECMO) for a safe return back to Penn Presbyterian Medical Center (PPMC). Fellows have the opportunity to rotate in the Heart and Vascular ICU at PPMC where they will gain exposure to Penn's lung rescue program.
HaPf Q: Are fellows encouraged to participate in academic activities?
Maurizio: We expect our fellows to be engaged with both the investigative and quality improvement aspects of Critical Care Medicine. At the beginning of the year, each fellow is assigned a mentor, a research project, and a quality improvement project, with the expectation of completing at least a publication by the end of the year.
HaPf Q: Does the fellowship usually fill in the match?
Maurizio: Recently, our fellowship complement and our Critical Care faculty have been increased to meet the opportunities offered by our expanding clinical services. All fellowship positions have been consistently matched.